INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870567427', 'W77009310', 'W77009310', 'UT01', 'U Of U Emergency Physicians', 'Joseph', NULL, 'Borshanian', 'NP', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-10-29', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417917501', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009314', 'W77009314', 'UT01', 'U Of U Emergency Physicians', 'Philip', 'J', 'Bossart', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497845077', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009315', 'W77009315', 'UT01', 'U Of U Emergency Physicians', 'Philip', 'J', 'Bossart', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497845077', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009316', 'W77009316', 'UT01', 'U Of U Emergency Physicians', 'Kent', 'S', 'Chapman', 'PA', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-03-09', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833834', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009317', 'W77009317', 'UT01', 'U Of U Emergency Physicians', 'Alan', 'S', 'Condie', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833606', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009318', 'W77009318', 'UT01', 'U Of U Emergency Physicians', 'Heather', 'L', 'Heileson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-07-08', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832230', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009319', 'W77009319', 'UT01', 'U Of U Emergency Physicians', 'Heather', 'L', 'Heileson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-07-08', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832230', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009320', 'W77009320', 'UT01', 'U Of U Emergency Physicians', 'Andrew', 'S', 'Johnson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-05-06', '2004-03-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134199649', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009321', 'W77009321', 'UT01', 'U Of U Emergency Physicians', 'Steven', 'M', 'Joyce', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023193711', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009322', 'W77009322', 'UT01', 'U Of U Emergency Physicians', 'Wally', NULL, 'Lee', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833293', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009323', 'W77009323', 'UT01', 'U Of U Emergency Physicians', 'M Scott', NULL, 'Linscott', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679663280', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009324', 'W77009324', 'UT01', 'U Of U Emergency Physicians', 'Deanne', NULL, 'Long', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2500 S State St', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014616200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-09-17', '2006-07-31', 1, 12, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1023087343', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009325', 'W77009325', 'UT01', 'U Of U Emergency Physicians', 'Eileen', NULL, 'Scanlon', 'PA', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018259561', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-09-20', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104888601', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009326', 'W77009326', 'UT01', 'U Of U Emergency Physicians', 'Eileen', NULL, 'Scanlon', 'PA', 'Emergency Medicine', NULL, NULL, NULL, 'O', '5475 S 500 E', 'Ogden', 'Weber', 'UT', '84405', '8014792111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-09-20', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104888601', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009328', 'W77009328', 'UT01', 'U Of U Emergency Physicians', 'Robert', NULL, 'Stephen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780774315', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77009329', 'W77009329', 'UT01', 'U Of U Emergency Physicians', 'Eric', NULL, 'Swanson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477643005', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870569293', 'W77009330', 'W77009330', 'UT01', 'Anderson, Christopher', 'Christopher', NULL, 'Anderson', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 2455', 'Ogden', 'Weber', 'UT', '84403', '8013872575', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPULM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1497794150', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870569381', 'W77009331', 'W77009331', 'UT01', 'Cache Valley Cardiology', 'Rudolf', NULL, 'Otrusinik', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '1300 N 500 E Ste 320', 'Logan', 'Cache', 'UT', '84341', '4357558200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-08-04', '2006-10-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1003922394', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870569381', 'W77009332', 'W77009332', 'UT01', 'Cache Valley Cardiology', 'William', 'L', 'Saul', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '1300 N 500 E', 'Logan', 'Cache', 'UT', '84341', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1255447538', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870569543', 'W77009333', 'W77009333', 'UT01', 'Basin Clinic', 'Rodney', 'S', 'Anderson', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '379 N 500 W Ste 1A', 'Vernal', 'Uintah', 'UT', '84078', '4357891165', '4357891169', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, 'Uintah Basin Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1952495582', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870569774', 'W77009334', 'W77009334', 'UT01', 'Welling, Blake G', 'Blake', NULL, 'Welling', 'MD', 'Neurosurgery', NULL, NULL, NULL, 'B', '425 E 5350 S', 'Ogden', 'Weber', 'UT', '84405', '8014799119', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UOGDEN', NULL, NULL, '0.00', '35.00', NULL, 3, '2000-04-15', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770627234', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870569959', 'W77009335', 'W77009335', 'UT01', 'Oquirrh Mountain Womens Center', 'Marlee', 'K', 'Dalton', 'NP', 'Family Practice', NULL, NULL, NULL, 'O', '1959 Aaron Dr Ste A', 'Tooele', 'Tooele', 'UT', '84074', '4358339111', '4358339888', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-06-04', '2005-09-30', 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1730175761', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870569959', 'W77009336', 'W77009336', 'UT01', 'Oquirrh Mountain Womens Center', 'Daniel', 'R', 'Ferguson', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1959 Aaron Dr Ste A', 'Tooele', 'Tooele', 'UT', '84074', '4358339111', '4358339888', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2005-04-01', 0, 0, 0, 'Brigham City Community Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1194802991', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870570082', 'W77009337', 'W77009337', 'UT01', 'Intermountain Stroke Center', 'Nancy', NULL, 'Futrell', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '5292 College Dr Ste 204', 'Murray', 'Salt Lake', 'UT', '84123', '8012630611', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699791095', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870570144', 'W77009338', 'W77009338', 'UT01', NULL, 'Daniel', NULL, 'Vine', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '1002 E S Temple Ste 407', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013646116', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'Saint Alphonsus Regional Medical Center', NULL, '', NULL, 'HCFA|UB|', '1841219375', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870571315', 'W77009339', 'W77009339', 'UT01', 'Cannon, Max K', 'Max', 'K', 'Cannon', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', 'PO Box 508', 'Payson', 'Utah', 'UT', '84651', '8014651701', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833167', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870571510', 'W77009340', 'W77009340', 'UT01', 'Layton Ambulatory Anesthesia', 'Earl', 'K', 'Leeman', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1544 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8017748992', '8015250347', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-04-01', '2006-05-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831174333', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870571510', 'W77009341', 'W77009341', 'UT01', 'Layton Ambulatory Anesthesia', 'Clark', 'E', 'Petersen', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1544 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8017748992', '8015250347', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-06-01', '2006-05-31', 1, 12, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1275519894', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870571510', 'W77009342', 'W77009342', 'UT01', 'Layton Ambulatory Anesthesia', 'Christopher', 'G', 'Reveley', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 160354', 'Clearfield', 'Davis', 'UT', '84016', '8017748992', '8015250347', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-04-01', '2006-05-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144206723', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870572431', 'W77009343', 'W77009343', 'UT01', 'Wasatch Urology Associates', 'James', 'C', 'Jensen', 'MD', 'Urology', NULL, NULL, NULL, 'B', 'PO Box 58201', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015321244', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDURO', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833225', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870573947', 'W77009344', 'W77009344', 'UT01', 'Holladay Family Practice', 'Randall', 'P', 'Daynes', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3920 S 1100 E Ste 220', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012682584', '8012621168', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811962939', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009345', 'W77009345', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '220 Millpond Ste 109', 'Stansbury Park', 'Tooele', 'UT', '84074', '4358824144', '4358439568', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009346', 'W77009346', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '2275 N Main St', 'Sunset', 'Davis', 'UT', '84015', '8017734191', '8017734197', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009347', 'W77009347', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '50 E 9000 S', 'Sandy', 'Salt Lake', 'UT', '84070', '8015620066', '8015622124', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009348', 