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
('876151902', 'U77002753', 'U77002753', 'UT01', 'University of Utah Dept of Ophthalmology', 'Harald', 'E', 'Olafsson', 'OD', 'Optometry', 'Optometry', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346321130', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002754', 'U77002754', 'UT01', 'University of Utah Dept of Ophthalmology', 'Randall', 'J', 'Olson', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518057132', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002755', 'U77002755', 'UT01', 'University of Utah Dept of Ophthalmology', 'Bhupendra', 'C', 'Patel', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '8081', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002756', 'U77002756', 'UT01', 'University of Utah Dept of Ophthalmology', 'George', 'C', 'Pingree', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861582488', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002757', 'U77002757', 'UT01', 'University of Utah Dept of Ophthalmology', 'William', 'E', 'Richheimer', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002758', 'U77002758', 'UT01', 'University of Utah Dept of Ophthalmology', 'Geoffrey', NULL, 'Tabin', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912097544', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002759', 'U77002759', 'UT01', 'University of Utah Dept of Ophthalmology', 'Jean', NULL, 'Tabin', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821188459', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002760', 'U77002760', 'UT01', 'University of Utah Dept of Ophthalmology', 'Kim', 'Y', 'Taylor', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649360272', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002761', 'U77002761', 'UT01', 'University of Utah Dept of Ophthalmology', 'Michael', 'P', 'Teske', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, 'St Marks Hospital', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1376633909', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002762', 'U77002762', 'UT01', 'University of Utah Dept of Ophthalmology', 'Bryan', 'H', 'Vincent', 'OD', 'Optometry', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982785770', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002763', 'U77002763', 'UT01', 'University of Utah Dept of Ophthalmology', 'Albert', 'T', 'Vitale', 'MD', 'Pediatric Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1497832232', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002764', 'U77002764', 'UT01', 'University of Utah Dept of Ophthalmology', 'Judith', 'E', 'Warner', 'MD', 'Ophthalmology', 'Neurology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659461242', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002765', 'U77002765', 'UT01', 'University of Utah Dept of Ophthalmology', 'David', 'A', 'Weinberg', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164502076', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002766', 'U77002766', 'UT01', 'University of Utah Dept of Ophthalmology', 'Darcy', 'H', 'Wolsey', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1174575153', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002767', 'U77002767', 'UT01', 'University of Utah Dept of Ophthalmology', 'Norman', 'A', 'Zabriskie', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1063502656', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'U77002768', 'U77002768', 'UT01', 'University of Utah Dept of Ophthalmology', 'Kang', NULL, 'Zhang', 'MD, PhD', 'Ophthalmology', 'Ophthalmology', NULL, 'Ophthalmology', 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '9744', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002769', 'U77002769', 'UT01', 'University Health Care', 'Brandon', 'G', 'Bentz', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679663207', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002770', 'U77002770', 'UT01', 'University Health Care', 'Dean', 'W', 'Gray', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2006-08-01', '2009-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659461259', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002771', 'U77002771', 'UT01', 'University Health Care', 'Kimberly', 'A', 'Hewitt', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'o', '50 N Medical Dr ', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2007-05-17', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002772', 'U77002772', 'UT01', 'University Health Care', 'Leland', 'P', 'Johnson', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609966209', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002773', 'U77002773', 'UT01', 'University Ear, Nose, and Throat Associates', 'Pramod', 'K', 'Sharma', 'MD', 'Ear, Nose and Throat', 'Ear, Nose & Throat', NULL, 'General Surgery', 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801986427', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002774', 'U77002774', 'UT01', 'University Health Care', 'Clough', NULL, 'Shelton', 'MD, FACS', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891885414', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002775', 'U77002775', 'UT01', 'University Health Care', 'Marshall', 'E', 'Smith', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, 'Primary Childrens Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1154411783', 0, 'N', 0, '2013-09-03', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002776', 'U77002776', 'UT01', 'University Health Care', 'Susan', 'L', 'Thibeault', 'SLP', 'Ear, Nose and Throat', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817840', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817840', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009059', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002777', 'U77002777', 'UT01', 'University Health Care', 'Kay', 'B', 'Walker', 'MD', 'Allergy and Immunology', 'Asthma', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1083608095', 0, 'N', 0, '2013-10-30', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002778', 'U77002778', 'UT01', 'University Health Care', 'Frank', 'M', 'Warren', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2010-05-21', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780637363', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002779', 'U77002779', 'UT01', 'University Health Care', 'Steven', 'R', 'Mobley', 'MD', 'Ear, Nose and Throat', 'Plastic Surgery', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1265522874', 0, 'N', 0, '2013-08-23', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002780', 'U77002780', 'UT01', 'University Health Care', 'Richard', 'R', 'Orlandi', 'MD', 'Ear, Nose and Throat', 'Pediatric Otolaryngology ', NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84133', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84133', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790865699', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002781', 'U77002781', 'UT01', 'University Health Care', 'Stacey', 'R', 'Butler', 'MS, CCC-A', 'Ear, Nose and Throat', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005502', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002782', 'U77002782', 'UT01', 'University Health Care', 'Alicia', 'K', 'Crofts', 'MS, CCC-A', 'Ear, Nose and Throat', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700976396', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002783', 'U77002783', 'UT01', 'University Health Care', 'Lisa', NULL, 'Dahlstrom', 'MS, CCC-A', 'Ear, Nose and Throat', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326138918', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002784', 'U77002784', 'UT01', 'University Ear, Nose, and Throat Associates', 'Brandon', 'G', 'Bentz', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679663207', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002785', 'U77002785', 'UT01', 'University Ear, Nose, and Throat Associates', 'Stacey', 'R', 'Butler', 'MS, CCC-A', 'Ear, Nose and Throat', '', '', NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005502', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77002786', 'U77002786', 'UT01', 'University Ear, Nose, and Throat Associates', 'Alicia', 'K', 'Crofts', 'MS, CCC-A', 'Ear, Nose and Throat', NULL, NULL, NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700976396', 0, 'N', 0, '2012-09-18', 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
