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
('870410144', 'W77003062', 'W77003062', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Daren', 'A', 'Watts', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2005-03-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1679589600', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77003064', 'W77003064', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Kenneth', 'H', 'Wong', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '675 Arapeen Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015814838', 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|', '831462', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410999', 'W77003065', 'W77003065', 'UT01', 'Freedom Medical Center', 'William', 'D', 'Voss', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '1675 N Freedom Blvd Ste 11 E', 'Provo', 'Utah', 'UT', '84604', '8013738500', '8013733426', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-08-06', '2006-11-30', 0, 0, 0, 'Mountain View Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1447246244', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003066', 'W77003066', 'UT01', 'Now Care Clinic', 'Alicia', 'K', 'Andersen', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 241', 'Roy', 'Weber', 'UT', '84067', '8016213466', '8016218811', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-05-23', '2006-01-24', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831812', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003067', 'W77003067', 'UT01', 'Now Care Clinic', 'D Joan', NULL, 'Balcombe', 'MD', 'Emergency Medicine', 'Family Practice', NULL, NULL, 'B', 'PO Box 241', 'Roy', 'Weber', 'UT', '84067', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-02-02', '2006-05-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1629037361', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003068', 'W77003068', 'UT01', 'U Of U Cardiology-Medical Dr', 'Howard', 'R', 'Lee', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-04-08', '2005-01-03', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833346', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003069', 'W77003069', 'UT01', 'U Of U Cardiology', 'Joseph', 'B', 'Muhlestein', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-01-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689683435', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003070', 'W77003070', 'UT01', 'U Of U Cardiology-Medical Dr', 'Joseph', 'B', 'Muhlestein', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-01-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689683435', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003071', 'W77003071', 'UT01', 'U Of U Cardiology', 'Gerald', NULL, 'Polukoff', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-01-08', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834516', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003072', 'W77003072', 'UT01', 'U Of U Cardiology', 'Fredric', 'C', 'Shean', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', 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|', '1174613798', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003073', 'W77003073', 'UT01', 'U Of U Cardiology', 'Ruth', 'Ann', 'Smith', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2005-01-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833363', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003074', 'W77003074', 'UT01', 'U Of U Cardiology-Medical Dr', 'Ruth', 'Ann', 'Smith', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2005-01-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833363', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003075', 'W77003075', 'UT01', 'U Of U Cardiology-Red Butte Clinic', 'Ruth', 'Ann', 'Smith', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '546 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015851031', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2005-01-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833363', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003076', 'W77003076', 'UT01', 'U Of U Cardiology-Medical Dr', 'Ann', 'K', 'Volkman', 'NP', NULL, NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-06-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104916790', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003077', 'W77003077', 'UT01', 'U Of U Cardiology-Medical Dr', 'Stephanie', 'Ann', 'Vrable-Moore', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-07-10', '2004-06-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834368', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003078', 'W77003078', 'UT01', 'U Of U Cardiology-Medical Dr', 'Travis', 'S', 'Wall', 'MD', 'Cardiovascular Disease', 'Internal Medicine', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-11-05', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518048305', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003079', 'W77003079', 'UT01', 'U Of U Cardiology', 'Brian', 'K', 'Whisenant', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-07-10', '2004-06-11', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750359253', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003080', 'W77003080', 'UT01', 'U Of U Cardiology', 'Brian', 'K', 'Whisenant', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-07-10', '2000-07-10', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750359253', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003081', 'W77003081', 'UT01', 'U Of U Cardiology-Red Butte Clinic', 'Brian', 'K', 'Whisenant', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '546 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015851031', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-07-10', '2005-04-30', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750359253', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442129', 'W77003082', 'W77003082', 'UT01', 'U of U Anesthesiology Dept', 'y Dept', NULL, 'U of U Anesthesiolog', 'GROUP', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 581053', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367778', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '46.96', NULL, NULL, 3, '2001-01-01', '2006-07-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '902128', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003083', 'W77003083', 'UT01', 'U Of U Pulmonary Division', 'Holly', 'J', 'Carveth', 'MD', 