'W77009348', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'B', 'PO Box 711185', 'Cottonwood ', 'Salt Lake', 'UT', '84171', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009349', 'W77009349', 'UT01', 'Mountain Land Rehabilitation', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'B', 'PO Box 711185', 'Cottonwood ', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009352', 'W77009352', 'UT01', 'Mountain Land Rehabilitation', 'Shaun', 'B', 'Adams', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '355 N Main St', 'Kanab', 'Kane', 'UT', '84741', '4356444199', '4356444141', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699879106', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009353', 'W77009353', 'UT01', 'Mountain Land Rehabilitation', 'Brett', 'H', 'Cook', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '50 E 9000 S', 'Sandy', 'Salt Lake', 'UT', '84070', '8015620066', '8015622124', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949406', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009354', 'W77009354', 'UT01', 'Mountain Land Rehabilitation', 'Mark', 'A', 'Flinders', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949404', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009355', 'W77009355', 'UT01', 'Mountain Land Rehabilitation', 'Jennifer', 'M', 'Carter', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '451 Bishop Federal Ln', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014938814', '8014686843', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949413', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77009356', 'W77009356', 'UT01', 'Mountain Land Rehabilitation', 'Jennifer', 'M', 'Carter', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949413', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870574267', 'W77009363', 'W77009363', 'UT01', 'The Er Group', 'Steve', 'E', 'Pehrson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', '100', NULL, NULL, '0.00', '0.01', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164531968', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870575989', 'W77009367', 'W77009367', 'UT01', 'Country Hills Eye Center', 'Bradley', 'W', 'Richards', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '875 Country Hills Dr', 'Ogden', 'Weber', 'UT', '84403', '8013991149', '8013944481', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457333064', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870577952', 'W77009373', 'W77009373', 'UT01', 'Western Newborn Specialists', 'Robin', 'S', 'Smith', 'MD', 'Neonatology', NULL, NULL, NULL, 'B', 'PO Box 520691', 'Salt Lake City', 'Salt Lake', 'UT', '84152', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245239649', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870580379', 'W77009377', 'W77009377', 'UT01', 'Summit View Medical', 'David', 'B', 'Douglas', 'PA', NULL, NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8015768988', '8015769396', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-10-04', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '908303', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870580379', 'W77009378', 'W77009378', 'UT01', 'Summit View Medical', 'Vernon', 'D', 'Potter', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8015768988', '8015769396', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-10-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801937263', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870581462', 'W77009379', 'W77009379', 'UT01', 'Freeman Physical Therapy', 'Kenneth', 'A', 'Freeman', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2332 W 12600 S Ste 2B', 'Riverton', 'Salt Lake', 'UT', '84065', '8014467171', '8014467373', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '1999-12-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834346', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870583479', 'W77009381', 'W77009381', 'UT01', 'Phase II Center For Womens Health', 'Ronda', NULL, 'Lucey', 'NP', NULL, NULL, NULL, NULL, 'O', '348 E 4500 S Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012629800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-08-30', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306902101', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870584427', 'W77009382', 'W77009382', 'UT01', 'University Of Utah Vascular Surgeons', 'Denise', 'L', 'Jost', 'APRN', 'Vascular Surgery', 'General Surgery', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818301', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2000-02-04', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336239938', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870584427', 'W77009383', 'W77009383', 'UT01', 'University Of Utah Vascular Surgeons', 'Mark', 'R', 'Sarfati', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Vascular Surgery', NULL, 'B', 'PO Box 58163', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467542084', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870609595', 'W77009385', 'W77009385', 'UT01', 'Utah County Medical Associates', 'Cameron', 'D', 'Anderson', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '97 Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654899', '8014653267', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841415338', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870615301', 'W77009387', 'W77009387', 'UT01', 'Pinnacle Physical Therapy', 'David', 'M', 'Carbonara', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '17 S Main St', 'Tooele', 'Tooele', 'UT', '84074', '4358437466', '4358439568', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '1999-10-02', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833952', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870615760', 'W77009388', 'W77009388', 'UT01', 'Urology Clinic Of Logan', 'Michael', 'Scott', 'Callister', 'MD', 'Urology', NULL, NULL, NULL, 'O', '550 E 1400 N Ste J', 'Logan', 'Cache', 'UT', '84341', '4357531171', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDURO', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-01-01', '2006-12-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1811038060', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870615760', 'W77009389', 'W77009389', 'UT01', 'Urology Clinic Of Logan', 'Ryan', 'H', 'Larsen', 'MD', 'Urology', NULL, NULL, NULL, 'O', '950 Medical Dr Ste 103', 'Brigham City', 'Box Elder', 'UT', '84302', '4357344242', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDURO', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-12-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1235224932', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616000', 'W77009390', 'W77009390', 'UT01', 'Park City Podiatry', 'Donald', 'R', 'Call', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '2618 W 7800 S Ste 200', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015686800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPOD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2004-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861594624', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616000', 'W77009391', 'W77009391', 'UT01', 'Park City Podiatry', 'Mark', 'E', 'Moritz', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '1160 E 3900 S Ste G200', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012687766', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245297688', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616000', 'W77009392', 'W77009392', 'UT01', 'Park City Podiatry', 'Mark', 'E', 'Moritz', 'DPM', 'Podiatry', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-12-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245297688', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616000', 'W77009393', 'W77009393', 'UT01', 'Park City Podiatry', 'Mark', 'E', 'Moritz', 'DPM', 'Podiatry', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245297688', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616018', 'W77009395', 'W77009395', 'UT01', 'Mina Neurology Clinic', 'Arif', 'A', 'Chowdhury', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '1492 W Antelope Dr Ste 160', 'Layton', 'Davis', 'UT', '84041', '8017731111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225055023', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009396', 'W77009396', 'UT01', 'UUHC Greenwood Center Lab', 'r Lab', NULL, 'UUHC Greenwood Cente', 'GROUP', 'Laboratory Medicine ', NULL, NULL, NULL, 'O', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834124', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009397', 'W77009397', 'UT01', 'UUHC Central Billing Office', 'r PT', NULL, 'UUHC Greenwood Cente', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015677300', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '36.75', 3, '2002-07-12', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834806', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009398', 'W77009398', 'UT01', 'UUHC Greenwood Center PT', 'r PT', NULL, 'UUHC Greenwood Cente', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'O', '7495 S State St', 'Midvale', 'Salt Lake', 'UT', '84047', '8015677300', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '36.75', 3, '2002-07-12', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834806', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009399', 'W77009399', 'UT01', 'UUHC Redwood Urgent Care DNP', 'Michael', 'R', 'Adams', 'MD', 'Family Practice', '', 'Family Practice', NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-08-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780781682', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009400', 'W77009400', 'UT01', 'UUHC Billing Office', 'Enrique', 'P', 'Baires', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-07-16', '2004-10-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548373400', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009401', 'W77009401', 'UT01', 'UUHC Redstone Clinic', 'Joseph', 'W', 'Bell', 'DO', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1743 Redstone Ctr Dr Ste 115', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851471767', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009402', 'W77009402', 'UT01', 'UUHC South Jordan Center', 'Laura', 'A', 'Bergman', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1091 W S Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012139800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-02-25', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831909', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009403', 'W77009403', 'UT01', 'UUHC Redwood Center', 'Richard', 'J', 