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
('942854057', 'W11006413', 'W11006413', 'UTPEHP2', 'Fillmore Community Medical Center', 'S', 'Douglas', 'Wing', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679510432', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006389', 'W11006389', 'UTPEHP2', 'Fillmore Community Medical Center', 'Michael', 'J', 'Gale', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821003138', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006408', 'W11006408', 'UTPEHP2', 'Fillmore Community Medical Center', 'Kimball', 'Bruce', 'Taylor', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760420996', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006384', 'W11006384', 'UTPEHP2', 'Fillmore Community Medical Center', 'Brian', 'G', 'Crandall', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669440269', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006407', 'W11006407', 'UTPEHP2', 'Fillmore Community Medical Center', 'Alan', 'R', 'Smith', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Delta Community Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1700988201', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006377', 'W11006377', 'UTPEHP2', 'Fillmore Community Medical Center', 'Annette', 'M', 'Bosworth', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649224478', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006398', 'W11006398', 'UTPEHP2', 'Fillmore Community Medical Center', 'Eileen', 'K', 'Jackson', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1518906320', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006378', 'W11006378', 'UTPEHP2', 'Fillmore Community Medical Center', 'Gordon', 'D', 'Brown', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598710162', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006379', 'W11006379', 'UTPEHP2', 'Fillmore Community Medical Center', 'Matthew', 'A', 'Brown', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144236225', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006380', 'W11006380', 'UTPEHP2', 'Fillmore Community Medical Center', 'Wayne', 'O', 'Brown', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003822909', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006385', 'W11006385', 'UTPEHP2', 'Fillmore Community Medical Center', 'David', 'Ray', 'Crimin', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225044431', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006386', 'W11006386', 'UTPEHP2', 'Fillmore Community Medical Center', 'Ronald', 'T', 'Draper', 'CRNA', 'Certified Nurse Anesthetist', NULL, NULL, NULL, 'O', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4358968271', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Delta Community Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1013004498', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006394', 'W11006394', 'UTPEHP2', 'Fillmore Community Medical Center', 'Dennis', 'K', 'Heaston', 'MD', 'Vascular Surgery', 'Radiologist', NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548214224', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006397', 'W11006397', 'UTPEHP2', 'Fillmore Community Medical Center', 'Easton', 'David', 'Jackson', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1316049828', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006376', 'W11006376', 'UTPEHP2', 'Fillmore Community Medical Center', 'Carl', 'M', 'Black', 'MD', 'Vascular Surgery', 'Radiologist', NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891737094', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006395', 'W11006395', 'UTPEHP2', 'Fillmore Community Medical Center', 'David', 'P', 'Henrie', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427016815', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006388', 'W11006388', 'UTPEHP2', 'Fillmore Community Medical Center', 'Val', 'D', 'Dunn', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215975552', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006393', 'W11006393', 'UTPEHP2', 'Fillmore Community Medical Center', 'Daniel', 'J', 'Hatch', 'MD', 'Vascular Surgery', 'Radiologist', NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588608582', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006392', 'W11006392', 'UTPEHP2', 'Fillmore Community Medical Center', 'Roy', 'C', 'Hammond', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1235183781', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006391', 'W11006391', 'UTPEHP2', 'Fillmore Community Medical Center', 'Craig', 'M', 'Grose', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003854878', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006390', 'W11006390', 'UTPEHP2', 'Fillmore Community Medical Center', 'Wendell', 'A', 'Gibby', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992802235', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006396', 'W11006396', 'UTPEHP2', 'Fillmore Community Medical Center', 'Brent', 'D', 'Jackson', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '674 S Highway 99', 'Fillmore', 'Millard', 'UT', '84631', '4357435857', NULL, NULL, NULL, 'Millard', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '5.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962418210', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006687', 'W11006687', 'UTPEHP2', 'Sanpete Valley Hospital', 'Thomas', 'Randy', 'Hansen', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861433443', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006696', 'W11006696', 'UTPEHP2', 'Sanpete Valley Hospital', 'Patrick', 'R', 'Van Wagoner', 'CRNA', 'Nurse Anesthetist', 'Certified Nurse Anesthetist', NULL, NULL, 'O', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275745309', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006682', 'W11006682', 'UTPEHP2', 'Sanpete Valley Hospital', 'Robert', 'D', 'Armstrong', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1194766782', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006683', 'W11006683', 'UTPEHP2', 'Sanpete Valley Hospital', 'Bruce', 'O', 'Burnham', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1100 S Medical Dr', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354624196', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1417998022', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006684', 'W11006684', 'UTPEHP2', 'Sanpete Valley Hospital', 'Gary', 'Monroe', 'Cole', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1598705139', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006685', 'W11006685', 'UTPEHP2', 'Sanpete Valley Hospital', 'Allen', 'M', 'Day', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518908110', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006686', 'W11006686', 'UTPEHP2', 'Sanpete Valley Hospital', 'Michael', 'S', 'Frischknecht', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1629019229', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006688', 'W11006688', 'UTPEHP2', 'Sanpete Valley Hospital', 'Bryan', 'Thomas', 'Jones', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952349730', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006689', 'W11006689', 'UTPEHP2', 'Sanpete Valley Hospital', 