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('743134271', 'U77002848', 'U77002848', 'UT01', 'University Health Care', 'Angela', 'T', 'Yetman', 'MD', 'Pediatric Cardiology', 'Pediatrics', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-05-01', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1891885471', 0, 'N', 0, '2012-10-05', NULL, NULL, 0, 0, NULL, NULL),
('743134273', 'U77002849', 'U77002849', 'UT01', 'University Health Care', 'Tennille', 'C', 'Hensley', 'PA', 'Pediatric Hematology and Oncolocy', NULL, NULL, NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2007-01-01', '2008-05-02', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811001290', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
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('876151902', 'U77002853', 'U77002853', 'UT01', 'University of Utah Dept of Ophthalmology', 'Majid', NULL, 'Moshirfar', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, '65 Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 6, '2007-01-01', '2012-08-09', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700976313', 0, 'N', 0, '2012-08-10', NULL, NULL, 0, 0, NULL, NULL),
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('870476269', 'U77002857', 'U77002857', 'UT01', 'University Health Care', 'Jason', 'J', 'Schwartz', 'MD', 'Pediatric Orthopedic Surgery', 'General Surgery', NULL, NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457441073', 0, 'N', 0, '2012-08-02', NULL, NULL, 0, 0, NULL, NULL),
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('870483582', 'U77002939', 'U77002939', 'UT01', 'University Health Care', 'David', 'M', 'Cearley', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'o', '590 Wakara Way ', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2007-01-01', '2007-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 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
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('870483582', 'U77002942', 'U77002942', 'UT01', 'University Health Care', 'Michael', 'D', 'Daubs', 'MD', 'Orthopedic Surgery', 'Pediatric Orthopedic Surgery', '', NULL, 'o', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-08-22', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1275528416', 0, 'N', 0, '2012-08-23', NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'U77002943', 'U77002943', 'UT01', 'University Health Care', 'Seth', 'W', 'Frenzen', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'o', '590 Wakara Way ', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2007-01-01', '2007-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'U77002944', 'U77002944', 'UT01', 'University Health Care', 'Michael', 'V', 'Hoffman', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'o', '590 Wakara Way ', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2007-01-01', '2007-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'U77002945', 'U77002945', 'UT01', 'University Health Care', 'Douglas', 'T', 'Hutchinson', 'MD', 'Orthopedic Surgery', 'Hand Surgery', 'Pediatric Orthopedic Surgery', NULL, 'o', '1490 E Foremaster Dr', 'St George', 'Washington', 'UT', '84790', '4356289393', NULL, '1490 E Foremaster Dr', 'St George', 'Washington', 'UT', '84790', '4356289393', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-08-22', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972557825', 0, 'N', 0, '2012-08-23', NULL, NULL, 0, 0, NULL, NULL),
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('870483582', 'U77002949', 'U77002949', 'UT01', 'University Health Care', 'Alpesh', 'A', 'Patel', 'MD', 'Orthopedic Surgery', 'Pediatric Orthopedic Surgery', '', NULL, 'o', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2007-01-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639192164', 0, 'N', 0, '2009-04-27', NULL, NULL, 40.7558, -111.833, NULL, NULL),
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('861168471', 'U77002951', 'U77002951', 'UT01', 'U of U Palliative Care', 'Stephen', 'J', 'Bekanich', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, '8015812121', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2010-07-01', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578587770', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
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('861168471', 'U77002954', 'U77002954', 'UT01', 'U of U Palliative Care', 'Robert', 'C', 'Pendleton', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-08-23', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851314132', 0, 'N', 0, '2012-08-24', NULL, NULL, 0, 0, NULL, NULL),
('861168471', 'U77002955', 'U77002955', 'UT01', 'U of U Palliative Care', 'Michael', 'B', 'Strong', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-08-23', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154359594', 0, 'Y', 0, '2012-08-24', NULL, NULL, 0, 0, NULL, NULL),
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('870442755', 'U77002958', 'U77002958', 'UT01', 'University Health Care', 'Mark', 'L', 'Martinez', 'MD', 'Hospitalist', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-08-26', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1508861964', 0, 'N', 0, '2013-03-06', NULL, NULL, 0, 0, NULL, NULL),
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('870442845', 'U77002960', 'U77002960', 'UT01', 'University Health Care', 'Wallace', 'L', 'Akerley', 'MD', 'Oncology', NULL, NULL, NULL, 'o', '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', NULL, '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-08-27', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346330966', 0, 'N', 0, '2012-08-28', 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