'Beukema', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-04-05', '2006-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831916', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009404', 'W77009404', 'UT01', 'UUHC Redwood Center', 'Lori', 'N', 'Biddulph-Deisroth', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-06-16', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275541377', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009405', 'W77009405', 'UT01', 'UUHC Billing Office', 'Larry', 'C', 'Chapa', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-02-15', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831729', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009406', 'W77009406', 'UT01', 'UUHC Billing Office', 'Brett', 'L', 'Clayson', 'PA', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-07-19', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457441040', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009407', 'W77009407', 'UT01', 'UUHC Billing Office', 'Jeffrey', 'W', 'Cline', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-08-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184714776', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009408', 'W77009408', 'UT01', 'UUHC Billing Office', 'Margaret', 'R', 'Colyar', 'NP', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876303', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831463', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009409', 'W77009409', 'UT01', 'UUHC Billing Office', 'Joseph', 'A', 'Conrad', 'MD', 'Internal Medicine', 'Geriatric Medicine ', NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2004-07-10', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164502662', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009411', 'W77009411', 'UT01', 'UUHC Billing Office', 'Daniel', 'G', 'Davie', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-07-08', '2005-07-08', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '936978', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009412', 'W77009412', 'UT01', 'UUHC Billing Office', 'Daniel', 'G', 'Davie', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-07-08', '2005-07-08', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '936978', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009413', 'W77009413', 'UT01', 'UUHC Greenwood Center', 'Daniel', 'G', 'Davie', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '7495 S State St', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-07-08', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '936978', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009414', 'W77009414', 'UT01', 'UUHC Redwood Center', 'Daniel', 'G', 'Davie', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-07-08', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '936978', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009415', 'W77009415', 'UT01', 'UUHC Greenwood Center', 'Julie', 'S', 'Day', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '7495 S State St', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831274521', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009416', 'W77009416', 'UT01', 'UUHC Stansbury Center', 'Eileen', 'R', 'Deleeuw', 'RD', 'Registered Dietician', NULL, NULL, NULL, 'O', '220 Millpond Ste 100', 'Tooele', 'Tooele', 'UT', '84074', '4358433000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-09-26', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832802', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009417', 'W77009417', 'UT01', 'UUHC Billing Office', 'Megan', 'R', 'Edwards', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-09-08', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831853', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009418', 'W77009418', 'UT01', 'UUHC Redwood Center', 'Megan', 'R', 'Edwards', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-09-08', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831853', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009419', 'W77009419', 'UT01', 'UUHC Billing Office', 'Jared', 'F', 'Esplin', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876303', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-05-11', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1316037914', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009420', 'W77009420', 'UT01', 'UUHC Billing Office', 'Brant', 'W', 'Fonnesbeck', 'DO', 'Family Practice', 'Urgent Care', NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-09-20', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033156849', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009421', 'W77009421', 'UT01', 'UUHC Redwood Center', 'Peggy', NULL, 'Fujimura', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833816', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009422', 'W77009422', 'UT01', 'UUHC Billing Office', 'Amy', 'M', 'Geroso', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-05-30', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834000', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009423', 'W77009423', 'UT01', 'UUHC Billing Office', 'Mark', 'R', 'Greenwood', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-07-29', '2005-07-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832042', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009424', 'W77009424', 'UT01', 'UUHC Billing Office', 'Phil', 'S', 'Haggerty', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-09-30', '2005-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '937291', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009425', 'W77009425', 'UT01', 'UUHC Westridge Center', 'Mary', 'D', 'Hall', 'NP', 'Pediatrics', NULL, NULL, NULL, 'O', '3730 W 4700 S', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114002805', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870616107', 'W77009426', 'W77009426', 'UT01', 'UUHC Billing Office', 'Grace', 'K', 'Harris', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-09-01', '2004-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093725277', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009427', 'W77009427', 'UT01', 'UUHC Redwood Center', 'Grace', 'K', 'Harris', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093725277', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009428', 'W77009428', 'UT01', 'UUHC Westridge Center', 'Grace', 'K', 'Harris', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '3730 W 4700 S', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093725277', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009429', 'W77009429', 'UT01', 'UUHC Billing Office', 'Ted', 'R', 'Hemsley', 'OD', 'Optometry', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833594', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009430', 'W77009430', 'UT01', 'UUHC Billing Office', 'Rina', 'M', 'Hooper', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1538259130', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009431', 'W77009431', 'UT01', 'UUHC Billing Office', 'Thomas', 'A', 'Hyatt', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346330941', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009432', 'W77009432', 'UT01', 'UUHC Westridge Center', 'Matthew', 'B', 'Johnson', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3730 W 4700 S', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1699787770', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009433', 'W77009433', 'UT01', 'UUHC Redwood Center', 'Tom', 'T', 'Jones', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830995', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009434', 'W77009434', 'UT01', 'UUHC Redwood Center', 'Thomas', 'J', 'Kottarathil', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205911997', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009435', 'W77009435', 'UT01', 'UUHC Billing Office', 'Natascha', NULL, 'Lautenschlager', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-08-26', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952491565', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009436', 'W77009436', 'UT01', 'UUHC Billing Office', 'John', 'U', 'Lawrence', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-08-20', '2002-08-20', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1952368839', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77009437', 'W77009437', 'UT01', 'UUHC Parkway Center', 'John', 'U', 'Lawrence', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '145 W University Pkwy', 'Orem', 'Utah', 'UT', '84058', '8012348600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-08-20', '2002-08-20', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1952368839', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870622942', 'W77009528', 'W77009528', 'UT01', 'Utah Imaging Associates', 'Paul', 'R', 'Jensen', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', 'PO Box 1369', 'Bountiful', 'Davis', 'UT', '84011', '8012962113', '8012961715', NULL, NULL, '', NULL, NULL, '', '', 'UUTIMAGE', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-10-01', '2006-03-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1528049335', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623034', 'W77009529', 'W77009529', 'UT01', 'Rocky Mountain Therapy Services', 'Brock', 'P', 'Monger', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '3725 W 4100 S', 'West Valley', 'Salt Lake', 'UT', '84120', '8019653545', '8019653518', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-04-15', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832268', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623034', 'W77009530', 'W77009530', 'UT01', 'Rocky Mountain Therapy Services', 'Brock', 'P', 'Monger', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8019653545', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-04-15', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832268', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623034', 'W77009531', 'W77009531', 'UT01', 'Rocky Mountain Therapy Services', 'Braden', 'J', 'Taylor', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '3725 W 4100 S', 'West Valley', 'Salt Lake', 'UT', '84120', '8019653545', '8019653518', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2003-07-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598788036', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623034', 'W77009532', 'W77009532', 'UT01', 'Rocky Mountain Therapy Services', 'Linda', NULL, 'Wayment', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '3725 W 4100 S', 'West Valley', 'Salt Lake', 'UT', '84120', '8019653545', '8019653518', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-01-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834302', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623034', 'W77009533', 