'Steven', 'R', 'Knight', 'CRNA', 'Certified Nurse Anesthetist', NULL, NULL, NULL, 'O', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982667945', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006690', 'W11006690', 'UTPEHP2', 'Sanpete Valley Hospital', 'Mark', 'B', 'Nilsson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306850516', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006691', 'W11006691', 'UTPEHP2', 'Sanpete Valley Hospital', 'Tristy', 'Lee', 'Christensen (Nunn)', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1093753469', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006692', 'W11006692', 'UTPEHP2', 'Sanpete Valley Hospital', 'Darrel', 'Ward', 'Olsen', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1649218462', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006693', 'W11006693', 'UTPEHP2', 'Sanpete Valley Hospital', 'Matthew', 'R', 'Parsons', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1063483071', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006695', 'W11006695', 'UTPEHP2', 'Sanpete Valley Hospital', 'McKay', 'L', 'Platt', 'MD', 'Urology', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336230085', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006697', 'W11006697', 'UTPEHP2', 'Sanpete Valley Hospital', 'Blake', 'O', 'Zobell', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1720026560', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006694', 'W11006694', 'UTPEHP2', 'Sanpete Valley Hospital', 'William', 'Noel', 'Peugh', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', '1100 S Main', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730147711', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006711', 'W11006711', 'UTPEHP2', 'Sevier Valley Medical Center', 'David', 'M', 'Pope', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467554451', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006705', 'W11006705', 'UTPEHP2', 'Sevier Valley Medical Center', 'Ronald', 'T', 'Draper', 'CRNA', 'Certified Nurse Anesthetist', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Delta Community Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1013004498', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006715', 'W11006715', 'UTPEHP2', 'Sevier Valley Medical Center', 'Blake', 'O', 'Zobell', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1720026560', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006714', 'W11006714', 'UTPEHP2', 'Sevier Valley Medical Center', 'Steve', 'Fred', 'Wilstead', 'CRNA', 'Certified Nurse Anesthetist', NULL, NULL, NULL, 'O', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679521744', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006713', 'W11006713', 'UTPEHP2', 'Sevier Valley Medical Center', 'Thomas', 'J', 'Tavenner', 'CRNA', 'Certified Nurse Anesthetist', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912002536', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006712', 'W11006712', 'UTPEHP2', 'Sevier Valley Medical Center', 'Spencer', 'Lee', 'Scoville', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358930327', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821192436', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006708', 'W11006708', 'UTPEHP2', 'Sevier Valley Medical Center', 'Mark', 'William', 'Greenwood', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164437067', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006709', 'W11006709', 'UTPEHP2', 'Sevier Valley Medical Center', 'N', 'Rod', 'Hinck', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114029394', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006706', 'W11006706', 'UTPEHP2', 'Sevier Valley Medical Center', 'C', 'Brent', 'Fox', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358930332', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073521043', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006710', 'W11006710', 'UTPEHP2', 'Sevier Valley Medical Center', 'Devon', 'D', 'Peterson', 'CRNA', 'Certified Nurse Anesthetist', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245278035', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006704', 'W11006704', 'UTPEHP2', 'Sevier Valley Medical Center', 'David', 'Ray', 'Crimin', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225044431', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006703', 'W11006703', 'UTPEHP2', 'Sevier Valley Medical Center', 'Leland', 'Jeffrey', 'Chappell', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447351424', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006702', 'W11006702', 'UTPEHP2', 'Sevier Valley Medical Center', 'Jeffrey', 'J', 'Brown', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205840642', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006701', 'W11006701', 'UTPEHP2', 'Sevier Valley Medical Center', 'Roger', 'D', 'Blomquist', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437264223', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006700', 'W11006700', 'UTPEHP2', 'Sevier Valley Medical Center', 'Kerry', 'A', 'Blackham', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1922014273', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006699', 'W11006699', 'UTPEHP2', 'Sevier Valley Medical Center', 'Rex', 'K', 'Belnap', 'CRNA', 'Certified Nurse Anesthetist', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358930332', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659476950', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006698', 'W11006698', 'UTPEHP2', 'Sevier Valley Medical Center', 'Brent', 'J', 'Allen', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477660389', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006707', 'W11006707', 'UTPEHP2', 'Sevier Valley Medical Center', 'Mark', 'Robert', 'Greenwood', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083620298', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006726', 'W11006726', 'UTPEHP2', 'SW Emergency Physicians', 'Robert', 'D', 'Owen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114952389', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006727', 'W11006727', 'UTPEHP2', 'SW Emergency Physicians', 'Gerald', 'Kim', 'Rowland', 'MD', 'Occupational Therapy', 'Emergency Medicine', NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Valley View Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1457370868', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006728', 'W11006728', 'UTPEHP2', 'Valley View Medical Center', 'David', 'G', 'Sorge', 'MD', 'Radiology', NULL, NULL, NULL, 'B', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685000', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008820', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006725', 'W11006725', 'UTPEHP2', 'Valley View Medical Center', 'Barbara', 'A', 'Neuenschwander', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'B', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685000', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1235155623', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006729', 'W11006729', 'UTPEHP2', 'Valley View Medical Center', 'Nancy', 'Ann', 'Standler', 'MD', 'Pathology', NULL, NULL, NULL, 