('870616107', 'U77003034', 'U77003034', 'UT01', 'University Health Care', 'Susanna', NULL, 'Chase', 'PA', 'General Surgery', 'Physician Assistant', NULL, NULL, 'o', '1525 W 2100 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872499', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548288129', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003035', 'U77003035', 'UT01', 'University Health Care', 'Matthew', 'S', 'Cobb', 'PA', 'Family Practice', NULL, NULL, NULL, 'o', '1525 W 2100 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872499', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5749', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003036', 'U77003036', 'UT01', 'University Health Care', 'Cynthia', 'L', 'Gellner', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '3730 W 3700 S ', 'Kearns', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477584332', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003037', 'U77003037', 'UT01', 'University Health Care', 'Kirsten', '', 'Hanzon', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'o', '7495 S State St ', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003038', 'U77003038', 'UT01', 'U of U Hospitals and Clinics', 'Peter', 'J', 'Hasby', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '1525 W 2100 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872499', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548247307', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003039', 'U77003039', 'UT01', 'University Health Care', 'Ted', '', 'Hemsley', 'OD', 'Optometry', NULL, NULL, NULL, 'o', '1743 W Redstone Ctr Ste 115', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUNIVOP', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 6, '2007-01-01', '2007-11-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003040', 'U77003040', 'UT01', 'University Health Care', 'Jesse', 'A', 'Jorgensen', 'PA', 'Family Practice', NULL, NULL, NULL, 'o', '1525 W 2100 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336130889', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003041', 'U77003041', 'UT01', 'University Health Care', 'Rachel', 'A', 'Mitchell', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'o', '1743 W Redstone Ctr Ste 115', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003042', 'U77003042', 'UT01', 'University Health Care', 'Trinh', NULL, 'Outtrim', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '1525 W 2100 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1720011349', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003043', 'U77003043', 'UT01', 'University Health Care', 'Erin', 'M', 'Scales', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '1525 W 2100 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851484174', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003044', 'U77003044', 'UT01', 'University Health Care', 'Mary', 'E', 'Shapiro', 'MD', 'Pediatrics', NULL, NULL, NULL, 'o', '3730 W 4700 S ', 'Kearns', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174578611', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003045', 'U77003045', 'UT01', 'University Health Care', 'Shannon', 'L', 'Tilly', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'o', '1525 W 2100 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093767196', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003046', 'U77003046', 'UT01', 'University Health Care', 'Miguel', 'A R', 'Villalobos', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '7495 S State st ', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073572228', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003047', 'U77003047', 'UT01', 'University Health Care', 'Miguel', 'A R', 'Villalobos', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '1525 W 2100 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073572228', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003048', 'U77003048', 'UT01', 'University Health Care', 'Lori', 'E', 'Witter', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '3730 W 4700 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164474268', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'U77003049', 'U77003049', 'UT01', 'University Health Care', 'Douglas', 'G', 'Adler', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'o', '1525 W 2100 S ', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891748687', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'U77003050', 'U77003050', 'UT01', 'University Health Care', 'Jennifer', 'E', 'Marks', 'DO', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'o', '145 W University Pkwy ', 'Orem', 'Utah', 'UT', '84058', '8012348600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '7434', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('270101195', 'U77003051', 'U77003051', 'UT01', 'University Health Care', 'Shelly', 'L', 'Hamula', 'SP', 'Speech Therapy', 'Physical Therapy', NULL, NULL, 'o', '417 Wakara Way 1112', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015813506', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, '8015813506', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2011-10-17', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1073692547', 0, 'N', 0, '2011-10-19', NULL, NULL, 0, 0, NULL, NULL),
('870619420', 'U77003052', 'U77003052', 'UT01', 'University Health Care', 'Lisa', 'D', 'Kaloczi', 'CNM', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'o', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015852111', NULL, '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015852111', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154411759', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870675415', 'U77003053', 'U77003053', 'UT01', 'University Health Care', 'D', 'James', 'Ballard', 'PT', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'o', '520 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015879161', NULL, '520 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015879161', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013925197', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('412144134', 'U77003054', 'U77003054', 'UT01', 'ARUP Pathology Associates', 'Brian', 'R', 'Jackson', 'MD', 'Pathology', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-10-09', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255421855', 0, 'Y', 0, '2012-10-09', NULL, NULL, 0, 0, NULL, NULL),
('412144134', 'U77003055', 'U77003055', 'UT01', 'ARUP Pathology Associates', 'Mohamed', 'E', 'Salama', 'MD', 'Pathology', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1184721854', 0, 'Y', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'U77003056', 'U77003056', 'UT01', 'University Pathology Associates', 'Ting', '', 'Liu', 'MD', 'Pathology', 'Anatomic Pathology', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1205926813', 0, 'Y', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'U77003057', 'U77003057', 'UT01', 'University Pathology Associates', 'Mohamed', 'E', 'Salama', 'MD', 'Pathology', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1184721854', 0, 'Y', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77003058', 'U77003058', 'UT01', 'University Health Care', 'Robert', 'E', 'Glasgow', 'MD', 'General Surgery', '', '', NULL, 'o', '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812292', NULL, '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1295825891', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77003059', 'U77003059', 'UT01', 'U of U Emergency Physicians', 'Kelly', 'A', 'Sherwood', 'PA', 'Emergency Medicine', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1699784991', 0, 'Y', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77003060', 'U77003060', 'UT01', 'U of U Emergency Physicians', 'M', 'Scott', 'Linscott, Jr', 'MD', 'Emergency Medicine', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007294', 0, 'Y', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77003061', 'U77003061', 'UT01', 'U of U Emergency Physicians', 'Troy', 'E', 'Madsen', 'MD', 'Emergency Medicine', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1689609240', 0, 'Y', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77003062', 'U77003062', 'UT01', 'U of U Emergency Physicians', 'Patrick', '', 'Maitre', 'PA', 'Family Practice', 'Emergency Medicine', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1164479457', 0, 'Y', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77003063', 