'W77009533', 'UT01', 'Rocky Mountain Therapy Services', 'Paul', 'G', 'Wortley', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8019653545', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417940586', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623071', 'W77009534', 'W77009534', 'UT01', 'City Creek Internal Medicine', 'Nandita', 'C', 'Gupta', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '324 10th Ave Ste 160', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8014085151', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-10-29', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801862255', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623071', 'W77009535', 'W77009535', 'UT01', 'City Creek Internal Medicine', 'Ann', NULL, 'Jefferds', 'MD', 'Internal Medicine', 'Pulmonary', NULL, NULL, 'O', '324 10th Ave Ste 160', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8014085151', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-10-29', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386691558', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623831', 'W77009536', 'W77009536', 'UT01', 'Ashley Creek Physical Therapy', 'Ryan', NULL, 'Kiedrowski', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1180 N Vernal Ave', 'Vernal', 'Uintah', 'UT', '84078', '4357890022', '4357892955', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-04-02', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '835070', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870623831', 'W77009538', 'W77009538', 'UT01', 'Ashley Creek Physical Therapy', 'Ryan', NULL, 'Kiedrowski', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 1875', 'Vernal', 'Uintah', 'UT', '84078', '4357890022', '4357892955', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-04-02', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '835070', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623831', 'W77009539', 'W77009539', 'UT01', 'Ashley Creek Physical Therapy', 'Jerry', NULL, 'Kulland', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1180 N Vernal Ave', 'Vernal', 'Uintah', 'UT', '84078', '4357890022', '4357892955', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-01-02', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834215', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623831', 'W77009540', 'W77009540', 'UT01', 'Ashley Creek Physical Therapy', 'Jerry', NULL, 'Kulland', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 1875', 'Vernal', 'Uintah', 'UT', '84078', '4357890022', '4357892955', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-01-02', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834215', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870623924', 'W77009542', 'W77009542', 'UT01', 'Northern Physical Therapy Services', 'Frank', 'F', 'Romney', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '1221 E 5800 S', 'Ogden', 'Weber', 'UT', '84405', '8017820794', '8016058092', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-04-06', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834291', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870625825', 'W77009543', 'W77009543', 'UT01', 'Fitquest Physical Therapy & Fitness', 'Mark', 'C', 'Walker', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '147 W 400 N', 'Orem', 'Utah', 'UT', '84057', '8012219060', '8012219071', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2001-09-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834698', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870626129', 'W77009545', 'W77009545', 'UT01', 'Webb Physical Therapy', 'y', NULL, 'Webb Physical Therap', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'O', '1452 E Ridgeline Dr Ste 51', 'South Ogden', 'Weber', 'UT', '84405', '8014795777', NULL, NULL, NULL, '', NULL, NULL, '', '', '12280', NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-05-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832995', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870626129', 'W77009546', 'W77009546', 'UT01', 'Webb Physical Therapy', 'Dean', 'A', 'Nybo', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '1452 E Ridgeline Dr Ste 51', 'Ogden', 'Weber', 'UT', '84405', '8014795777', '8017740735', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2005-05-20', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '927245', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870626129', 'W77009547', 'W77009547', 'UT01', 'Webb Physical Therapy', 'Brent', 'A', 'Webb', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '1452 E Ridgeline Dr Ste 51', 'Ogden', 'Weber', 'UT', '84405', '8014795777', '8017740735', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-02-02', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154376838', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870626129', 'W77009548', 'W77009548', 'UT01', 'Webb Physical Therapy', 'Brent', 'A', 'Webb', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '280 W River Park Dr', 'Provo', 'Utah', 'UT', '84604', '8012291054', '8017740735', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-02-02', '2004-04-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154376838', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870626821', 'W77009549', 'W77009549', 'UT01', 'Humpherys, Scott', 'Scott', NULL, 'Humpherys', 'DPM', 'Podiatry', NULL, NULL, NULL, 'B', '368 N 780 E', 'Lindon', 'Utah', 'UT', '84042', '8013675183', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-12-05', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275647596', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870627216', 'W77009550', 'W77009550', 'UT01', 'Heras, Heidi A', 'Heidi', 'Ann', 'Heras', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'O', '482 W 50 N Ste 14', 'American Fork', 'Utah', 'UT', '84003', '8014927662', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-12-01', '2005-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619910684', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870627714', 'W77009551', 'W77009551', 'UT01', 'Professional Therapies Of Ut', 'Michael', 'J', 'Workman', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '817 6th Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8012848120', '8013596695', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-09-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1929299185', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W77009552', 'W77009552', 'UT01', 'Epic', 'James', NULL, 'Antinori', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', NULL, NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2000-01-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834181', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W77009553', 'W77009553', 'UT01', 'Epic', 'Jonathan', NULL, 'Appelbaum', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1050 E S Temple', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013504111', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2001-07-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834676', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W77009554', 'W77009554', 'UT01', 'Davis Hospital & Medical Center', 'Jonathan', NULL, 'Appelbaum', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018259561', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2001-07-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834676', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W77009555', 'W77009555', 'UT01', 'Ogden Regional Medical Center', 'Jonathan', NULL, 'Appelbaum', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '5475 S 500 E', 'Ogden', 'Weber', 'UT', '84405', '8014792111', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2001-07-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834676', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W77009556', 'W77009556', 'UT01', 'Epic', 'Jonathan', NULL, 'Appelbaum', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', NULL, NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2001-07-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834676', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W77009559', 'W77009559', 'UT01', 'Epic', 'James', NULL, 'Arango', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '5475 S 500 E', 'Ogden', 'Weber', 'UT', '84405', '8014792111', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2000-02-02', '2004-11-08', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831489', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W77009560', 'W77009560', 'UT01', 'Epic', 'Russell', NULL, 'Bradley', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', NULL, NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2000-01-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834183', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W77009562', 'W77009562', 'UT01', 'Davis Hospital & Medical Center', 'Barbara', 'D', 'Dahl', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018259561', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2001-11-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832054', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W77009563', 'W77009563', 'UT01', 'Epic', 'Barbara', 'D', 'Dahl', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2001-11-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832054', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870629690', 'W77009566', 'W77009566', 'UT01', 'Davis Hospital & Medical Center', 'Brett', 'J', 'Earl', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018259561', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2002-07-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832284', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870629690', 'W77009571', 'W77009571', 'UT01', 'Epic', 'John', 'A', 'Gezon', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', NULL, NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2000-01-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833884', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870640775', 'W77009662', 'W77009662', 'UT01', 'Uuhc Mobile Echo', 'Kevin', 'J', 'Whitehead', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Cardiovascular Disease', NULL, 'O', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-02-18', '2006-07-31', 1, 12, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1255421848', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870640775', 'W77009664', 'W77009664', 'UT01', 'Uuhc Central Billing-Redwood Clinic', 'Robert', 'F', 'Wong', 'MD', 'Internal Medicine', 'Gastroenterology', NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-07-12', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982784898', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641072', 