'B', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685091', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669444535', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006730', 'W11006730', 'UTPEHP2', 'SW Emergency Physicians', 'Michael', 'G', 'Stults', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Valley View Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1528087236', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006724', 'W11006724', 'UTPEHP2', 'SW Emergency Physicians', 'Gordon', 'L', 'Larsen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760479083', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006732', 'W11006732', 'UTPEHP2', 'SW Emergency Physicians', 'Darrell', 'Lynn', 'Wilson', 'MD', 'Psychiatry', 'Emergency Medicine', NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Valley View Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1922160530', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006716', 'W11006716', 'UTPEHP2', 'SW Emergency Physicians', 'David', 'Lee', 'Barnett', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1902893332', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006733', 'W11006733', 'UTPEHP2', 'SW Emergency Physicians', 'Michael', 'L', 'Wilson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497742829', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006731', 'W11006731', 'UTPEHP2', 'SW Emergency Physicians', 'Michael', 'O', 'Tremea', 'MD', 'Psychiatry', 'Emergency Medicine', NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376530782', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006723', 'W11006723', 'UTPEHP2', 'Valley View Medical Center', 'Jim', 'R', 'Keate', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685000', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750398004', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006722', 'W11006722', 'UTPEHP2', 'Emergency Room', 'Jeffery', 'G', 'Gardner', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685000', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Valley View Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1588656946', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006721', 'W11006721', 'UTPEHP2', 'SW Emergency Physicians', 'Richard', 'C', 'Cox', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Valley View Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1831119056', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006720', 'W11006720', 'UTPEHP2', 'SW Emergency Physicians', 'Brett', 'D', 'Christiansen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073500492', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006719', 'W11006719', 'UTPEHP2', 'SW Emergency Physicians', 'Jeffery', 'L', 'Bleazard', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Valley View Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1003836024', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006717', 'W11006717', 'UTPEHP2', 'SW Emergency Physicians', 'Stanford', 'James', 'Benson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685251', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588655856', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006718', 'W11006718', 'UTPEHP2', 'Valley View Medical Center', 'Grant', NULL, 'Blatter', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '1303 N Main', 'Cedar City', 'Iron', 'UT', '84720', '4358685000', NULL, NULL, NULL, 'Iron', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558377309', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006337', 'W11006337', 'UTPEHP2', 'DRMC Rehab Ctr', 'Scott', 'S', 'Munson', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '75 N 2260 W', 'Hurricane', 'Washington', 'UT', '84737', '4356356480', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104035112', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006283', 'W11006283', 'UTPEHP2', 'DRMC Rehab Ctr', 'Sean', 'W', 'Carey', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '75 N 2260 W', 'Hurricane', 'Washington', 'UT', '84737', '4356356480', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154337178', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006338', 'W11006338', 'UTPEHP2', 'Hurricane Physical Therapy', 'Scott', 'S', 'Munson', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '90 S 700 W', 'Hurricane', 'Washington', 'UT', '84737', '4356357735', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104035112', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006303', 'W11006303', 'UTPEHP2', 'Neonatology DRMC', 'Erick', 'B', 'Gerday', 'MD', 'Neonatology', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1538172606', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006274', 'W11006274', 'UTPEHP2', 'Dixie Regional Medical Center', 'Nicholas', 'H', 'Bird', 'MD', 'Wound Care', 'Hyperbaric Medicine', 'Urgent Care', NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811092935', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006265', 'W11006265', 'UTPEHP2', 'Inpatient Behavioral Medicine Unit', 'Chauncey', 'S', 'Adams', 'PHD', 'Mental Health', 'Psychology', NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884392', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437251170', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006266', 'W11006266', 'UTPEHP2', 'Inpatient Behavioral Medicine Unit', 'Kathryn', 'B', 'Adams', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356885327', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972605616', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006267', 'W11006267', 'UTPEHP2', 'Neonatology DRMC', '', 'Ronda', 'Dixie Regional Medical Center', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891716080', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006340', 'W11006340', 'UTPEHP2', 'Dixie Regional Medical Center', 'Brad', 'A', 'Myers', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356344000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1700986635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006302', 'W11006302', 'UTPEHP2', 'Critical Care', 'Karen', 'M', 'Frieden', 'MD', 'Internal Medicine', 'Hospitalist', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84770', '4352512600', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1043289820', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006305', 'W11006305', 'UTPEHP2', 'Maternal Fetal Medicine', 'Frederick', 'A', 'Gonzalez', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841211265', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006307', 'W11006307', 'UTPEHP2', 'Rehab', 'Jerold', 'L', 'Hagen', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639102635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006308', 'W11006308', 'UTPEHP2', 'Neonatology DRMC', 'Jennifer', 'L', 'Hall', 'APRN', 'Neonatal Nurse Practitioner', 'Neonatology', NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006536', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006310', 'W11006310', 'UTPEHP2', 'Inpatient Behavioral Medicine Unit', 'Raymond', 'K', 'Hinton', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884343', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609978345', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006315', 