'U77003063', 'UT01', 'U of U Emergency Physicians', 'Robert', 'G', 'Sheen', 'APRN', 'Emergency Medicine', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1770559387', 0, 'Y', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77003064', 'U77003064', 'UT01', 'U of U Emergency Physicians', 'Jeremy', 'D', 'Blakespear', 'PA-C', 'Emergency Medicine', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2007-01-01', '2009-01-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750474177', 0, 'Y', 0, '2008-08-26', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77003065', 'U77003065', 'UT01', 'U of U Emergency Physicians', 'Peter', 'P', 'Taillac', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1467414581', 0, 'Y', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('364586972', 'U77003066', 'U77003066', 'UT01', 'University of Utah Pediatric Rapid Treatment Unit', 'William', 'M', 'McDonnell', 'MD', 'Pediatric Emergency Medicine', '', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882233', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882233', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-07-26', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699729384', 0, 'Y', 0, '2012-07-27', NULL, NULL, 0, 0, NULL, NULL),
('364586972', 'U77003067', 'U77003067', 'UT01', 'University of Utah Pediatric Rapid Treatment Unit', 'W', 'M', 'Adelgais', 'MD', 'Pediatric Emergency Medicine', '', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-06-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000004915', 0, 'N', 0, '2012-06-15', NULL, NULL, 0, 0, NULL, NULL),
('364586972', 'U77003068', 'U77003068', 'UT01', 'University of Utah Pediatric Rapid Treatment Unit', 'Jennifer', 'B', 'Carlson', 'MD', 'Pediatric Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2007-01-01', '2009-06-05', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710939814', 0, 'y', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('364586972', 'U77003069', 'U77003069', 'UT01', 'University of Utah Pediatric Rapid Treatment Unit', 'David', 'R', 'Sandweiss', 'MD', 'Pediatric Emergency Medicine', '', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-07-26', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1437151875', 0, 'N', 0, '2012-07-27', NULL, NULL, 0, 0, NULL, NULL),
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('870442129', 'U77003216', 'U77003216', 'UT01', 'U of U Department of Anesthesiology', 'Lorene', 'S', 'Johsnon', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'b', 'Po Box 581053 ', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1000', '44.00', NULL, NULL, 3, '2007-01-01', '2007-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442129', 'U77003217', 'U77003217', 'UT01', 'U of U Department of Anesthesiology', 'Derbra', '', 'Jordan', 'APRN', 'Anesthesiology', NULL, NULL, NULL, 'b', 'Po Box 581053 ', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1000', '44.00', NULL, NULL, 3, '2007-01-01', '2007-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870442129', 'U77003218', 'U77003218', 'UT01', 'U of U Department of Anesthesiology', 'Oramai', 'S', 'Schwartz', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'b', 'Po Box 581053 ', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1000', '44.00', NULL, NULL, 3, '2007-01-01', '2007-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831266204', 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
('870468377', 'U77003219', 'U77003219', 'UT01', 'U-U Dermatology Division', 'D', 'E', 'Allen', 'MD', 'Dermatology', '', '', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-17', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1619995107', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'U77003220', 'U77003220', 'UT01', 'U-U Non-Invasive Vascular Lab', 'Daniel', 'V', 'Kinikini', 'MD', 'Pediatric Orthopedic Surgery', 'Vascular Surgery', NULL, NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043264070', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'U77003221', 'U77003221', 'UT01', 'University of Utah Surgical Associates', 'Robert', 'H', 'Andtbacka', 'MD', 'General Surgery', '', '', NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215042288', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'U77003222', 'U77003222', 'UT01', 'University of Utah Surgical Associates', 'John', 'T', 'Langell', 'MD', 'General Surgery', NULL, NULL, NULL, 'b', 'PO Box 58049 ', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376567768', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77003223', 'U77003223', 'UT01', 'University of Utah Pediatric Surgeons', 'Richard', 'E', 'Black', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'B', '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-09-16', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1316028103', 0, 'N', 0, '2013-05-30', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77003224', 'U77003224', 'UT01', 'University of Utah Pediatric Surgeons', 'Earl', 'C', 'Downey', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'B', '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-09-16', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1225119019', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77003225', 'U77003225', 'UT01', 'University of Utah Pediatric Surgeons', 'Michael', 'E', 'Matlak', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'B', '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134200926', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77003226', 'U77003226', 'UT01', 'University of Utah Pediatric Surgeons', 'Rebecka', 'L', 'Meyers', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'B', '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-09-16', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1902996515', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77003227', 'U77003227', 'UT01', 'University of Utah Pediatric Surgeons', 'Stephen', 'E', 'Morris', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'b', '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2007-01-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083704696', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77003228', 'U77003228', 'UT01', 'University of Utah Pediatric Surgeons', 'Peter', 'F', 'Nichol', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, NULL, 'B', '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2007-01-01', '2008-03-26', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245320852', 0, 'y', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77003229', 'U77003229', 'UT01', 'University of Utah Pediatric Surgeons', 'Eric', 'R', 'Scaife', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'B', '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-09-16', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1902996523', 0, 'N', 0, '2013-01-09', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77003230', 'U77003230', 'UT01', 'University of Utah Pediatric Surgeons', 'Daniel', 'J', 'Vargo', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'b', '100 N Mario Capecchi Drive Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2007-01-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801803630', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870551055', 'U77003231', 'U77003231', 'UT01', 'Pediatric Cardiothoracic Surgeons', 'Phillip', 'T', 'Burch', 'MD', 'General Surgery', 'Cardiovascular Disease', '', NULL, 'B', 'PO Box 58049', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', '8015853655', 'PO Box 58049', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', '8015853655', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-09-17', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1215027800', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('870584427', 'U77003232', 'U77003232', 'UT01', 'University of Utah Vascular Surgeons', 'Daniel', 'V', 'Kinikini', 'MD', 'Pediatric Orthopedic Surgery', 'Vascular Surgery', NULL, NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043264070', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('870619552', 'U77003233', 'U77003233', 'UT01', 'University Andrology Associates', 'Douglas', 'T', 'Carrell', 'PhD', 'Andrology', NULL, NULL, NULL, 'b', 'PO Box 58049 ', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'U77003234', 'U77003234', 'UT01', 'Pediatric Urology Associates', 'Michaelo', 'C', 'Wallis', 'MD', 'Urology', NULL, NULL, NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2012-09-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1558384388', 0, 'N', 0, '2013-09-03', NULL, NULL, 0, 0, NULL, NULL),