'W77009665', 'W77009665', 'UT01', 'Parkway Pediatrics', 'Jimmy', 'L', 'Ryan', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 1010', 'Riverton', 'Salt Lake', 'UT', '84065', '8012533500', '8012535859', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1508800145', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641300', 'W77009666', 'W77009666', 'UT01', 'Utah Hyperbaric Physicians', 'Blaine', 'G', 'Campbell', 'NP', NULL, NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', '4056821586', NULL, NULL, '', NULL, NULL, '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2005-08-26', '2006-05-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '936462', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641300', 'W77009667', 'W77009667', 'UT01', 'Utah Hyperbaric Physicians', 'Michael', NULL, 'Garey', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', '4056821586', NULL, NULL, '', NULL, NULL, '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2000-01-01', '2005-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881629525', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641300', 'W77009668', 'W77009668', 'UT01', 'Utah Hyperbaric Physicians', 'Tommy', NULL, 'Love', 'DO', 'Hyperbaric Medicine ', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', '4056821586', NULL, NULL, '', NULL, NULL, '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832571', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641924', 'W77009669', 'W77009669', 'UT01', 'Integrated Physical Medicine', 'Lawrence', 'K', 'Rowlands', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'B', '308 E 4500 S Ste 175', 'Murray', 'Salt Lake', 'UT', '84107', '8016857700', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-01-05', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834237', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77009670', 'W77009670', 'UT01', 'Pediatric Urology Associates-PCmc', 'Blake', 'D', 'Hamilton', 'MD', 'Urology', NULL, NULL, NULL, 'O', '100 N Medical Dr Ste 2200', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912097510', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77009671', 'W77009671', 'UT01', 'Pediatric Urology Associates', 'AnnMarie', NULL, 'Hannon', 'NP', 'Urology', NULL, NULL, NULL, 'B', 'PO Box 581075', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-01-08', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730279332', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77009672', 'W77009672', 'UT01', 'Pediatric Urology Associates-PCmc', 'Brent', 'W', 'Snow', 'MD', 'Urology', NULL, NULL, NULL, 'O', '100 N Medical Dr Ste 2200', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275544454', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642241', 'W77009673', 'W77009673', 'UT01', 'Northern Ut Gastro & Endoscopy Specialists', 'V Duane', NULL, 'Bohman', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '630 E 1400 N Ste 100 B', 'Logan', 'Cache', 'UT', '84341', '4357870270', '4357870262', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-02-04', '2006-10-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1336105360', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642984', 'W77009674', 'W77009674', 'UT01', 'InVision Eye Health', 'Brenden', 'R', 'White', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '227 W 10000 S', 'Sandy', 'Salt Lake', 'UT', '84070', '8014952020', '8019845665', NULL, NULL, '', NULL, NULL, '', '', 'UTALBERT', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-11-18', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558357954', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643070', 'W77009675', 'W77009675', 'UT01', 'Circle Of Life Womens Center', 'Darren', 'W', 'Housel', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1525 E 6000 S', 'Ogden', 'Weber', 'UT', '84405', '8013375800', '8013375808', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-10-25', '2006-10-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1023031507', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643070', 'W77009676', 'W77009676', 'UT01', 'Circle Of Life Womens Center', 'Jed', 'P', 'Naisbitt', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1525 E 6000 S', 'Ogden', 'Weber', 'UT', '84405', '8013375800', '8013375808', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1487677613', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643195', 'W77009677', 'W77009677', 'UT01', 'Cache Valley Womens Center', 'Gary', 'K', 'Fowers', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', NULL, NULL, 'B', '1325 N 600 E Ste 102', 'Logan', 'Cache', 'UT', '84341', '4357539999', '4357532301', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-06-23', '2006-09-30', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1457342818', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643310', 'W77009678', 'W77009678', 'UT01', 'Allergy Clinics of Utah', 'Allan', 'C', 'Edson', 'DO', 'Allergy', 'Family Practice', NULL, NULL, 'O', '1492 S 800 W Ste J', 'Woods Cross', 'Davis', 'UT', '84087', '8012945224', '8012950311', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-09-30', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1508811092', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643697', 'W77009679', 'W77009679', 'UT01', 'U Of U Otolaryngology, Peds', 'Harlan', 'R', 'Muntz', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'O', '100 N Medical Dr Ste 1450', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882721', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-06-26', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1255421863', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643697', 'W77009680', 'W77009680', 'UT01', 'U Of U Otolaryngology, Peds', 'Harlan', 'R', 'Muntz', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'B', 'PO Box 581094', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-06-26', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1255421863', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643697', 'W77009681', 'W77009681', 'UT01', 'U Of U Otolaryngology, Peds', 'Richard', 'R', 'Orlandi', 'MD', 'Ear, Nose and Throat', 'Pediatric Otolaryngology ', NULL, NULL, 'B', 'PO Box 581094', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-07-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790865699', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643697', 'W77009682', 'W77009682', 'UT01', 'U Of U Otolaryngology, Peds', 'Albert', 'H', 'Park', 'MD', 'Pediatric Otolaryngology ', NULL, NULL, NULL, 'O', '100 N Medical Dr Ste 1450', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882700', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-09-11', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972693596', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643697', 'W77009683', 'W77009683', 'UT01', 'U Of U Otolaryngology, Peds', 'Clough', NULL, 'Shelton', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'B', 'PO Box 581094', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015812121', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891885414', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643697', 'W77009684', 'W77009684', 'UT01', 'U Of U Otolaryngology, Peds', 'Marshall', 'E', 'Smith', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'O', '100 N Medical Dr Ste 1450', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882700', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1154411783', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643872', 'W77009686', 'W77009686', 'UT01', 'Intermountain Neurology Clinic', 'Jahan', NULL, 'Imani', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '6112 S 1550 E', 'South Ogden', 'Weber', 'UT', '84405', '8014757707', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477540870', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870644582', 'W77009687', 'W77009687', 'UT01', 'Wasatch Cardiology Consultants', 'Michael', 'G', 'Henderson', 'PA-C', 'Emergency Medicine', 'Physician Assistant', 'Neurosurgery', NULL, 'B', '6011 S Redwood Rd', 'Murray', 'Salt Lake', 'UT', '84123', '8012937001', '8012939500', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-09-30', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265423594', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645268', 'W77009688', 'W77009688', 'UT01', 'Northview Physicial Therapy', 'Therapy', NULL, 'Northview Physicial', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'O', '349 12th St', 'Ogden', 'Weber', 'UT', '84404', '8013930900', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-05-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832991', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77009689', 'W77009689', 'UT01', 'U Of U General Peds', 'Jeffrey', 'R', 'Botkin', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833058', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77009690', 'W77009690', 'UT01', 'U Of U General Peds', 'Carrie', 'L', 'Byington', 'MD', 'Pediatric Infectious Diseases', 'Pediatrics', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851481444', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77009692', 'W77009692', 'UT01', 'U Of U Pediatrics - PCMC', 'Carrie', 'L', 'Byington', 'MD', 'Pediatric Infectious Diseases', 'Pediatrics', NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015852372', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851481444', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77009693', 'W77009693', 'UT01', 'U Of U Pediatrics - PCMC', 'Karen', 'K', 'Hansen', 'MD', 'Pediatrics', 'Child Protection and Family Health', NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1093805699', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77009694', 'W77009694', 'UT01', 'U Of U General Peds', 'Bruce', 'E', 'Herman', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1326129115', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870645559', 'W77009698', 'W77009698', 'UT01', 'U Of U General Peds', 'Michael', 'R', 'Johnson', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367726', '8012367733', NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-10-01', '2004-07-01', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1396839403', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77009699', 'W77009699', 'UT01', 'U Of U General Peds', 'Marin', NULL, 'Kiesau', 'MD', 'Pediatrics', 'Pediatrics', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-08-22', '2004-07-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831692', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77009700', 'W77009700', 'UT01', 'U Of U General Peds', 'Marin', NULL, 'Kiesau', 'MD', 'Pediatrics', 