'W11006315', 'UTPEHP2', 'Maternal Fetal Medicine', 'Gilbert', 'M', 'Jackson', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884770', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356421259', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006316', 'W11006316', 'UTPEHP2', 'Critical Care/Pulmonary', 'Charlie', 'R', 'Jacques', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', 'Pulmonary', NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84770', '4352512600', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1336162890', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006317', 'W11006317', 'UTPEHP2', 'Dixie Regional Medical Center', 'Gary', 'L', 'Jones', 'MD', 'Neurology', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356344300', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770540619', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006318', 'W11006318', 'UTPEHP2', 'Neonatology DRMC', 'Tracy', 'B', 'Karp', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306052360', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006277', 'W11006277', 'UTPEHP2', 'Rehab Services DRMC', 'Craig', 'L', 'Booth', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1225146392', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006324', 'W11006324', 'UTPEHP2', 'Wound Care', 'Jana', 'M', 'Leany', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884293', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1861488900', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006328', 'W11006328', 'UTPEHP2', 'Neonatology DRMC', 'Garry', 'G', 'Lipsey', 'APRN', 'Neonatology', 'Neonatal Nurse Practitioner', NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477737583', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006301', 'W11006301', 'UTPEHP2', 'Maternal Fetal Medicine', 'Antonio', 'E', 'Frias', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884770', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033130299', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006335', 'W11006335', 'UTPEHP2', 'Neonatology DRMC', 'Lonnie', 'J', 'Miner', 'MD', 'Neonatology', 'Pediatric Infectious Diseases', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942220645', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006322', 'W11006322', 'UTPEHP2', 'Neuro-Psychology DRMC', 'Timothy', 'R', 'Kockler', 'PHD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1063422202', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006343', 'W11006343', 'UTPEHP2', 'Wound Care', 'Vicky', 'L', 'O''Neil', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', 'Occupational Therapy', NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884293', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396847380', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006344', 'W11006344', 'UTPEHP2', 'Maternal Fetal Medicine', 'Bryan', 'T', 'Oshiro', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884770', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780608489', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006348', 'W11006348', 'UTPEHP2', 'Neonatology DRMC', 'Phillip', 'C', 'Pincock', 'APRN', 'Neonatology', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952441693', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006349', 'W11006349', 'UTPEHP2', 'Maternal Fetal Medicine', 'Troy', 'F', 'Porter', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884770', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245310143', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006350', 'W11006350', 'UTPEHP2', 'Dixie Regional Medical Center', 'Gregory', 'D', 'Price', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356344000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487609434', 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
('942854057', 'W11006353', 'W11006353', 'UTPEHP2', 'Neonatology DRMC', 'Carolyn', NULL, 'Rich-Denson', 'MD', 'Neonatal Medicine', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942213459', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006355', 'W11006355', 'UTPEHP2', 'Neonatology DRMC', 'Maria', 'Lourdes', 'Rodriguez', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008458', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006356', 'W11006356', 'UTPEHP2', 'Maternal Fetal Medicine', 'Nancy', 'C', 'Rose', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', 'Clinical Genetics', NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1902826159', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006358', 'W11006358', 'UTPEHP2', 'Neonatology DRMC', 'Sheila', 'D', 'Sakraida', 'APRN', 'Neonatology', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821284100', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006359', 'W11006359', 'UTPEHP2', 'Neonatology DRMC', 'Julieanne', 'H', 'Schiefelbein', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881723245', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006361', 'W11006361', 'UTPEHP2', 'Inpatient Behavioral Medicine Unit', 'Stephen', 'B', 'Seager', 'MD', 'Mental Health', 'Psychiatry', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356885326', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932139573', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006363', 'W11006363', 'UTPEHP2', 'Neonatology DRMC', 'Janice', 'M', 'Slone', 'APRN', 'Psychiatry', 'Neonatal Nurse Practitioner', 'Neonatology', NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043351174', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006369', 'W11006369', 'UTPEHP2', 'Hyperbaric', 'Steven', 'A', 'VanNorman', 'MD', 'Emergency Medicine', 'Psychiatry', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356886868', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780671107', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006330', 'W11006330', 'UTPEHP2', 'Critical Care', 'Mark', 'L', 'Martinez', 'MD', 'Critical Care Medicine', 'Pulmonary', 'Urgent Care', NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84770', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1508861964', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006279', 'W11006279', 'UTPEHP2', 'Maternal Fetal Medicine', 'David', 'W', 'Branch', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1922012830', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006297', 'W11006297', 'UTPEHP2', 'Maternal Fetal Medicine', 'Michael', 'S', 'Esplin', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884770', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205916111', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006290', 'W11006290', 'UTPEHP2', 'Neonatology', 'Barbara', 'D', 'Crossley', 'APRN', 'Neonatal Nurse Practitioner', 'Neonatology', NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366628455', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006295', 'W11006295', 'UTPEHP2', 'Neonatology DRMC', 'Larry', 'D', 'Eggert', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043257587', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006285', 'W11006285', 'UTPEHP2', 'Dixie Regional Medical Center', 'Howard', 'L', 