('870643697', 'U77003235', 'U77003235', 'UT01', 'U-U Otolaryngology - Pediatrics', 'Frank', 'M', 'Warren', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-01-01', '2010-05-21', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780637363', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('870665299', 'U77003236', 'U77003236', 'UT01', 'University of Utah Cardiothoracic Surgeons', 'Scott', 'A', 'Tatum', 'PA', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205877842', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'U77003237', 'U77003237', 'UT01', 'University Ear, Nose, and Throat Associates', 'Jason', 'P', 'Hunt', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2007-01-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1053334805', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003238', 'U77003238', 'UT01', 'U of U Hospitals and Clinics', 'Susanna', NULL, 'Chase', 'PA', 'General Surgery', 'Physician Assistant', NULL, NULL, 'b', 'PO Box 510708 ', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548288129', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003239', 'U77003239', 'UT01', 'U of U Hospitals and Clinics', 'Matthew', 'S', 'Cobb', 'PA', 'Family Practice', NULL, NULL, NULL, 'b', 'PO Box 510708 ', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5749', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003240', 'U77003240', 'UT01', 'U of U Hospitals and Clinics', 'Cynthia', 'L', 'Gellner', 'MD', 'Family Practice', NULL, NULL, NULL, 'b', 'PO Box 510708 ', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477584332', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'U77003241', 'U77003241', 'UT01', 'U of U Hospitals and Clinics', 'Kirsten', '', 'Hanzon', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'b', 'PO Box 510708 ', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('528154740', 'UV0000022', 'UV0000022', 'UT01', NULL, 'Clark', 'W', 'Sheffield', 'MD', 'General Surgery', '', '', NULL, 'O', '1159 E 200 N Ste 350', 'American Fork', 'Utah', 'UT', '84003', '8017564781', NULL, '1159 E 200 N Ste 350', 'American Fork', 'Utah', 'UT', '84003', '8017564781', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-01-01', '2008-05-31', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1417906181', 0, 'N', 0, '2013-05-06', NULL, NULL, 0, 0, NULL, NULL),
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('547769846', 'UV0000025', 'UV0000025', 'UT01', 'Foot & Ankle Institute', 'Val', 'G', 'Mullinax', 'DPM', 'Podiatry', '', '', NULL, 'O', '1928 N State St Ste 6', 'Provo', 'Utah', 'UT', '84604', '8013743010', NULL, '1928 N State St Ste 6', 'Provo', 'Utah', 'UT', '84604', '8013743010', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-05-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1528179256', 0, 'N', 0, '2014-06-04', NULL, NULL, 0, 0, NULL, NULL),
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('651189885', 'UV0000034', 'UV0000034', 'UT01', '', 'Jon', 'B', 'Bishop', 'MD', 'Plastic Surgery', '', '', NULL, 'O', '700 W 800 N Ste 442', 'Orem', 'Utah', 'UT', '84057', '8018020120', NULL, '700 W 800 N Ste 442', 'Orem', 'Utah', 'UT', '84057', '8018020120', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1609818616', 0, 'N', 0, '2014-01-29', NULL, NULL, 0, 0, NULL, NULL),
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('841367175', 'UV0000046', 'UV0000046', 'UT01', 'Canyon View Medical Group', 'Richard', 'D', 'Paxton', 'MD', 'Pediatrics', '', '', NULL, 'O', '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', NULL, '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Mountain View Hospital', '', '', '', 'HCFA|UB|', '1922046234', 0, 'N', 0, '2013-09-23', NULL, NULL, 0, 0, NULL, NULL),
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('841367175', 'UV0000048', 'UV0000048', 'UT01', 'Canyon View Medical Group', 'Stuart', 'B', 'Porter', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '5 E 400 N ', 'Springville', 'Utah', 'UT', '84663', '8014898464', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-01-01', '2007-03-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689612996', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841367175', 'UV0000049', 'UV0000049', 'UT01', 'Canyon View Medical Group', 'James', 'J', 'Rose', 'MD', 'Family Practice', '', '', NULL, 'O', '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', NULL, '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Mountain View Hospital', '', '', '', 'HCFA|UB|', '1013955327', 0, 'Y', 0, '2013-08-26', 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
('841367175', 'UV0000050', 'UV0000050', 'UT01', 'Canyon View Medical Group', 'Roman', 'Y', 'Takasaki', 'MD', 'Family Practice', '', '', NULL, 'O', '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', NULL, '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Mountain View Regional Hospital', '', '', '', 'HCFA|UB|', '1669428611', 0, 'N', 0, '2013-09-13', NULL, NULL, 0, 0, NULL, NULL),
('841367175', 'UV0000051', 'UV0000051', 'UT01', 'Canyon View Medical Group', 'John', 'S', 'Taylor', 'MD', 'Family Practice', '', '', NULL, 'O', '5 E 400 N', 'Springville', 'Utah', 'UT', '84663', '8014898464', NULL, '5 E 400 N', 'Springville', 'Utah', 'UT', '84663', '8014898464', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Mountain View Hospital', '', '', '', 'HCFA|UB|', '1740228055', 0, 'N', 0, '2014-06-16', NULL, NULL, 0, 0, NULL, NULL),
('841367175', 'UV0000052', 'UV0000052', 'UT01', 'Canyon View Medical Group', 'Orlando', 'R', 'Valdez', 'MD', 'Pediatrics', '', '', NULL, 'O', '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', NULL, '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Riverton Childrens Unit Operated by Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1912945239', 0, 'N', 0, '2014-03-13', NULL, NULL, 0, 0, NULL, NULL),
('841367175', 'UV0000053', 'UV0000053', 'UT01', 'Canyon View Medical Group', 'Wesley', 'D', 'Wylie', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '5 E 400 N', 'Springville', 'Utah', 'UT', '84663', '8014898464', NULL, '5 E 400 N', 'Springville', 'Utah', 'UT', '84663', '8014898464', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-01-01', '2009-02-05', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1548215197', 0, 'N', 0, '2012-08-03', NULL, NULL, 0, 0, NULL, NULL),
