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General NPI Number Information
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NPI Number | 1790597060
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Entity Type | Individual
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Provider Name | PETER TIMOTHY DELKESKAMP DC
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Gender | Male
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1141 PACIFIC ST STE F
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3307
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Country | US
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Telephone | 805-544-8884
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Fax | 805-548-0055
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Provider Business Mailing Address
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Address Line | 1141 PACIFIC ST STE F
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3307
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Country | US
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Telephone | 805-544-8884
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Fax | 805-548-0055
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC37153
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License Number State | CA
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