'Chamberlain', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356344000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1306951504', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006291', 'W11006291', 'UTPEHP2', 'Maternal Fetal Medicine', 'Donna', 'S', 'Dizon-Townson', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'O', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884770', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811918097', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006287', 'W11006287', 'UTPEHP2', 'Neonatology DRMC', 'Celestina', 'C', 'Christian', 'APRN', 'Neonatology', NULL, NULL, NULL, 'B', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884800', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972799294', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006271', 'W11006271', 'UTPEHP2', 'DRMC Rehab Ctr', 'Virgil', 'C', 'Beck', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689694994', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006270', 'W11006270', 'UTPEHP2', 'DRMC Rehab Ctr', 'Shannan', 'S', 'Beatty', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'B', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255347290', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006354', 'W11006354', 'UTPEHP2', 'Dixie Cardiology', 'Robert', 'P', 'Rignell', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326034737', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006269', 'W11006269', 'UTPEHP2', 'Dixie Cardiology', 'William', 'Wesley', 'Barney', 'MD', 'Internal Medicine', 'Cardiovascular Disease', 'Hospitalist', NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1194799890', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006352', 'W11006352', 'UTPEHP2', 'DRMC Rehab Ctr', 'Joshua', 'L', 'Reynolds', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134135049', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006357', 'W11006357', 'UTPEHP2', 'SW ER Phys Grp', 'Gerald', 'Kim', 'Rowland', 'MD', 'Occupational Therapy', 'Emergency Medicine', NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Valley View Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1457370868', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006268', 'W11006268', 'UTPEHP2', 'SW ER Phys Grp', 'David', 'Lee', 'Barnett', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1902893332', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006278', 'W11006278', 'UTPEHP2', 'SW Phys Group', 'Mark', 'C', 'Boyer', 'NP', 'Family Practice', 'Nurse Practitioner', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1093812604', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006280', 'W11006280', 'UTPEHP2', 'Dixie Regional Medical Center', 'David', 'W', 'Branch', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1922012830', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006347', 'W11006347', 'UTPEHP2', 'DRMC Rehab Ctr', 'Jane', 'M', 'Peters', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114933157', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006346', 'W11006346', 'UTPEHP2', 'SW ER Phys Grp', 'John', 'Dee', 'Owens', 'LCSW', 'Mental Health', 'Social Worker', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730214420', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006345', 'W11006345', 'UTPEHP2', 'SW ER Phys Grp', 'Robert', 'D', 'Owen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114952389', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006281', 'W11006281', 'UTPEHP2', 'Diabetic Clinic', 'Bonnie', 'A', 'Burnett', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'O', '352 E Riverside Dr Ste A9', 'St George', 'Washington', 'UT', '84790', '4352512888', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326112459', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006351', 'W11006351', 'UTPEHP2', 'DRMC Rehab Ctr', 'Jo', NULL, 'Puntil-Sheltman', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588679377', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006366', 'W11006366', 'UTPEHP2', 'SW ER Phys Grp', 'Michael', 'D', 'Symond', 'MD', 'Emergency Medicine', 'Psychiatry', NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790772135', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006374', 'W11006374', 'UTPEHP2', 'SW ER Phys Grp', 'Jon', NULL, 'Worlton', 'LCSW', 'Mental Health', 'Social Worker', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009678', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006373', 'W11006373', 'UTPEHP2', 'DRMC Rehab Ctr', 'Melissa', 'B', 'Woodside', 'SLP', 'Speech Language Pathology', 'Speech Therapy', NULL, NULL, 'B', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009669', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006372', 'W11006372', 'UTPEHP2', 'SW ER Phys Grp', 'Michael', 'L', 'Wilson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497742829', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006371', 'W11006371', 'UTPEHP2', 'SW ER Phys Grp', 'Darrell', 'Lynn', 'Wilson', 'MD', 'Psychiatry', 'Emergency Medicine', NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Valley View Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1922160530', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006370', 'W11006370', 'UTPEHP2', 'DRMC Rehab Ctr', 'Amy', 'C', 'Werrett', 'SLP', 'Speech Therapy', 'Speech Language Pathology', 'Psychiatry', NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003032624', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006276', 'W11006276', 'UTPEHP2', 'SW ER Phys Grp', 'Catherine', 'A', 'Bonomo', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306833736', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006273', 'W11006273', 'UTPEHP2', 'SW ER Phys Grp', 'Stanford', 'James', 'Benson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588655856', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006367', 'W11006367', 'UTPEHP2', 'SW ER Phys Grp', 'Michael', 'O', 'Tremea', 'MD', 'Psychiatry', 'Emergency Medicine', NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376530782', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006272', 'W11006272', 'UTPEHP2', 'SW ER Phys Grp', 'Robert', 'T', 'Benson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609863042', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006365', 'W11006365', 'UTPEHP2', 'DRMC Rehab Ctr', 'Jonathan', 'L', 'Sparks', 'PT', 'Physical Therapy', 'Psychiatry', NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861588279', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006364', 'W11006364', 'UTPEHP2', 'Summit Physical Therapy', 'Erika', 'R', 'Snow', 'PT', 'Physical Therapy', 'Psychiatry', NULL, NULL, 'O', '1532 E 1450 S', 'St George', 'Washington', 'UT', '84790', '4352512240', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083795975', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006275', 'W11006275', 'UTPEHP2', 'DRMC Rehab Ctr', 'Elizabeth', 'A', 'Boggs', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417048570', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006362', 'W11006362', 'UTPEHP2', 'SW ER Phys Grp', 'Craig', NULL, 'Skousen', 'LCSW', 'Mental Health', 'Social Worker', 