('841380939', 'UV0000054', 'UV0000054', 'UT01', NULL, 'Kipp', NULL, 'Robins', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'B', '2230 N University Pkwy Ste 9B ', 'Provo', 'Utah', 'UT', '84604', '8013753175', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-01-01', '2007-03-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396741476', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841380939', 'UV0000055', 'UV0000055', 'UT01', '', 'Kipp', '', 'Robins', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '2230 N University Pkwy Ste 9B', 'Provo', 'Utah', 'UT', '84604', '8013753175', NULL, '2230 N University Pkwy Ste 9B', 'Provo', 'Utah', 'UT', '84604', '8013753175', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1396741476', 0, 'N', 0, '2013-04-16', NULL, NULL, 0, 0, NULL, NULL),
('841429983', 'UV0000056', 'UV0000056', 'UT01', 'Cotton Tree Medical', 'James', '', 'Woodmansee', 'MD', 'Family Practice', 'Obstetrics and Gynecology', '', NULL, 'O', '2230 N University Pkwy Ste 1A', 'Provo', 'Utah', 'UT', '84604', '8013773413', NULL, '2230 N University Pkwy Ste 1A', 'Provo', 'Utah', 'UT', '84604', '8013773413', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1093703530', 0, 'N', 0, '2014-04-10', NULL, NULL, 0, 0, NULL, NULL),
('870235759', 'UV0000057', 'UV0000057', 'UT01', 'Central Utah Foot & Ankle Clinic', 'Mark', 'F', 'Rogers', 'DPM', 'Podiatry', '', '', NULL, 'O', '150 W 800 N', 'Provo', 'Utah', 'UT', '84601', '8013755353', NULL, '150 W 800 N', 'Provo', 'Utah', 'UT', '84601', '8013755353', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', 'Mountain View Hospital', '', '', 'HCFA|UB|', '1619958345', 0, 'N', 0, '2013-08-14', NULL, NULL, 0, 0, NULL, NULL),
('870235759', 'UV0000058', 'UV0000058', 'UT01', 'Central Utah Foot & Ankle Clinic', 'Thomas', 'G', 'Rogers', 'DPM', 'Podiatry', '', '', NULL, 'O', '150 W 800 N', 'Provo', 'Utah', 'UT', '84601', '8013755353', NULL, '150 W 800 N', 'Provo', 'Utah', 'UT', '84601', '8013755353', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1720069446', 0, 'N', 0, '2014-04-07', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000059', 'UV0000059', 'UT01', 'Central Utah Clinic', 'Igor', 'Z', 'Abolnik', 'MD', 'Infectious Disease', '', '', NULL, 'O', '1055 N 500 W Ste 202', 'Provo', 'Utah', 'UT', '84604', '8013742362', NULL, '1055 N 500 W Ste 202', 'Provo', 'Utah', 'UT', '84604', '8013742362', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1194783829', 0, 'N', 0, '2013-06-05', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000060', 'UV0000060', 'UT01', 'Central Utah Clinic', 'Nancy', '', 'Ahlstrom', 'MD', 'Nephrology', '', '', NULL, 'O', '1055 N 500 W Ste 222', 'Provo', 'Utah', 'UT', '84604', '8013774623', NULL, '1055 N 500 W Ste 222', 'Provo', 'Utah', 'UT', '84604', '8013774623', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1962431122', 0, 'N', 0, '2013-11-11', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000061', 'UV0000061', 'UT01', 'Central Utah Clinic', 'Marvin', 'R', 'Allen', 'MD', 'Cardiovascular Disease', '', '', NULL, 'O', '1055 N 500 W Ste 101', 'Provo', 'Utah', 'UT', '84604', '8013734366', NULL, '1055 N 500 W Ste 101', 'Provo', 'Utah', 'UT', '84604', '8013734366', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', 'Mountain View Regional Hospital', '', '', 'HCFA|UB|', '1831154566', 0, 'N', 0, '2013-09-09', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000062', 'UV0000062', 'UT01', 'Central Utah Clinic', 'Kirk', 'R', 'Anderson', 'MD', 'Internal Medicine', '', '', NULL, 'O', '1055 N 500 W Ste 212  Bld C', 'Provo', 'Utah', 'UT', '84604', '8013742362', NULL, '1055 N 500 W Ste 212  Bld C', 'Provo', 'Utah', 'UT', '84604', '8013742362', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1801854021', 0, 'N', 0, '2014-06-16', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000063', 'UV0000063', 'UT01', 'Central Utah Clinic', 'Ronald', 'W', 'Asay', 'MD', 'Cardiovascular Disease', '', '', NULL, 'O', '1055 N 500 W Ste 101  Bld C', 'Provo', 'Utah', 'UT', '84604', '8013734366', NULL, '1055 N 500 W Ste 101  Bld C', 'Provo', 'Utah', 'UT', '84604', '8013734366', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1578521308', 0, 'N', 0, '2014-06-04', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000064', 'UV0000064', 'UT01', 'Central Utah Clinic', 'C', 'W', 'Bacon', 'MD', 'Orthopedic Surgery', '', '', NULL, 'O', '1055 N 500 W Ste 121 Bld C', 'Provo', 'Utah', 'UT', '84604', '8013737350', NULL, '1055 N 500 W Ste 121 Bld C', 'Provo', 'Utah', 'UT', '84604', '8013737350', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', 'Mountain View Hospital', '', '', 'HCFA|UB|', '1962505750', 0, 'N', 0, '2013-12-09', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000065', 'UV0000065', 'UT01', 'Central Utah Clinic', 'Rodney', 'Seymour', 'Badger', 'MD', 'Cardiovascular Disease', 'Internal Medicine', '', NULL, 'O', '1055 N 500 W Ste 101  Bld C', 'Provo', 'Utah', 'UT', '84604', '8013734366', NULL, '1055 N 500 W', 'Provo', '', 'UT', '84604', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-01-01', '2009-06-30', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003874439', 0, 'N', 0, '2010-04-06', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000066', 'UV0000066', 'UT01', 'Central Utah Clinic', 'Alan', 'M', 'Banks', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', '1055 N 500 W ', 'Provo', 'Utah', 'UT', '84604', '8013758858', NULL, '1055 N 500 W', 'Provo', '', 'UT', '84604', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-01-01', '2007-07-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000067', 'UV0000067', 'UT01', 'Central Utah Clinic', 'Alan', 'M', 'Banks', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '1184 E 80 N ', 'American Fork', 'Utah', 'UT', '84003', '8017633885', NULL, '1055 N 500 W', 'Provo', '', 'UT', '84604', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-01-01', '2007-07-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000068', 'UV0000068', 'UT01', 'Central Utah Clinic', 'David', 'F', 'Bennion', 'MD', 'Internal Medicine', '', '', NULL, 'B', '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013758858', NULL, '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013758858', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Mountain View Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1255435244', 0, 'Y', 0, '2014-01-17', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000069', 'UV0000069', 'UT01', 'Central Utah Clinic', 'David', 'F', 'Bennion', 'MD', 'Internal Medicine', '', '', NULL, 'O', '1120 E 100 N Ste 1', 'Payson', 'Utah', 'UT', '84651', '8014654813', NULL, '1120 E 100 N Ste 1', 'Payson', 'Utah', 'UT', '84651', '8014654813', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Mountain View Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1255435244', 0, 'N', 0, '2014-01-17', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000070', 'UV0000070', 'UT01', 'Central Utah Clinic', 'Steven', 'D', 'Bigler', 'MD', 'Gynecology', NULL, NULL, NULL, 'O', '1055 N 500 W Ste 212 Bld C', 'Provo', 'Utah', 'UT', '84604', '8014298095', NULL, '1055 N 500 W', 'Provo', '', 'UT', '84604', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-01-01', '2007-06-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000071', 'UV0000071', 'UT01', 'Central Utah Clinic', 'Scott', 'Eugene', 'Bingham', 'MD', 'Cardiovascular Disease', '', '', NULL, 'O', '1055 N 500 W Ste 101 Bld C', 'Provo', 'Utah', 'UT', '84604', '8013734366', NULL, '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013734366', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', NULL, 