'Pulmonary', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817806', 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|', '1376633966', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003084', 'W77003084', 'UT01', 'U Of U Pulmonary Division', '`', 'R', 'Casey', 'MD', 'Pulmonary', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-01-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834168', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003085', 'W77003085', 'UT01', 'U Of U Pulmonary Division', 'Imad', 'S', 'Farrukh', 'MD', 'Sleep Medicine', 'Pulmonary Disease', NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', 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|', '1093923591', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003086', 'W77003086', 'UT01', 'U Of U Pulmonary Division', 'Estelle', 'S', 'Harris', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', 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|', '1558451153', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003087', 'W77003087', 'UT01', 'U Of U Pulmonary Division', 'Thomas', 'P', 'Kennedy', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2005-01-21', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427139211', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003088', 'W77003088', 'UT01', 'U Of U Pulmonary Division', 'Thomas', 'P', 'Kennedy', 'MD', 'Pulmonary', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817806', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2005-01-21', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427139211', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003089', 'W77003089', 'UT01', 'U Of U Pulmonary Division', 'Boaz', 'A', 'Markewitz', 'MD', 'Pulmonary', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', 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|', '1740370352', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003090', 'W77003090', 'UT01', 'U Of U Pulmonary Division', 'John', 'R', 'Michael', 'MD', 'Pulmonary', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', 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|', '1720178338', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003091', 'W77003091', 'UT01', 'U Of U Pulmonary Division', 'Wayne', NULL, 'Samuelson', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', 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|', '1730279357', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003092', 'W77003092', 'UT01', 'U Of U Pulmonary Division', 'Wayne', NULL, 'Samuelson', 'MD', 'Pulmonary', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', 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|', '1730279357', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003093', 'W77003093', 'UT01', 'U Of U Pulmonary Division', 'Mary', 'B', 'Scholand', 'MD', 'Internal Medicine', 'Pulmonary', NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639269251', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003094', 'W77003094', 'UT01', 'U Of U Pulmonary Division', 'Ernst-Gilbert', NULL, 'Schreiber', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-10-14', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832819', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003095', 'W77003095', 'UT01', 'Huntsman Cancer Institute- Circle Of Hope', 'Karen', 'H', 'Albritton', 'MD', 'Hematology and Oncology', NULL, NULL, NULL, 'O', '2000 Circle of Hope Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2000-11-27', '2004-08-10', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834492', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003096', 'W77003096', 'UT01', 'Now Care Clinic', 'Sean', 'J', 'Carver', 'PA', NULL, NULL, NULL, NULL, 'O', '1937 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017739380', '8016218811', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-05-31', 0, 0, 0, 'Brigham City Community Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1548288020', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003097', 'W77003097', 'UT01', 'Now Care Clinic', 'Sean', 'J', 'Carver', 'PA', NULL, NULL, NULL, NULL, 'B', 'PO Box 241', 'Roy', 'Weber', 'UT', '84067', '8016213466', '8016218811', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-05-31', 0, 0, 0, 'Brigham City Community Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1548288020', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003099', 'W77003099', 'UT01', 'Now Care Clinic', 'Kenneth', 'B', 'Caton', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 241', 'Roy', 'Weber', 'UT', '84067', '8016213466', '8016218811', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-04-02', '2005-02-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831922', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003101', 'W77003101', 'UT01', 'Now Care Clinic', 'Joelle', NULL, 'Creager', 'NP', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 241', 'Roy', 'Weber', 'UT', '84067', '8016214600', '8016218811', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-05-23', '2006-05-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1558394692', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003102', 'W77003102', 'UT01', 'Now Care Clinic', 'Arthur', 'M', 'Davenport', 'MD', 'Family Practice', 'General Practice', NULL, NULL, 'B', 'PO Box 241', 'Roy', 'Weber', 'UT', '84067', '8016213466', '8016218811', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-02-02', '2000-02-02', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023079936', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003103', 'W77003103', 'UT01', 'Now Care Clinic', 'Gary', NULL, 'Holland', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1937 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017739380', '8016218811', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2005-02-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832144', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003105', 'W77003105', 'UT01', 'Now Care Clinic', 'Judith', 'S', 'Salleh', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 241', 'Roy', 'Weber', 'UT', '84067', '8016213466', '8016218811', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-10-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830910', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870413860', 'W77003106', 'W77003106', 'UT01', 'Now Care Clinic', 'Emily', 'E', 'Sandberg', 'PA-C', NULL, NULL, NULL, NULL, 'O', '698 12th St', 'Ogden', 'Weber', 