'Psychiatry', NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008739', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006339', 'W11006339', 'UTPEHP2', 'DRMC Rehab Ctr', 'Scott', 'S', 'Munson', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104035112', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006360', 'W11006360', 'UTPEHP2', 'DRMC Rehab Ctr', 'Lacy', 'J', 'Schiwal', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669682696', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006282', 'W11006282', 'UTPEHP2', 'SW ER Phys Grp', 'Kenneth', 'S', 'Burnham', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396705885', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006368', 'W11006368', 'UTPEHP2', 'SW ER Phys Grp', 'Steven', 'A', 'VanNorman', 'MD', 'Emergency Medicine', 'Psychiatry', NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780671107', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006311', 'W11006311', 'UTPEHP2', 'Dixie Regional Medical Center', 'Terri', 'L', 'Hoffman', 'MD', 'Internal Medicine', 'Pulmonology', NULL, NULL, 'B', '1380 E Medical Ctr Dr Ste 1400', 'St George', 'Washington', 'UT', '84790', '4352512600', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871512137', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006320', 'W11006320', 'UTPEHP2', 'Dixie Regional Medical Center', 'Michael', 'R', 'Kline', 'MD', 'Pulmonary', 'Family Practice', NULL, NULL, 'B', '1380 E Medical Ctr Dr Ste 1400', 'St George', 'Washington', 'UT', '84790', '4352512355', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1073531331', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006319', 'W11006319', 'UTPEHP2', 'SW ER Phys Grp', 'Kathleen', 'R', 'Killian', 'LCSW', 'Mental Health', 'Social Worker', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007084', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006292', 'W11006292', 'UTPEHP2', 'DRMC Rehab Ctr', 'Samantha', NULL, 'Dumitru', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780802058', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006293', 'W11006293', 'UTPEHP2', 'DRMC Rehab Ctr', 'Matthew', 'G', 'Edwards', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023104619', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006314', 'W11006314', 'UTPEHP2', 'DRMC Rehab Ctr', 'Kerry', 'Ann', 'Humphrey', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306062914', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006341', 'W11006341', 'UTPEHP2', 'DRMC Rehab Ctr', 'Breanna', 'R', 'Nelson', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942260401', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006312', 'W11006312', 'UTPEHP2', 'Summit Physical Therapy', 'Jane', 'A', 'Hugunin', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1532 E 1450 S', 'St George', 'Washington', 'UT', '84790', '4352514545', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295740074', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006288', 'W11006288', 'UTPEHP2', 'SW ER Phys Grp', 'Brett', 'D', 'Christiansen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073500492', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006294', 'W11006294', 'UTPEHP2', 'Hyperbaric', 'Joan', 'V', 'Eggert', 'MD', 'Obstetrics and Gynecology', 'Gynecology', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1093715542', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006309', 'W11006309', 'UTPEHP2', 'DRMC Rehab Ctr', 'Shalyse', 'S', 'Heaton', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'B', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1194731125', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006296', 'W11006296', 'UTPEHP2', 'DRMC Rehab Ctr', 'Dave', 'C', 'Esplin', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245250539', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006306', 'W11006306', 'UTPEHP2', 'DRMC Rehab Ctr', 'Gary', 'L', 'Gottfredson', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356357339', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006298', 'W11006298', 'UTPEHP2', 'DRMC Rehab Ctr', 'Michael', 'Locke', 'Ettinger', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003822024', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006299', 'W11006299', 'UTPEHP2', 'Summit Physical Therapy', 'Rhett', 'Paul', 'Farrer', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1532 E 1450 S', 'St George', 'Washington', 'UT', '84790', '4352514545', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639260706', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006313', 'W11006313', 'UTPEHP2', 'DRMC Rehab Ctr', 'Ted', 'A', 'Hugunin', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891700613', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006286', 'W11006286', 'UTPEHP2', 'Dixie Cardiology', 'Keshav', NULL, 'Chander', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700816600', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006323', 'W11006323', 'UTPEHP2', 'SW ER Phys Grp', 'Gordon', 'L', 'Larsen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760479083', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006284', 'W11006284', 'UTPEHP2', 'Hyperbaric', 'Grant', 'L', 'Carter', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215937032', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006300', 'W11006300', 'UTPEHP2', 'SW ER Phys Grp', 'Robert', 'R', 'Foster', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497701270', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006336', 'W11006336', 'UTPEHP2', 'DRMC Rehab Ctr', 'Lorraine', 'G', 'Moe', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1538177993', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006334', 'W11006334', 'UTPEHP2', 'DRMC Rehab Ctr', 'Mark', 'A', 'Mills', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366538126', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006333', 'W11006333', 'UTPEHP2', 'DRMC Rehab Ctr', 'Michael', 'B', 'Meek', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '385 N 3050 E', 'St George', 'Washington', 'UT', '84790', '4352512643', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891911418', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006321', 'W11006321', 'UTPEHP2', 'Emergency Room', 'Aaron', 'O', 'Klomp', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352512134', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1588611602', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006331', 'W11006331', 'UTPEHP2', 'Dixie Cardiology', 'Kent', 'B', 'McDonald', 'MD', 'Hospitalist', 'Internal Medicine', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1093794554', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006289', 'W11006289', 'UTPEHP2', 'Dixie Regional Medical Center', 'William', 'B', 'Cobb', 'MD', 'Infectious Disease', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225058480', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006329', 'W11006329', 'UTPEHP2', 'Dixie Cardiology', 'Daniel', 'B', 'Madsen', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1497749451', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006327', 'W11006327', 'UTPEHP2', 'Dixie Regional Medical Center', 'Steven', 'W', 'Lewis', 'MD', 'Pulmonary', 