'Pediatrics', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-08-22', '2004-07-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831692', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870649259', 'W77009748', 'W77009748', 'UT01', 'Alpine Orthopedic Specialists', 'Brad', 'J', 'Larson', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 6250', 'Logan', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-04-01', '2006-10-31', 0, 0, 0, 'Brigham City Community Hospital', 'Logan Regional Hospital', NULL, NULL, 'HCFA|UB|', '1396733507', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649259', 'W77009749', 'W77009749', 'UT01', 'Alpine Orthopedic Specialists', 'Keith', 'J', 'Nelson', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '2310 N 400 E Ste A', 'North Ogden', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-04-01', '2006-10-31', 0, 0, 0, 'Brigham City Community Hospital', 'Logan Regional Hospital', NULL, NULL, 'HCFA|UB|', '1245229954', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649642', 'W77009750', 'W77009750', 'UT01', 'Ear Technology', 'hnology', NULL, 'Ear Tec', 'GROUP', 'Audiology', NULL, NULL, NULL, 'O', '3955 Harrison Blvd Ste U7', 'Ogden', 'Weber', 'UT', '84403', '8013999955', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834795', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649642', 'W77009751', 'W77009751', 'UT01', 'Ear Technology', 'Kerry', NULL, 'Braunberger', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '3955 Harrison Blvd Ste U7', 'Ogden', 'Weber', 'UT', '84403', '8013999955', '8013993144', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710985965', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870651047', 'W77009752', 'W77009752', 'UT01', 'Flegal Foot And Ankle Clinic', 'Douglas', 'C', 'Flegal', 'DPM', 'Podiatry', NULL, NULL, NULL, 'B', '740 E 3900 S Ste 108', 'Murray', 'Salt Lake', 'UT', '84107', '8012663113', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710955745', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870651355', 'W77009753', 'W77009753', 'UT01', 'Utah Valley Obstetrics & Gynecology', 'C Joseph', NULL, 'Glenn', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '1055 N 300 W Ste 303', 'Provo', 'Utah', 'UT', '84604', '8013577377', '8013577378', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-02', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942302211', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870651355', 'W77009754', 'W77009754', 'UT01', 'Utah Valley Obstetrics & Gynecology', 'Julie', 'S', 'Grover', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 303', 'Provo', 'Utah', 'UT', '84604', '8013577377', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386746659', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870652734', 'W77009755', 'W77009755', 'UT01', 'Smith, Layne A', 'Layne', 'A', 'Smith', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '9600 S 1300 E Ste 305', 'Sandy', 'Salt Lake', 'UT', '84094', '8015725808', '8015722953', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770693251', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653164', 'W77009756', 'W77009756', 'UT01', 'Utah Digestive Health Institute', 'John', 'E', 'Lowe', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', '6028 S Ridgeline Dr Ste 201', 'Ogden', 'Weber', 'UT', '84405', '8014755400', '8014758614', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1851387195', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77009757', 'W77009757', 'UT01', 'Park City Healthcare', 'Robert', 'W', 'Barnett', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1831146752', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77009758', 'W77009758', 'UT01', 'Park City Healthcare', 'Cress', 'R', 'Bohnn', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1861423113', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77009759', 'W77009759', 'UT01', 'Park City Healthcare', 'Maggie', 'S', 'Hull', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2006-04-05', '2006-04-05', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013999622', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77009760', 'W77009760', 'UT01', 'Park City Healthcare', 'Camellia', 'R', 'Koleyni', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-08-06', '2006-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356469217', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77009761', 'W77009761', 'UT01', 'Park City Healthcare', 'Charles', 'R', 'Morrison', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-02-27', '2006-03-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1083669204', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77009762', 'W77009762', 'UT01', 'Park City Healthcare', 'Kathleen', 'W', 'Thomas', 'APRN', 'Family Practice', 'Advanced Practice Registered Nurse', NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1740235290', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77009763', 'W77009763', 'UT01', 'Park City Healthcare', 'Kathleen', 'W', 'Thomas', 'APRN', 'Family Practice', 'Advanced Practice Registered Nurse', NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1740235290', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653674', 'W77009764', 'W77009764', 'UT01', NULL, 'John', 'A', 'Carver', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013577704', '8013577424', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669435160', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653947', 'W77009765', 'W77009765', 'UT01', 'South Valley Physical Therapy', 'Lynn', 'G', 'Adams', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '867 S 500 W', 'Payson', 'Utah', 'UT', '84651', '8014657979', '8014657980', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2001-06-01', '2005-04-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834591', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870654162', 'W77009766', 'W77009766', 'UT01', 'Utah Orthopaedic Specialists', 'Peter', 'G', 'Larcom', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '440 D St Ste 206', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8014082900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1821029869', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870654617', 'W77009767', 'W77009767', 'UT01', 'Price Family Medicine', 'Shane', 'D', 'Gagon', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '280 N Hospital Dr Ste 4', 'Price', 'Carbon', 'UT', '84501', '4356376271', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital-Pro Fees', NULL, NULL, 'HCFA|UB|', '1508951328', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870654931', 'W77009768', 'W77009768', 'UT01', 'Hubbard, Kelly W', 'Kelly', 'W', 'Hubbard', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '2380 N 400 E Ste B', 'North Ogden', 'Cache', 'UT', '84341', '4357525741', '4357525746', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-11-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871542308', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656237', 'W77009769', 'W77009769', 'UT01', 'Southern Utah Physical Therapy & Rehab', 'al Therapy & Re', 'hab', 'Southern Utah Physic', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'B', '166 W 1325 N Ste 100', 'Cedar City', 'Iron', 'UT', '84720', '4355860064', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-05-01', '2005-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834841', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656237', 'W77009770', 'W77009770', 'UT01', 'Southern Utah Physical Therapy & Rehab', 'al Therapy & Re', 'hab', 'Southern Utah Physic', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '250 E Ctr', 'Panguitch', 'Garfield', 'UT', '84759', '4356768944', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-05-01', '2005-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834841', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656237', 'W77009771', 'W77009771', 'UT01', 'Southern Utah Physical Therapy & Rehab', 'Gail', 'T', 'Brinkerhoff', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '250 E Ctr St', 'Panguitch', 'Garfield', 'UT', '84759', '4356768944', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-10-01', '2005-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832733', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656237', 'W77009772', 'W77009772', 'UT01', 'Southern Utah Physical Therapy & Rehab', 'Randy', 'J', 'Forsyth', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '166 W 1325 N Ste 100', 'Cedar City', 'Iron', 'UT', '84720', '4355860064', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-07-11', '2005-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832627', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656237', 'W77009773', 'W77009773', 'UT01', 'Southern Utah Physical Therapy & Rehab', 'Kregg', 'T', 'Lunt', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '166 W 1325 N Ste 100', 'Cedar City', 'Iron', 'UT', '84720', '4355860064', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-10-03', '2005-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832751', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656268', 'W77009774', 'W77009774', 'UT01', 'Wasatch Physical Therapy And Rehab', 'Lawrence', 'L', 'Baer', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5323 WooDrow St Ste 204', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8017130610', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-10-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346234010', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870656465', 'W77009775', 'W77009775', 'UT01', 'Cascade Family Medicine', 'Kelly', 'K', 'Wosnik', 'NP', 'Family Practice', NULL, NULL, NULL, 'O', '173 N 400 W Ste C-11', 'Orem', 'Utah', 'UT', '84057', '8018027373', '8018027733', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-10-29', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '911513', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656683', 'W77009776', 'W77009776', 'UT01', NULL, 'on MD PC', NULL, 'Chad Cars', 'GROUP', 'Anesthesiology', NULL, NULL, NULL, 'O', '1652 Wildcat Ln Ste 1', 'Ogden', 'Weber', 'UT', '84403', '8013932249', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2004-05-01', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833034', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656811', 'W77009777', 'W77009777', 'UT01', 'Pro Rehab Physical Therapy', 'Michael', 'L', 'Gagon', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8887006907', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-11-02', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834483', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656811', 'W77009778', 'W77009778', 'UT01', 'Pro