'UT', '84404', '8016213466', '8016218811', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-12-29', '2006-05-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1164440665', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870452022', 'W77003148', 'W77003148', 'UT01', 'Mt Timpanogos Womens Healthcare', 'E William', NULL, 'Parker', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1886 W 800 N', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-07-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801855010', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003149', 'W77003149', 'UT01', 'University Of Utah Rheumatology Division', 'Sara', 'Jane', 'Andersen', 'MD', 'Rheumatology', '', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817724', 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|', '1164512786', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003150', 'W77003150', 'UT01', 'University Of Utah Rheumatology Division', 'Sara', 'Jane', 'Andersen', 'MD', 'Rheumatology', '', NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817725', 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|', '1164512786', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003151', 'W77003151', 'UT01', 'University Of Utah Rheumatology Division', 'Michael', 'J', 'Battistone', 'MD', 'Rheumatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817724', 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|', '1689764219', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003152', 'W77003152', 'UT01', 'University Of Utah Rheumatology Division', 'Amy', 'C', 'Cannella', 'MD', 'Rheumatology', 'Rheumatology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817724', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-07-02', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832633', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003153', 'W77003153', 'UT01', 'University Of Utah Rheumatology Division', 'Grant', 'W', 'Cannon', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817725', 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|', '1942239439', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003154', 'W77003154', 'UT01', 'University Of Utah Rheumatology Division', 'Daniel', 'O', 'Clegg', 'MD', 'Rheumatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817724', 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|', '1275623860', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003155', 'W77003155', 'UT01', 'University Of Utah Rheumatology Division', 'Gary', 'A', 'Kunkel', 'MD', 'Rheumatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817724', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-07-12', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598855108', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003156', 'W77003156', 'UT01', 'University Of Utah Rheumatology Division', 'Allen', NULL, 'Sawitzke', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817725', 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|', '1285724807', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003157', 'W77003157', 'UT01', 'University Of Utah Rheumatology Division', 'Stephanie', 'B', 'Silas', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817725', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-08-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790875326', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870459414', 'W77003158', 'W77003158', 'UT01', 'Allergy Associates of Utah', 'Charles', 'M', 'Rogers', 'MD', 'Allergy', NULL, NULL, NULL, 'O', '6095 Fashion Blvd Ste 100', 'Murray', 'Salt Lake', 'UT', '84107', '8012638700', '8012638693', NULL, NULL, '', NULL, NULL, '', '', 'USTDALLE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-08-31', 0, 0, 0, 'Jordan Valley Medical Center', 'St Marks Hospital', NULL, NULL, 'HCFA|UB|', '1912906330', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'W77003159', 'W77003159', 'UT01', 'U Of U Vascular Lab', 'Franklin', 'J', 'Miller', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', 'PO Box 58163', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2005-06-30', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386731339', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003160', 'W77003160', 'UT01', 'Huntsman Cancer Institute- Circle Of Hope', 'James', 'P', 'Kushner', 'MD', 'Hematology and Oncology', 'Oncology', 'Pathology', NULL, 'O', '2000 Circle of Hope Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', 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|', '1578513842', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003161', 'W77003161', 'UT01', 'U Of U Hematology/Oncology Division', 'James', 'P', 'Kushner', 'MD', 'Hematology and Oncology', 'Oncology', 'Pathology', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015852044', 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|', '1578513842', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003162', 'W77003162', 'UT01', 'U Of U Hematology/Oncology Division', 'Robert', 'G', 'Lucas', 'PA', 'Hematology and Oncology', 'Pediatric Hematology and Oncolocy', NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-08-27', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154372514', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003163', 'W77003163', 'UT01', 'U Of U Hematology/Oncology Division', 'Finn', 'B', 'Petersen', 'MD', 'Hematology and Oncology', 'Pediatric Hematology and Oncolocy', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015853229', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-03-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225164114', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003164', 'W77003164', 'UT01', 'U Of U Hematology/Oncology Division', 'Susan', 'K', 'Sanderson', 'NP', 'Hematology and Oncology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015850124', 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|', '1225107428', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003165', 'W77003165', 'UT01', 'U Of U Hematology/Oncology Division', 'Andrea', 'M', 'Schindler', 'NP', NULL, NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015850124', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-01-01', '2006-07-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '912819', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003166', 'W77003166', 'UT01', 'U Of U Hematology/Oncology Division', 'John', 'H', 'Ward', 'MD', 'Hematology