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General NPI Number Information
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NPI Number | 1891016598
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Entity Type | Individual
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Provider Name | JESSICA G. KINGSBERG M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 25455 BARTON RD STE 102B
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City | LOMA LINDA
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State | CA
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Zip | 92354-3139
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Country | US
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Telephone | 909-558-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 25455 BARTON RD STE 102B
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City | LOMA LINDA
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State | CA
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Zip | 92354-3139
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Country | US
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Telephone | 909-558-2808
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | C202458
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | C202458
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 16603
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 454913
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 454913
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 16603
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License Number State | NV
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