Rehab Physical Therapy', 'Jeffrey', 'N', 'Ohlwiler', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8887006907', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2001-03-02', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834566', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656925', 'W77009779', 'W77009779', 'UT01', 'Utah Vascular Center', 'Robert', 'P', 'Smilanich', 'MD', 'Vascular Surgery', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 205', 'Provo', 'Utah', 'UT', '84604', '8013749100', '8013749117', NULL, NULL, '', NULL, NULL, '', '', 'USTDVASC', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730187600', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870657375', 'W77009780', 'W77009780', 'UT01', 'Robinson, Paul', 'Paul', 'H', 'Robinson', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '1159 E 200 N Ste 350', 'American Fork', 'Utah', 'UT', '84003', '8017565084', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-07-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833162', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870658282', 'W77009781', 'W77009781', 'UT01', 'Goodsell, Brent H', 'Brent', 'H', 'Goodsell', 'DO', 'Dermatology', NULL, NULL, NULL, 'O', '379 N 500 W', 'Vernal', 'Uintah', 'UT', '84078', '8775287546', '8017560202', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528172863', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870658625', 'W77009782', 'W77009782', 'UT01', 'Wasatch Peak Family Practice', 'Douglas', 'S', 'Linford', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1492 W Antelope Dr Ste 208', 'Layton', 'Davis', 'UT', '84041', '8017734770', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-04-02', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821180134', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870686529', 'W77009867', 'W77009867', 'UT01', 'Pioneer Valley Ob/Gyn', 'Spencer', 'N', 'Colby', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '3336 Pioneer Pkwy Ste 301', 'West Valley', 'Salt Lake', 'UT', '84120', '8019642229', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1144287699', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870686529', 'W77009868', 'W77009868', 'UT01', 'Pioneer Valley Ob/Gyn', 'Steven', 'M', 'Thackeray', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '3336 Pioneer Pkwy Ste 301', 'West Valley', 'Salt Lake', 'UT', '84120', '8019642229', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407813959', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870687383', 'W77009869', 'W77009869', 'UT01', 'Western Neurological Associates', 'Mary', 'Kathryn', 'Alderson', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '166 E 5900 S Ste B106', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8017436444', '8012699005', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-06-02', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832436', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870687383', 'W77009870', 'W77009870', 'UT01', 'Western Neurological Associates', 'Jack', 'H', 'Petajan', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '1151 E 3900 S Ste B150', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012623441', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNRLG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-06-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832726', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870687383', 'W77009871', 'W77009871', 'UT01', 'Western Neurological Associates', 'Dennis', 'D', 'Thoen', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '1151 E 3900 S Ste B150', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012623441', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023014297', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870687511', 'W77009872', 'W77009872', 'UT01', 'Brigham City Arthritis Clinic', 'Harold', NULL, 'Vonk', 'MD', 'Rheumatology', NULL, NULL, NULL, 'O', '984 Medical Dr Ste 3', 'Brigham City', 'Box Elder', 'UT', '84302', '4357235500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '15620', '0.00', NULL, NULL, 3, '2003-04-01', '2006-09-30', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023298882', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870687579', 'W77009873', 'W77009873', 'UT01', 'Seth R Lewis, MD', 'Seth', 'R', 'Lewis', 'MD', 'Internal Medicine', 'Hospitalist', NULL, NULL, 'B', 'PO Box 71128', 'Cottonwood ', 'Salt Lake', 'UT', '84171', '8014755100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1851409544', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77009874', 'W77009874', 'UT01', 'Garfield Memorial Hospital - Pro Fees', '', '', 'Garfield Memorial Clinic', 'GROUP', 'Clinic', NULL, NULL, NULL, 'B', 'PO Box 389', 'Panguitch', 'Garfield', 'UT', '84759', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834487', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77009875', 'W77009875', 'UT01', 'Garfield Memorial Clinic', 'Richard', NULL, 'Birch', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', '1303 N Main St', 'Cedar City', 'Iron', 'UT', '84720', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1124135462', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77009877', 'W77009877', 'UT01', 'Garfield Memorial Clinic', 'Robert', 'K', 'McCullough', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', '1303 N Main St', 'Cedar City', 'Iron', 'UT', '84720', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '908258', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77009879', 'W77009879', 'UT01', 'Kazan Memorial Clinic', 'Robert', 'K', 'McCullough', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '65 N Ctr St', 'Escalante', 'Garfield', 'UT', '84726', '4358264374', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '908258', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77009881', 'W77009881', 'UT01', 'Kazan Memorial Clinic', 'Todd', NULL, 'Mooney', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '65 N Ctr St', 'Escalante', 'Garfield', 'UT', '84726', '4358264374', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013024330', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77009882', 'W77009882', 'UT01', 'Orderville Clinic', 'Todd', NULL, 'Mooney', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '425 E State St', 'Orderville', 'Kane', 'UT', '84758', '4356482108', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013024330', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77009883', 'W77009883', 'UT01', 'Circleville Clinic', 'Becky', NULL, 'Roberts', 'FNP', 'Family Practice', NULL, NULL, NULL, 'O', '145 W Main', 'Circleville', 'Piute', 'UT', '84723', '4355772958', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1689779449', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77009885', 'W77009885', 'UT01', 'Kazan Memorial Clinic', 'Becky', NULL, 'Roberts', 'FNP', 'Family Practice', NULL, NULL, NULL, 'O', '65 N Ctr St', 'Escalante', 'Garfield', 'UT', '84726', '4358264374', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1689779449', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('876000309', 'W77009886', 'W77009886', 'UT01', 'Orderville Clinic', 'Randall', 'W', 'Walters', 'MD', 'Family Practice', 'Family Practice', NULL, NULL, 'O', '425 E State St', 'Orderville', 'Kane', 'UT', '84758', '4356482108', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831832', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'W77009887', 'W77009887', 'UT01', 'University Hospital Physicians', 'Physicians', NULL, 'University Hospital', 'GROUP', 'Physical Therapy', 'Multi Specialty (Clinic)', NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834143', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000545', 'W77009888', 'W77009888', 'UT01', 'Health Clinics Of Utah', 'Dan', 'S', 'Albu-Zaruba', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '2540 Washington Blvd Ste 122', 'Ogden', 'Weber', 'UT', '84401', '8016263670', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-06-25', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912969270', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000545', 'W77009889', 'W77009889', 'UT01', 'Health Clinics Of Utah', 'Heather', 'D', 'Hack', 'NP', 'Family Practice', NULL, NULL, NULL, 'O', '2540 Washington Blvd Ste 122', 'Ogden', 'Weber', 'UT', '84401', '8016263670', '8016263646', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-12-05', '2006-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831883', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000545', 'W77009890', 'W77009890', 'UT01', 'Health Clinics Of Utah', 'Thomas', 'L', 'Jones', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3195 S Main St Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014680354', '8014680353', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-09-24', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588795264', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000545', 'W77009891', 'W77009891', 'UT01', 'Health Clinics Of Utah', 'Rebecca', 'J', 'Levine', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3195 S Main St Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014680354', '8014680353', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1316986136', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000545', 'W77009892', 'W77009892', 'UT01', 'Health Clinics Of Utah', 'Kurt', 'E', 'Rifleman', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '2540 Washington Blvd Ste 122', 'Ogden', 'Weber', 'UT', '84401', '8016263670', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-09-29', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780682567', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77009893', 'W77009893', 'UT01', 'Blanding Clinic', 'Mahana', 'S', 'Fisher', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1700878949', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77009894', 'W77009894', 'UT01', 'San Juan Clinic', 'Blen', NULL, 'Freestone', 'PA', NULL, NULL, NULL, NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487646337', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77009895', 'W77009895', 'UT01', 'San Juan Clinic', 'Jay', NULL, 'Kaluvapalle (Reddy)', 'MD', 'Family Practice', 'Internal Medicine', NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '831748', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77009896', 'W77009896', 'UT01', 'San Juan Clinic', 'Rajani', NULL, 'Katkuri', 'MD', 'Family Practice', 'Internal Medicine', NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '831749', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77009897', 'W77009897', 'UT01', 'San Juan Clinic', 'Kevin', 'M', 'Matteson', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2006-10-31', 