and Oncology', 'Oncology', 'Pathology', NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, 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|', '1831289420', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003167', 'W77003167', 'UT01', 'U Of U Hematology/Oncology Division', 'John', 'R', 'Weis', 'MD', 'Hematology and Oncology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015850124', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-07-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912097502', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003168', 'W77003168', 'UT01', 'U Of U Hematology/Oncology Division', 'John', 'R', 'Weis', 'MD', 'Hematology and Oncology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-07-01', '2002-07-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912097502', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003169', 'W77003169', 'UT01', 'Huntsman Cancer Institute- Circle Of Hope', 'Richard', NULL, 'Wheeler', 'MD', 'Hematology and Oncology', NULL, NULL, NULL, 'O', '2000 Circle of Hope Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', 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|', '833994', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443152', 'W77003170', 'W77003170', 'UT01', 'U Of U Endocrinology Division', 'Evan', NULL, 'Abel', 'MD', 'Endocrinology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817761', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2000-11-27', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619067238', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443152', 'W77003171', 'W77003171', 'UT01', 'U Of U Endocrinology Division', 'Devapradu', NULL, 'Abraham', 'MD', 'Endocrinology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817761', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-10-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528158144', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443152', 'W77003172', 'W77003172', 'UT01', 'U Of U Endocrinology Division', 'Devapradu', NULL, 'Abraham', 'MD', 'Endocrinology', NULL, NULL, NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817761', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-10-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528158144', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443152', 'W77003173', 'W77003173', 'UT01', 'U Of U Endocrinology Division', 'Dana', 'H', 'Clarke', 'MD', 'Endocrinology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817761', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-04-27', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548350135', 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
('870419324', 'W77003174', 'W77003174', 'UT01', 'Nephi Medical Clinic', 'Mark', 'C', 'Oveson', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '275 W 300 S', 'Fountain Green', 'Sanpete', 'UT', '84632', '4354453301', NULL, NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '1999-09-02', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417974098', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W77003175', 'W77003175', 'UT01', 'Nephi Medical Clinic', 'Mark', 'C', 'Oveson', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 120', 'Nephi', 'Juab', 'UT', '84648', '4356233200', '4356233180', NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '1999-09-02', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417974098', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W77003176', 'W77003176', 'UT01', 'Nephi Medical Clinic', 'Grant', 'J', 'Rasmussen', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 120', 'Nephi', 'Juab', 'UT', '84648', '4356233200', '4356233180', NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275563751', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W77003177', 'W77003177', 'UT01', 'Nephi Medical Clinic', 'Jerald', 'B', 'Taylor', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 120', 'Nephi', 'Juab', 'UT', '84648', '4356233200', '4356233180', NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '2002-01-11', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083631659', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870423701', 'W77003178', 'W77003178', 'UT01', 'Avner, Dennis L', 'Dennis', 'L', 'Avner', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '1220 E 3900 S Ste 3C', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012629555', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDGSTR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832397', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870427052', 'W77003179', 'W77003179', 'UT01', 'Plastic Surgery Assoc', 'Louis', NULL, 'Morales', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882676', '8017430701', NULL, NULL, '', NULL, NULL, '', '', 'USTDPLAS', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-07-17', '2006-11-30', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1821060948', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870430986', 'W77003180', 'W77003180', 'UT01', 'Allred, Bryce D', 'Bryce', 'Dee', 'Allred', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'O', '324 10th Ave Ste 254', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8014083584', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPLAS', '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|', '1548317589', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870436531', 'W77003181', 'W77003181', 'UT01', 'Strebel Jr, Robert P', 'Robert', 'P', 'Strebel', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '550 E 1400 N Ste I', 'Logan', 'Cache', 'UT', '84341', '4357531545', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-10-31', 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1629013248', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870437364', 'W77003182', 'W77003182', 'UT01', 'Madsen, Ace', 'Ace', NULL, 'Madsen', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '175 N 100 W Ste 205-B', 'Vernal', 'Uintah', 'UT', '84078', '4357896400', '4357899222', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699745711', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003183', 'W77003183', 'UT01', 'U Of U Pulmonary Division', 'Jared', 'L', 'Bigham', 'PA', NULL, NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-10-15', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949439', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W77003184', 'W77003184', 'UT01', 'U Of U Pulmonary