'Pulmonary Disease', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255354437', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006326', 'W11006326', 'UTPEHP2', 'Dixie Regional Medical Center', 'Steven', 'W', 'Lewis', 'MD', 'Pulmonary', 'Pulmonary Disease', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255354437', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006325', 'W11006325', 'UTPEHP2', 'SW Phys Group', 'Jana', 'M', 'Leany', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1861488900', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006304', 'W11006304', 'UTPEHP2', 'DRMC Rehab Ctr', 'Daniel', 'Scott', 'Gillespie', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1380 E Medical Ctr Dr Ste 3400', 'St George', 'Washington', 'UT', '84790', '4352512250', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568473577', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006342', 'W11006342', 'UTPEHP2', 'Dixie Cardiology', 'Lynn', 'R', 'Nimer', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1689635922', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11006332', 'W11006332', 'UTPEHP2', 'Dixie Cardiology', 'Mary', 'Ann', 'McDonnell', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '1380 E Medical Ctr Dr', 'St George', 'Washington', 'UT', '84790', '4352511000', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831267145', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('820477852', 'W11006735', 'W11006735', 'ID01', 'Saint Alphonsus Medical Group', 'Erin', '', 'Proctor', 'PA-C', 'Obstetrics and Gynecology', 'Physician Assistant', 'Family Practice', NULL, 'O', '6140 Curtisian Ste 300', 'Boise', 'Ada', 'ID', '83704', '2083676575', '2083676597', '6140 Curtisian Ste 300', 'Boise', 'Ada', 'ID', '83704', '2083676575', '2083676597', 'IDSAMG2', NULL, NULL, '0.00', '10.00', '0.00', 6, '2008-07-10', '2009-02-25', 0, 0, 0, 'West Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1811987076', 0, 'n', 0, '2013-08-21', NULL, NULL, 43.615, -116.256, NULL, NULL),
('200133012', 'W11006734', 'W11006734', 'UT01', 'Lakeview OB/GYN Clinic', 'Nathan', 'C', 'Ward', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '620 E Medical Dr Ste 340', 'Bountiful', 'Davis', 'UT', '84040', '8012992229', NULL, '620 E Medical Dr Ste 340', 'Bountiful', 'Davis', 'UT', '84040', '8012992229', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-07-30', '2010-08-31', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1134114473', 0, 'N', 0, '2013-11-11', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006883', 'W11006883', 'UTMH1', 'Valley Mental Health  Inc', 'MARSHA', '', 'GUSTAFSON', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114997319', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006870', 'W11006870', 'UTMH1', 'Valley Mental Health  Inc', 'J.D.', NULL, 'WETZEL', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801875778', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006871', 'W11006871', 'UTMH1', 'Valley Mental Health  Inc', 'LYNN', NULL, 'WHITTAKER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730165978', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006872', 'W11006872', 'UTMH1', 'Valley Mental Health  Inc', 'RICHARD', NULL, 'WILLEY', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750352837', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006873', 'W11006873', 'UTMH1', 'Valley Mental Health  Inc', 'REGGIE', NULL, 'WILSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184694077', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006874', 'W11006874', 'UTMH1', 'Valley Mental Health  Inc', 'STEVEN C', NULL, 'WONG', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982689766', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006875', 'W11006875', 'UTMH1', 'Valley Mental Health  Inc', 'HARUYO', 'N', 'WRIGHT', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437117132', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006876', 'W11006876', 'UTMH1', 'Valley Mental Health  Inc', 'KRISTEN', NULL, 'WUTHRICH', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881644821', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006877', 'W11006877', 'UTMH1', 'Valley Mental Health  Inc', 'LINDA', NULL, 'YEATES', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306818752', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006878', 'W11006878', 'UTMH1', 'Valley Mental Health  Inc', 'JAMAL A', '', 'BARAKAT', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1912983446', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006879', 'W11006879', 'UTMH1', 'Valley Mental Health  Inc', 'MARGENE', '', 'BECKSTEAD', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1710948369', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006880', 'W11006880', 'UTMH1', 'Valley Mental Health  Inc', 'JULIE', 'A', 'BURTON', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1801908199', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006842', 'W11006842', 'UTMH1', 'Valley Mental Health  Inc', 'PENNY', NULL, 'PETERSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609856053', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006882', 'W11006882', 'UTMH1', 'Valley Mental Health  Inc', 'LINDA MARIE', '', 'FIRNENO', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1023094075', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006867', 'W11006867', 'UTMH1', 'Valley Mental Health  Inc', 'FREDERICK', NULL, 'VAN DER VEUR', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1780655407', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006884', 'W11006884', 'UTMH1', 'Valley Mental Health  Inc', 'Lauren', 'Hilton', 'Gutierrez', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1700061389', 0, 'Y', 0, '2013-09-09', 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
('942938348', 'W11006885', 'W11006885', 'UTMH1', 'Valley Mental Health  Inc', 'JULIE', '', 'HENDERSON', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1306825104', 0, 'Y', 0, '2013-07-09', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006887', 'W11006887', 'UTMH1', 'Valley Mental Health  Inc', 'Jimmie', '', 'Long', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1023297868', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006888', 'W11006888', 'UTMH1', 'Valley Mental Health  Inc', 'KRISTINE LOUISE', '', 'LUBLIN', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1942280557', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006889', 'W11006889', 'UTMH1', 'Valley Mental Health  Inc', 'Laraine', '', 'Miner', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1871571638', 0, 'Y', 0, '2014-05-06', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006890', 'W11006890', 'UTMH1', 'Valley Mental Health  Inc', 'JENNIFER', 'E', 'NELSON', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1063600377', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006891', 'W11006891', 'UTMH1', 'Valley Mental Health  Inc', 'Gregory', 'C', 'Nickles', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114904646', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006892', 'W11006892', 'UTMH1', 'Valley Mental Health  Inc', 'CORA', 'MICHELLE', 