0, NULL, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1487612214', 0, 'N', 0, '2011-04-08', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000072', 'UV0000072', 'UT01', 'Central Utah Clinic', 'Tarlton', 'J', 'Blair', 'MD', 'Radiation Oncology', '', '', NULL, 'O', '1055 N 500 W Ste 201 Bldg C', 'Provo', 'Utah', 'UT', '84604', '8013742367', NULL, '1055 N 500 W Ste 201 Bldg C', 'Provo', 'Utah', 'UT', '84604', '8013742367', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', 'Mountain View Hospital', '', '', 'HCFA|UB|', '1477655181', 0, 'N', 0, '2013-09-20', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000073', 'UV0000073', 'UT01', 'Central Utah Clinic', 'Kurt', 'O', 'Bodily', 'MD', 'Gastroenterology', '', '', NULL, 'O', '1055 N 500 W Ste 100 Bld C', 'Provo', 'Utah', 'UT', '84604', '8013741268', NULL, '1055 N 500 W Ste 100 Bld C', 'Provo', 'Utah', 'UT', '84604', '8013741268', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', 'Mountain View Hospital', '', '', 'HCFA|UB|', '1780600312', 0, 'N', 0, '2013-08-07', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000074', 'UV0000074', 'UT01', 'Central Utah Clinic', 'J', 'C', 'Bott', 'MD', 'Oncology', 'Hematology and Oncology', '', NULL, 'O', '1055 N 500 W Ste 202 Bldg B', 'Provo', 'Utah', 'UT', '84604', '8013742367', NULL, '1055 N 500 W Ste 202 Bldg B', 'Provo', 'Utah', 'UT', '84604', '8013742367', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', 'Mountain View Hospital', '', '', 'HCFA|UB|', '1164524864', 0, 'N', 0, '2014-03-03', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000075', 'UV0000075', 'UT01', 'Central Utah Clinic', 'Brian', 'R', 'Bradshaw', 'MD', 'Dermatology', '', '', NULL, 'O', '1055 N 500 W Ste 111 Bld C', 'Provo', 'Utah', 'UT', '84604', '8013748999', NULL, '1055 N 500 W Ste 111 Bld C', 'Provo', 'Utah', 'UT', '84604', '8013748999', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1811955800', 0, 'N', 0, '2014-03-03', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000076', 'UV0000076', 'UT01', 'Central Utah Clinic', 'Wendy', 'A', 'Breyer', 'MD', 'Hematology and Oncology', 'Oncology', '', NULL, 'B', '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013758858', NULL, '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013758858', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1417995911', 0, 'Y', 0, '2014-02-11', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000077', 'UV0000077', 'UT01', 'Central Utah Clinic', 'Wendy', 'A', 'Breyer', 'MD', 'Hematology and Oncology', 'Oncology', '', NULL, 'O', '1152 E 200 N', 'American Fork', 'Utah', 'UT', '84003', '8017720698', NULL, '1152 E 200 N', 'American Fork', 'Utah', 'UT', '84003', '8017720698', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1417995911', 0, 'N', 0, '2014-02-10', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000078', 'UV0000078', 'UT01', 'Central Utah Clinic', 'Michael', 'E', 'Callahan', 'MD', 'Orthopedic Surgery', '', '', NULL, 'B', '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013758858', NULL, '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013758858', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1104864651', 0, 'Y', 0, '2011-04-08', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000079', 'UV0000079', 'UT01', 'Central Utah Clinic', 'Michael', 'E', 'Callahan', 'MD', 'Orthopedic Surgery', '', '', NULL, 'O', '1184 E 80 N', 'American Fork', 'Utah', 'UT', '84003', '8017633885', NULL, '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8017633885', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1104864651', 0, 'N', 0, '2011-04-08', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'UV0000080', 'UV0000080', 'UT01', 'Central Utah Clinic', 'Alan', 'L', 'Colledge', 'MD', 'Physical Medicine and Rehabilitation', '', '', NULL, 'O', '1055 N 500 W Ste 121 Bldg C', 'Provo', 'Utah', 'UT', '84604', '8013737350', NULL, '1055 N 500 W Ste 121 Bldg C', 'Provo', 'Utah', 'UT', '84604', '8013737350', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1629169370', 0, 'N', 0, '2013-12-10', NULL, NULL, 0, 0, NULL, NULL),
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('870281299', 'UV0000142', 'UV0000142', 'UT01', 'American Fork Clinic', 'Michael', 'L', 'Cosgrave', 'MD', 'Family Practice', '', '', NULL, 'O', '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', NULL, '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Salt Lake Regional Medical Center', 'St Marks Hospital', NULL, NULL, 'HCFA|UB|', '1023127214', 0, 'N', 0, '2013-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870281299', 'UV0000143', 'UV0000143', 'UT01', 'American Fork Clinic', 'Daniel', 'W', 'Egan', 'MD', 'Family Practice', '', '', NULL, 'O', '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', NULL, '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-01-01', '2008-07-01', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1417066564', 0, 'N', 0, '2013-08-13', 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
('870293873', 'UV0000144', 'UV0000144', 'UT01', 'Tri City Medical Clinic', 'Glen', 'R', 'Fuller', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '830 N 2000 W', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017563511', NULL, '830 N 2000 W', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017563511', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1467557330', 0, 'N', 0, '2013-10-14', NULL, NULL, 0, 0, NULL, NULL),
('870281299', 'UV0000145', 'UV0000145', 'UT01', 'American Fork Clinic', 'David', 'K', 'Hafen', 'MD', 'Family Practice', '', '', NULL, 'O', '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', NULL, '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1134238207', 0, 'N', 0, '2013-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870281299', 'UV0000146', 'UV0000146', 'UT01', 'American Fork Clinic', 'Timo', 'J', 'Hoggard', 'MD', 'Family Practice', '', '', NULL, 'O', '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', NULL, '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1639288798', 0, 'N', 0, '2013-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870281299', 'UV0000147', 'UV0000147', 'UT01', 'American Fork Clinic', 'Cheryl', 'A', 'Johnson', 'MD', 'Family Practice', '', '', NULL, 'O', '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', NULL, '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1417066671', 0, 'N', 0, '2013-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870281299', 'UV0000148', 'UV0000148', 'UT01', 'American Fork Clinic', 'G', 'Brent', 'Johnson', 'MD', 'Family Practice', '', '', NULL, 'O', '226 N 1100 E Ste A', 'American Fork', 'Utah', 'UT', '84003', '8018553843', NULL, '226 N 1100 E', 'American Fork', 'Utah', 'UT', '84003', '8018553843', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1902914427', 0, 'N', 0, '2011-10-24', NULL, NULL, 0, 0, NULL, NULL),
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('870441813', 'UV0000180', 'UV0000180', 'UT01', '', 'Steven', 'D', 'Rowley', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '48 N 1100 E Ste B', 'American Fork', 'Utah', 'UT', '84003', '8013735211', '', '48 N 1100 E Ste B', 'American Fork', 'Utah', 'UT', '84003', '8013735211', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Central Valley Medical Center', '', '', '', 'HCFA|UB|', '1124121538', 0, 'N', 0, '2014-07-23', NULL, NULL, 0, 0, NULL, NULL),