Division', 'Barbara', 'C', 'Cahill', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', 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|', '1396835989', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870442845', 'W77003285', 'W77003285', 'UT01', 'U Of U Hematology/Oncology Division', 'Charles', 'J', 'Parker', 'MD', 'Internal Medicine', 'Hematology', NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015850124', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-02-10', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790735686', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003286', 'W77003286', 'UT01', 'U Of U Hematology/Oncology Division', 'Michael', 'A', 'Pulsipher', 'MD', 'Pediatric Hematology and Oncolocy', 'Pediatrics', 'Hematology and Oncology', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015853229', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932150315', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W77003287', 'W77003287', 'UT01', 'U Of U Hematology/Oncology Division', 'George', 'M', 'Rodgers', 'MD', 'Hematology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015850124', 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|', '1578512190', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870442845', 'W77003291', 'W77003291', 'UT01', 'U Of U Hematology/Oncology Division', 'William', NULL, 'Wegesser', 'PA', 'Hematology and Oncology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015853229', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-03-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834622', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77003292', 'W77003292', 'UT01', 'U Of U Dermatology', 'C David', NULL, 'Hansen', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', 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|', '1548366743', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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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
('870443687', 'W77003392', 'W77003392', 'UT01', 'U Of U Cardiology', 'Michael', 'G', 'Henderson', 'PA-C', 'Emergency Medicine', 'Physician Assistant', 'Neurosurgery', NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-07-09', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265423594', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003393', 'W77003393', 'UT01', 'U Of U Cardiology', 'Richard', 'C', 'Klein', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '1999-09-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326138934', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003394', 'W77003394', 'UT01', 'U Of U Cardiology-Medical Dr', 'Richard', 'C', 'Klein', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', 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|', '1326138934', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003396', 'W77003396', 'UT01', 'U Of U Cardiology-Red Butte Clinic', 'Howard', 'R', 'Lee', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '546 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015851031', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-04-08', '2005-01-03', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833346', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003397', 'W77003397', 'UT01', 'U Of U Cardiology', 'Dean', NULL, 'Li', 'MD, PHD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-05-10', '2000-05-10', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760572374', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003398', 'W77003398', 'UT01', 'U Of U Cardiology-Red Butte Clinic', 'Dean', NULL, 'Li', 'MD, PHD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '546 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015851031', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-05-10', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760572374', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77003399', 'W77003399', 'UT01', 'U Of U Cardiology-Medical Dr', 'Robert', 'William', 'Mackie', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-04-01', '2006-07-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972595833', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870470821', 'W77003400', 'W77003400', 'UT01', 'Rocky Mountain Therapy Services', 'Keith', 'Jay', 'Ludwig', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '8012946917', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447323647', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870470821', 'W77003401', 'W77003401', 'UT01', 'Rocky Mountain Therapy Services', 'Karin', 'E', 'Monger', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '8012946917', 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|', '832269', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870470821', 'W77003402', 'W77003402', 'UT01', 'Rocky Mountain Therapy Services', 'Rick', NULL, 'Wortley', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2750 S 8400 W Ste B', 'Magna', 'Salt Lake', 'UT', '84044', '8017464333', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832136', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870470821', 'W77003403', 'W77003403', 'UT01', 'Rocky Mountain Therapy Services', 'Rick', NULL, 'Wortley', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '8012946917', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2002-08-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832136', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870472133', 'W77003404', 'W77003404', 'UT01', 'Zackrison, David R', 'David', 'R', 'Zackrison', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '3590 W 9000 S Ste 24O', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015692384', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', '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|', '1346364775', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870473288', 'W77003405', 'W77003405', 'UT01', 'U Of U Infectious Disease Division', 'Devon', NULL, 'Hale', 'MD', 'Infectious Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015818811', 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|', '1922183615', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870473288', 'W77003406', 'W77003406', 'UT01', 'U Of U Infectious Disease Division', 'Bert', 'K', 'Lopansri', 'MD', 