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|', '1407853013', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77009898', 'W77009898', 'UT01', 'Blanding Medical Clinic', 'Jane', 'B', 'Palmer', 'FNP', NULL, NULL, NULL, NULL, 'O', '804 N 400 W', 'Blanding', 'San Juan', 'UT', '84511', '4356782254', '4356782534', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154314169', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77009899', 'W77009899', 'UT01', 'Blanding Medical Clinic', 'James', 'D', 'Redd', 'MD', 'General Practice', NULL, NULL, NULL, 'O', '804 N 400 W', 'Blanding', 'San Juan', 'UT', '84511', '4356782254', '4356782534', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417949132', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77009900', 'W77009900', 'UT01', 'U of U Ophthalmology', 'Neil', 'J', 'Atodaria', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-07-12', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '903018', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77009901', 'W77009901', 'UT01', 'U of U Ophthalmology', 'Paul', 'S', 'Bernstein', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023108651', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77009902', 'W77009902', 'UT01', 'Old Mill Ophthalmology', 'Cindy', 'W', 'Chao', 'MD, PhD', 'Ophthalmology', NULL, NULL, NULL, 'O', '6360 S 3000 E Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8015853937', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2002-07-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832189', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77009903', 'W77009903', 'UT01', 'U of U Ophthalmology', 'Alan', 'S', 'Crandall', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, 'St Marks Hospital', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1083704670', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77009904', 'W77009904', 'UT01', 'U of U Ophthalmology', 'Alan', 'S', 'Crandall', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, 'St Marks Hospital', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1083704670', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77009905', 'W77009905', 'UT01', 'U of U Ophthalmology', 'Jean', 'N', 'DeMarchis-Tabin', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-10-17', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949453', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77009906', 'W77009906', 'UT01', 'U of U Ophthalmology', 'Thomas', 'F', 'Findlan', 'DO', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2003-07-01', '2006-09-27', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832609', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W77009974', 'W77009974', 'UT02', 'Intermountain Health Care', 'James', 'R', 'Grua', 'MD', 'Endocrinology', '', '', NULL, 'O', '333 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015358398', '8013554011', '333 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015358398', '8013554011', 'USTDMULT', 'USTDHCPC', '', '0.00', '35.00', '0.00', 8, '2004-04-30', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1134159288', 0, 'Y', 0, '2014-06-04', NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W77009978', 'W77009978', 'UT02', 'Intermountain Health Care', 'Mark', 'D', 'Heiner', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '550 E 1400 N Ste S', 'Logan', 'Cache', 'UT', '84341', '4357921598', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2003-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000831193', 0, 'Y', 0, '2006-12-15', NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W77009983', 'W77009983', 'UT01', 'Ihc Pulmonary Clinic', 'Tracy', 'Arnold', 'Hill', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 500', 'Provo', 'Utah', 'UT', '84604', '8013577291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 8, '1999-09-02', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992711253', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77009984', 'W77009984', 'UT02', 'Intermountain Health Care', 'Laurie', 'Lynne', 'Hilyer', 'MD', 'Pediatrics', '', '', NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-12-29', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326093758', 0, 'Y', 0, '2013-05-30', NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W77009986', 'W77009986', 'UT01', 'Intermountain Health Care', 'John', 'W', 'Manwaring', 'PA', 'Pulmonary', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 8, '2003-10-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834116', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77009987', 'W77009987', 'UT02', 'Intermountain Health Care', 'John', 'Frits', 'Mijer', 'MD', 'Rheumatology', '', '', NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRHEU', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '1999-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1154354090', 0, 'Y', 0, '2008-06-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77009988', 'W77009988', 'UT02', 'Utah Valley Orthopedics Orem', 'Wayne', 'W', 'Mortensen', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '163 N 400 W Ste 1 A', 'Orem', 'Utah', 'UT', '84057', '8012258494', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '1999-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346256690', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77009989', 'W77009989', 'UT02', 'North Canyon Clinic', 'Thomas', 'E', 'Myers', 'MD', 'Family Practice', '', '', NULL, 'O', '3200 N Canyon Rd Ste D', 'Provo', 'Utah', 'UT', '84604', '8013733300', NULL, '3200 N Canyon Rd Ste D', 'Provo', 'Utah', 'UT', '84604', '8013733300', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-09-30', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1497761621', 0, 'Y', 0, '2012-03-20', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77009990', 'W77009990', 'UT01', 'Bear River Hospital Physicians', 'John', 'Clark', 'Nelson', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '370 9th Ave Ste 101', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8014085910', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 8, '2002-04-01', '2004-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831177', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77009991', 'W77009991', 'UT02', 'Intermountain Health Care', 'Tristy', 'L', 'Nunn', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '4352834076', '4352834078', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2004-10-11', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000831707', 0, 'Y', 0, '2006-12-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77009993', 'W77009993', 'UT02', 'Intermountain Health Care', 'Brent', 'S', 'Rich', 'MD', 'Sports Medicine', 'Family Medicine', NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982614319', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W77010001', 'W77010001', 'UT02', 'IHC Bountiful Health Center', 'David', 'A', 'VandeMerwe', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '390 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012941010', '8012928369', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2002-04-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003859547', 0, 'Y', 0, '2008-06-16', NULL, NULL, 0, 0, NULL, NULL),
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('870373343', 'W77010632', 'W77010632', 'UT02', 'Southwest Skin And Cancer', 'Lansing', 'G', 'Ellsworth', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '166 W 1325 N Ste 250', 'Cedar City', 'Iron', 'UT', '84720', '4355866440', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834438', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373343', 'W77010633', 'W77010633', 'UT02', 'Southwest Skin And Cancer', 'Lansing', 'G', 'Ellsworth', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', '383 S 300 E', 'St George', 'Washington', 'UT', '84770', '4356282826', '4356282839', NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2003-04-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834438', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870373343', 'W77010634', 'W77010634', 'UT02', 'Southwest Skin And Cancer', 'W Bret', NULL, 'Smith', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '383 S 300 E', 'St George', 'Washington', 'UT', '84770', '4356282826', '4356282839', NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-06-01', '2006-03-31', 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1164499836', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870340605', 'W77010635', 'W77010635', 'UT02', 'Southwest Internal Medicine', 'Daniel', 'B', 'Madsen', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1490 E Foremaster Dr Ste 210', 'St George', 'Washington', 'UT', '84790', '4356289200', '4356738557', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-09-30', 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1497749451', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870340605', 'W77010636', 'W77010636', 'UT02', 'Southwest Internal Medicine', 'John', 'J', 'Powell', 'PA', 'Internal Medicine', NULL, NULL, NULL, 'B', '1490 E Foremaster Dr Ste 210', 'St George', 'Washington', 'UT', '84790', '4356289200', '4356738557', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2006-09-30', 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1972597946', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870340605', 'W77010637', 'W77010637', 'UT02', 'Southwest Internal Medicine', 'Joshua', 'L', 'Frame', 'DO', 'Internal Medicine', NULL, NULL, NULL, 'O', '1490 E Foremaster Dr Ste 210', 'St George', 'Washington', 'UT', '84790', '4356289200', '4356738557', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-09-30', 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1437143443', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870340605', 'W77010638', 'W77010638', 'UT02', 'Southwest Internal Medicine', 'Daniel', 'B', 'Madsen', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '1490 E Foremaster Dr Ste 210', 'St George', 'Washington', 'UT', '84790', '4356289200', '4356738557', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-09-30', 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1497749451', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870340605', 'W77010639', 'W77010639', 'UT02', 'Southwest Internal Medicine', 'John', 'J', 'Powell', 'PA', 'Internal Medicine', NULL, NULL, NULL, 'O', '1490 E Foremaster Dr Ste 210', 'St George', 'Washington', 'UT', '84790', '4356289200', '4356738557', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2006-09-30', 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1972597946', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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