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('870549057', 'UV0000219', 'UV0000219', 'UT01', 'Utah Valley Pediatrics', 'Melissa', '', 'Kendall', 'MD', 'Pediatrics', '', '', NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', NULL, '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1598772089', 0, 'Y', 0, '2014-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000220', 'UV0000220', 'UT01', 'Utah Valley Pediatrics', 'Melissa', '', 'Kendall', 'MD', 'Pediatrics', '', '', NULL, 'O', '716 W 800 N Ste 300', 'Orem', 'Utah', 'UT', '84057', '8012240421', NULL, '716 W 800 N Ste 300', 'Orem', 'Utah', 'UT', '84057', '8012240421', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1598772089', 0, 'N', 0, '2014-02-06', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000221', 'UV0000221', 'UT01', 'Utah Valley Pediatrics', 'Richard', 'W', 'Later', 'MD', 'Pediatrics', '', '', NULL, 'O', '1055 N 300 W Ste 307', 'Provo', 'Utah', 'UT', '84604', '8013738930', NULL, '1055 N 300 W Ste 307', 'Provo', 'Utah', 'UT', '84604', '8013738930', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1962476002', 0, 'N', 0, '2014-01-28', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000222', 'UV0000222', 'UT01', 'Utah Valley Pediatrics', 'Richard', 'W', 'Later', 'MD', 'Pediatrics', '', '', NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', NULL, '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1962476002', 0, 'Y', 0, '2014-01-28', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000223', 'UV0000223', 'UT01', 'Utah Valley Pediatrics', 'Michael', '', 'Lauret', 'MD', 'Pediatrics', '', '', NULL, 'O', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013738930', NULL, '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013738930', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1821056029', 0, 'N', 0, '2014-01-28', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000224', 'UV0000224', 'UT01', 'Utah Valley Pediatrics', 'Daniel', '', 'Simmons', 'MD', 'Pediatrics', '', '', NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', NULL, '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1134196900', 0, 'Y', 0, '2014-01-17', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000225', 'UV0000225', 'UT01', 'Utah Valley Pediatrics', 'Daniel', '', 'Simmons', 'MD', 'Pediatrics', '', '', NULL, 'O', '171 N 400 W Ste C12', 'Orem', 'Utah', 'UT', '84057', '8012244550', NULL, '171 N 400 W Ste C12', 'Orem', 'Utah', 'UT', '84057', '8012244550', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1134196900', 0, 'N', 0, '2014-01-17', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000226', 'UV0000226', 'UT01', 'Utah Valley Pediatrics', 'Ryan', '', 'Wilcox', 'MD', 'Pediatrics', '', '', NULL, 'O', '1159 E 200 N Ste 200', 'American Fork', 'Utah', 'UT', '84003', '8017565209', NULL, '1159 E 200 N Ste 200', 'American Fork', 'Utah', 'UT', '84003', '8017565209', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1679501720', 0, 'N', 0, '2014-01-30', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000227', 'UV0000227', 'UT01', 'Utah Valley Pediatrics', 'Ryan', '', 'Wilcox', 'MD', 'Pediatrics', '', '', NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', NULL, '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1679501720', 0, 'Y', 0, '2014-01-30', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000228', 'UV0000228', 'UT01', 'Utah Valley Pediatrics', 'Gregory', '', 'Wynn', 'MD', 'Pediatrics', '', '', NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', NULL, '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1376550855', 0, 'Y', 0, '2014-01-17', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000229', 'UV0000229', 'UT01', 'Utah Valley Pediatrics', 'Gregory', '', 'Wynn', 'MD', 'Pediatrics', '', '', NULL, 'O', '716 W 800 N Ste 300', 'Orem', 'Utah', 'UT', '84057', '8012240421', NULL, '716 W 800 N Ste 300', 'Orem', 'Utah', 'UT', '84057', '8012240421', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1376550855', 0, 'N', 0, '2014-01-17', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000230', 'UV0000230', 'UT01', 'Utah Valley Pediatrics', 'John', 'R', 'Wynn', 'MD', 'Pediatrics', '', '', NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', NULL, '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1255308102', 0, 'Y', 0, '2014-01-17', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'UV0000231', 'UV0000231', 'UT01', 'Utah Valley Pediatrics', 'John', 'R', 'Wynn', 'MD', 'Pediatrics', '', '', NULL, 'O', '171 N 400 W Ste C12', 'Orem', 'Utah', 'UT', '84057', '8012244550', NULL, '171 N 400 W Ste C12', 'Orem', 'Utah', 'UT', '84057', '8012244550', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1255308102', 0, 'N', 0, '2014-01-17', NULL, NULL, 0, 0, NULL, NULL),
('870551310', 'UV0000232', 'UV0000232', 'UT01', '', 'Stephen', 'L', 'Donaldson', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1275 N University Ave Ste 10', 'Provo', 'Utah', 'UT', '84604', '8013756565', NULL, '1275 N University Ave Ste 10', 'Provo', 'Utah', 'UT', '84604', '8013756565', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-06-29', 0, 0, 0, 'Central Valley Medical Center', '', '', '', 'HCFA|UB|', '1578552634', 0, 'N', 0, '2013-12-04', NULL, NULL, 0, 0, NULL, NULL),
('870560471', 'UV0000233', 'UV0000233', 'UT01', 'Aspen Womens Center', 'Thomas', 'E', 'Judd', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '1355 N University Ave Ste 110', 'Provo', 'Utah', 'UT', '84604', '8013745000', NULL, '1355 N University Ave Ste 110', 'Provo', 'Utah', 'UT', '84604', '8013745000', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-01-01', '2008-04-01', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1740210756', 0, 'N', 0, '2013-10-22', NULL, NULL, 0, 0, NULL, NULL),
('870560471', 'UV0000234', 'UV0000234', 'UT01', 'Aspen Womens Center', 'Donna', 'B', 'Wylie', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1355 N University Ave Ste 110', 'Provo', 'Utah', 'UT', '84604', '8013745000', NULL, '1355 N Universitiy Ave', 'Provo', '', 'UT', '84604', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-01-01', '2008-04-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009689', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870561127', 'UV0000235', 'UV0000235', 'UT01', 'Nexus Pain Care', 'Richard', '', 'Rosenthal', 'MD', 'Pain Management', '', '', NULL, 'O', '3585 N University Ave Ste 150', 'Provo', 'Utah', 'UT', '84604', '8013566100', '', '3585 N University Ave Ste 150', 'Provo', 'Utah', 'UT', '84604', '8013566100', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', NULL, 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1073512745', 0, 'y', 0, '2014-07-21', NULL, NULL, 40.2818, -111.658, NULL, NULL),
('870571315', 'UV0000236', 'UV0000236', 'UT01', NULL, 'Max', 'K', 'Cannon', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '39 Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014651701', NULL, 'PO Box 508', 'Payson', '', 'UT', '84651', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-01-01', '2008-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124036231', 0, 'Y', 0, '2006-10-17', NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'UV0000237', 'UV0000237', 'UT01', 'Utah County Medical Associates', 'Robert', 'B', 'Clark', 'MD', 'Family Practice', '', '', NULL, 'O', '97 S Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654896', NULL, '97 S Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654896', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-01-01', '2010-07-14', 0, 0, 0, 'Mountain View Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1689692071', 0, 'N', 0, '2011-12-20', NULL, NULL, 0, 0, NULL, NULL);