'Infectious Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015818811', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDENDO', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-07-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1538261292', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870473288', 'W77003407', 'W77003407', 'UT01', 'U Of U Infectious Disease Division', 'Michael', 'A', 'Rubin', 'MD', 'Infectious Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814946', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-08-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104916725', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870473288', 'W77003408', 'W77003408', 'UT01', 'U Of U Infectious Disease Division', 'Harry', 'Rosado', 'Santos', 'MD', 'Infectious Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015818811', 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|', '1669562286', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870473288', 'W77003409', 'W77003409', 'UT01', 'U Of U Infectious Disease Division', 'Dana', 'K', 'Smith', 'PA', 'Infectious Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814946', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-10-09', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427148055', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870473288', 'W77003410', 'W77003410', 'UT01', 'U Of U Infectious Disease Division', 'Dana', 'K', 'Smith', 'PA', 'Infectious Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015818811', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-10-09', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427148055', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474130', 'W77003411', 'W77003411', 'UT01', 'Northeastern Utah Medical Group', 'John', 'S', 'Blake', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', '210 W 300 N Ste 75-3', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357226117', NULL, NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-09-01', '2005-08-31', 0, 0, 0, 'Uintah Basin Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1508826587', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474130', 'W77003412', 'W77003412', 'UT01', 'Northeastern Utah Medical Group', 'Keith', 'H', 'Evans', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '210 W 300 N Ste 75-3', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357223971', '4357226104', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-08-26', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033179049', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474130', 'W77003413', 'W77003413', 'UT01', 'Northeastern Utah Medical Group', 'Mark', 'W', 'Mason', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '210 W 300 N Ste 75-3', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357223971', '4357226104', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-07-29', '2006-10-31', 0, 0, 0, 'Uintah Basin Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1811958887', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200133012', 'W77003414', 'W77003414', 'UT01', 'Lakeview Ob/Gyn', 'Molly', NULL, 'Mears', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', NULL, NULL, 'B', 'PO Box 409836', 'Atlanta', 'Fulton', 'GA', '30384', '8006613365', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-09-30', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942294475', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200133012', 'W77003415', 'W77003415', 'UT01', 'Lakeview Ob/Gyn', 'Molly', NULL, 'Mears', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', NULL, NULL, 'B', 'PO Box 409836', 'Atlanta', 'Fulton', 'GA', '30384', '8006613365', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-09-30', '2004-11-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942294475', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200133012', 'W77003416', 'W77003416', 'UT01', 'Lakeview Ob/Gyn', 'Nancy', 'Jaye', 'Mooy', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '934 S Main St', 'Layton', 'Davis', 'UT', '84041', '8015444227', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-12-05', '2004-11-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013902212', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200133012', 'W77003417', 'W77003417', 'UT01', 'Lakeview Ob/Gyn', 'Nancy', 'Jaye', 'Mooy', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 409836', 'Atlanta', 'Fulton', 'GA', '30384', '8006613365', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-12-05', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013902212', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200133012', 'W77003418', 'W77003418', 'UT01', 'Lakeview Ob/Gyn', 'Nancy', 'Jaye', 'Mooy', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 409836', 'Atlanta', 'Fulton', 'GA', '30384', '8006613365', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-12-05', '2004-11-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013902212', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200133012', 'W77003419', 'W77003419', 'UT01', 'Lakeview Ob/Gyn', 'Nathan', 'C', 'Ward', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', NULL, NULL, 'O', '1625 W 700 N Ste F', 'Salt Lake City', 'Salt Lake', 'UT', '84116', '8012992229', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-09-30', '2006-09-30', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1134114473', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200133012', 'W77003420', 'W77003420', 'UT01', 'Lakeview Ob/Gyn', 'Nathan', 'C', 'Ward', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', NULL, NULL, 'O', '934 S Main St', 'Layton', 'Davis', 'UT', '84041', '8015444227', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-09-30', '2004-11-01', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1134114473', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200169173', 'W77003421', 'W77003421', 'UT01', NULL, 'David', 'S', 'Motoki', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'O', '3980 S 700 E Ste 23', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012615525', '8012618088', NULL, NULL, '', NULL, NULL, '', '', 'USTDPLAS', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1992874358', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200243318', 'W77003422', 'W77003422', 'UT01', 'Physical Therapy at the Crossroads', 'Mike', NULL, 'Bond', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1305 N Commerce Dr Ste 100', 'Saratoga Springs', 'Utah', 'UT', '84043', '8017683105', '8017660188', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2002-02-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834082', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200243318', 'W77003423', 'W77003423', 'UT01', 'Physical Therapy at the Crossroads', 'Mike', NULL, 'Bond', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '1305 N Commerce Dr Ste 100', 'Lehi', 'Utah', 'UT', '84043', '8017683105', '8017660188', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2002-02-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834082', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200291769', 'W77003424', 'W77003424', 'UT01', 'Neuroworx', 'worx', NULL, 'Neuro', 'GROUP', 'Occupational Therapy', 'Physical Therapy', NULL, NULL, 'O', '10382 S Jordan Gtwy', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016193670', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-05-24', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '836258', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200302299', 'W77003425', 'W77003425', 'UT01', 'Northern Utah Orthopaedics & Sports Medicine', 'Bruce', 'E', 'Thomas', 'MD', 'Orthopedic Surgery', 'Sports Medicine', NULL, NULL, 'B', '1486 E Skyline Dr Ste 202', 'Ogden', 'Weber', 'UT', '84405', '8014755535', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UOGORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-09-14', '2006-12-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1255422192', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200302299', 'W77003426', 'W77003426', 'UT01', 'Northern Utah Orthopaedics & Sports Medicine', 'Bruce', 'E', 'Thomas', 'MD', 'Orthopedic Surgery', 'Sports Medicine', NULL, NULL, 'O', '1486 E Skyline Dr Ste 202', 'South Ogden', 'Weber', 'UT', '84405', '8014755535', '8014759499', NULL, NULL, '', NULL, NULL, '', '', 'UOGORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-09-14', '2006-12-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1255422192', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870452022', 'W77003427', 'W77003427', 'UT01', 'Mt Timpanogos Womens Healthcare', 'Sarah', 'M', 'Shealy', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '3688 Campus Dr Ste 200', 'Eagle Mountain', 'Utah', 'UT', '84043', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-04-01', '2005-07-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831638', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870452022', 'W77003428', 'W77003428', 'UT01', 'Mt Timpanogos Womens Healthcare', 'Roberta', NULL, 'Wilson', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1886 W 800 N', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2005-10-11', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832544', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003430', 'W77003430', 'UT01', 'University Of Utah Rheumatology Division', 'Daniel', 'O', 'Clegg', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817725', 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|', '1275623860', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77003431', 'W77003431', 'UT01', 'University Of Utah Rheumatology Division', 'Christopher', 'G', 'Jackson', 'MD', 'Rheumatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817724', 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|', '1164512760', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870465963', 'W77003480', 'W77003480', 'UT01', 'Holt DO, Charles E', 'Darin', 'T', 'Smith', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '280 N Main St', 'Tooele', 'Tooele', 'UT', '84074', '4358828610', '4358820186', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-16', '2006-12-31', 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1538375415', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870467746', 'W77003486', 'W77003486', 'UT01', 'U Of U Human Development Division', 'Miriam', 'D G', 'Beattie', 'NP', 'Geriatric Medicine ', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-07-09', '2004-08-06', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215027842', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'W77003487', 'W77003487', 'UT01', 'U Of U Human Development Division', 'Jonathan', 'R', 'Nebeker', 'MD', 'Geriatric Medicine ', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', 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|', '1609966217', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'W77003488', 'W77003488', 'UT01', 'U Of U Human Development Division', 'Gerald', NULL, 'Rothstein', 'MD', 'Geriatric Medicine ', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982647491', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870446925', 'W77003493', 'W77003493', 'UT01', 'U Of U Gastroenterology', 'Vickie', 'L', 'Venne', 'MS', NULL, NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386615', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-11-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '947657', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870450466', 'W77003496', 'W77003496', 'UT01', 'Pulmonary Internal Medicine', 'Kurt', 'F', 'Francis', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '1220 E 3900 S Ste 2C', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012632482', '8012632424', NULL, NULL, '', NULL, NULL, '', '', 'USTDPULM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-09-30', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1578588018', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870450500', 'W77003498', 'W77003498', 'UT01', 'University Urology Associates', 'Lindsey', 'A', 'Kerr', 'MD', 'Urology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817674', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-06-09', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '836182', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870450500', 'W77003499', 'W77003499', 'UT01', 'University Urology Associates', 'Lindsey', 'A', 'Kerr', 'MD', 'Urology', NULL, NULL, NULL, 'B', 'PO Box 58547', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8017158110', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-06-09', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '836182', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870450500', 'W77003500', 'W77003500', 'UT01', 'University Urology Associates', 'Richard', 'G', 'Middleton', 'MD', 'Urology', NULL, NULL, NULL, 'B', 'PO Box 58547', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8017158110', 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|', '833703', 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
('870452022', 'W77003501', 'W77003501', 'UT01', 'Mt Timpanogos Womens Healthcare', 'Susan', NULL, 'Chasson', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1886 W 800 N', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831235', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870452022', 'W77003503', 'W77003503', 'UT01', 'Mt Timpanogos Womens Healthcare', 'Melinda', NULL, 'Gould', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1886 W 800 N', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-08-06', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083677207', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870452022', 'W77003504', 'W77003504', 'UT01', 'Mt Timpanogos Womens Healthcare', 'Jacqueline', 'G', 'Hyland', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1886 W 800 N', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831668', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003506', 'W77003506', 'UT01', 'Lifetree Medical', 'Terri', NULL, 'Harsch', 'CRNA', 'Nurse Anesthetist', NULL, NULL, NULL, 'O', '1850 Sidewinder Dr Ste 120', 'Park City', 'Summit', 'UT', '84060', '4356150240', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2002-06-01', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832232', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003507', 'W77003507', 'UT01', 'Lifetree Medical', 'Terri', NULL, 'Harsch', 'CRNA', 'Nurse Anesthetist', NULL, NULL, NULL, 'O', '617 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012618272', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2002-06-01', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832232', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003508', 'W77003508', 'UT01', 'Lifetree Medical', 'Holger', 'O', 'Hennig', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1850 Sidewinder Dr Ste 120', 'Park City', 'Summit', 'UT', '84060', '4356150240', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619961398', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003509', 'W77003509', 'UT01', 'Lifetree Medical', 'Kent', 'G', 'Johnson', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1850 Sidewinder Dr Ste 120', 'Park City', 'Summit', 'UT', '84060', '4356150240', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '1999-09-01', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639163413', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003510', 'W77003510', 'UT01', 'Lifetree Medical', 'Roy', NULL, 'Kawamura', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '44.10', NULL, NULL, 3, '2001-07-02', '2001-07-02', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833611', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003511', 'W77003511', 'UT01', 'Lifetree Medical', 'Thomas', 'R', 'Meuleman', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', NULL, NULL, NULL, 3, '2001-06-01', '2001-06-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407840200', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003512', 'W77003512', 'UT01', 'Lifetree Medical', 'Jennifer', 'L', 'Moldre', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'O', '1850 Sidewinder Dr Ste 120', 'Park City', 'Summit', 'UT', '84060', '4356150240', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346213113', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003513', 'W77003513', 'UT01', 'Lifetree Medical', 'Jennifer', 'L', 'Moldre', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2001-07-02', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346213113', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003514', 'W77003514', 'UT01', 'Lifetree Medical', 'Bradley', NULL, 'Nielsen', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-06-01', '2006-10-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1457359317', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870476269', 'W77003611', 'W77003611', 'UT01', 'U Of U Dept Of Pediatrics', 'John', 'F', 'Bohnsack', 'MD', 'Pediatric Rheumatology ', 'Allergy', 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', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609955277', 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
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('870476269', 'W77003613', 'W77003613', 'UT01', 'U Of U Pediatrics - PCMC', 'Linda', 'S', 'Book', 'MD', 'Pediatric Gastroenterology', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883370', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033298609', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003614', 'W77003614', 'UT01', 'U Of U Dept Of Pediatrics', 'Susan', 'L', 'Bratton', 'MD', 'Pediatric Critical Care', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015882360', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2004-08-04', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508945171', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003615', 'W77003615', 'UT01', 'U Of U Pediatrics - General', 'Karen', 'F', 'Buchi', 'MD', 'Pediatrics', NULL, 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, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679663256', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003616', 'W77003616', 'UT01', 'U Of U Dept Of Pediatrics', 'Sherri', 'M', 'Butler', 'MD', 'Pediatric Emergency Medicine', 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, '2003-07-01', '2004-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832607', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003617', 'W77003617', 'UT01', 'U Of U Pediatrics - PCMC', 'Sherri', 'M', 'Butler', 'MD', 'Pediatric Emergency Medicine', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882244', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-07-01', '2004-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832607', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003618', 'W77003618', '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', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851481444', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('270003942', 'W77003630', 'W77003630', 'UT01', 'Nebo Vision Clinic', 'James', 'A', 'Cope', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '48 S Main St', 'Nephi', 'Juab', 'UT', '84648', '4356232100', '4356231671', 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|', '1780611954', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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