'PETERSON', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1447441464', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006893', 'W11006893', 'UTMH1', 'Valley Mental Health  Inc', 'MATTHEW', '', 'REED', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1497726152', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006894', 'W11006894', 'UTMH1', 'Valley Mental Health  Inc', 'DEBRA', 'ANITA', 'ROBERTS', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1689645343', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006881', 'W11006881', 'UTMH1', 'Valley Mental Health  Inc', 'CHERYL', 'DAWN', 'EVANS', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1881864007', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006856', 'W11006856', 'UTMH1', 'Valley Mental Health  Inc', 'VAUGHN', 'STEWART', 'ROCHE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649249137', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006843', 'W11006843', 'UTMH1', 'Valley Mental Health  Inc', 'ROSEMARY', NULL, 'PETTERSEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811154180', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006844', 'W11006844', 'UTMH1', 'Valley Mental Health  Inc', 'SUSAN', NULL, 'PIZITZ', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255311056', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006845', 'W11006845', 'UTMH1', 'Valley Mental Health  Inc', 'KAREN', NULL, 'PLATIS', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073593018', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006846', 'W11006846', 'UTMH1', 'Valley Mental Health  Inc', 'JANET', NULL, 'POHANKA', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861477556', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006847', 'W11006847', 'UTMH1', 'Valley Mental Health  Inc', 'PAMELA', NULL, 'PRUYT', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457331233', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006848', 'W11006848', 'UTMH1', 'Valley Mental Health  Inc', 'NATALIE', '', 'PUGMIRE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1063464600', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006849', 'W11006849', 'UTMH1', 'Valley Mental Health  Inc', 'RYAN', 'C', 'RANDALL', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730106212', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006850', 'W11006850', 'UTMH1', 'Valley Mental Health  Inc', 'PAUL C', NULL, 'RASMUSSEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760462006', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006851', 'W11006851', 'UTMH1', 'Valley Mental Health  Inc', 'RICHARD', NULL, 'RAWLINS', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083699011', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006852', 'W11006852', 'UTMH1', 'Valley Mental Health  Inc', 'KARLA', NULL, 'READING', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972582427', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006853', 'W11006853', 'UTMH1', 'Valley Mental Health  Inc', 'Kathleen', 'R', 'Reimherr', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1871564112', 0, 'Y', 0, '2013-06-04', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006869', 'W11006869', 'UTMH1', 'Valley Mental Health  Inc', 'MARIANNE', NULL, 'WATSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629016464', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006855', 'W11006855', 'UTMH1', 'Valley Mental Health  Inc', 'RICHARD S', NULL, 'ROBINSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205800737', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006868', 'W11006868', 'UTMH1', 'Valley Mental Health  Inc', 'LINDA', NULL, 'VERNON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629028162', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006857', 'W11006857', 'UTMH1', 'Valley Mental Health  Inc', 'JARED', 'P', 'ROCKWOOD', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386607042', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006858', 'W11006858', 'UTMH1', 'Valley Mental Health  Inc', 'NATALIE', NULL, 'ROMRELL', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386615169', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006859', 'W11006859', 'UTMH1', 'Valley Mental Health  Inc', 'BARRY', NULL, 'ROSE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477533412', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006860', 'W11006860', 'UTMH1', 'Valley Mental Health  Inc', 'C RENEE', NULL, 'ROTTLER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689658858', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006861', 'W11006861', 'UTMH1', 'Valley Mental Health  Inc', 'KEVIN C', NULL, 'RUTTER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457324626', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006862', 'W11006862', 'UTMH1', 'Valley Mental Health  Inc', 'ALAN', NULL, 'SEEGMILLER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184604423', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006863', 'W11006863', 'UTMH1', 'Valley Mental Health  Inc', 'CORY M', NULL, 'SHIPP', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609850221', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006864', 'W11006864', 'UTMH1', 'Valley Mental Health  Inc', 'JODI ANN', NULL, 'SMITH', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346211919', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006865', 'W11006865', 'UTMH1', 'Valley Mental Health  Inc', 'PHYLLIS', NULL, 'SPECIALE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336124387', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006866', 'W11006866', 'UTMH1', 'Valley Mental Health  Inc', 'DOUG', NULL, 'THOMAS', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356327084', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006897', 'W11006897', 'UTMH1', 'Valley Mental Health  Inc', 'DAVID A', '', 'SMITH', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114997079', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006854', 'W11006854', 'UTMH1', 'Valley Mental Health  Inc', 'ALLAN', NULL, 'RICE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386763712', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006936', 'W11006936', 'UTMH1', 'Valley Mental Health  Inc', 'EDWIN R', NULL, 'CHRISTENSEN', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639155864', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006924', 'W11006924', 'UTMH1', 'Valley Mental Health  Inc', 'Frederick', 'W', 'Reimherr', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1740259795', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006925', 'W11006925', 'UTMH1', 'Valley Mental Health  Inc', 'KALYANI', '', 'SAMUDRA', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1528035748', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006926', 'W11006926', 'UTMH1', 'Valley Mental Health  Inc', 'POONAM', NULL, 'SONI', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1548244676', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006927', 'W11006927', 'UTMH1', 'Valley Mental Health  Inc', 'Robert', 'E', 'Strong', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1740370378', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006928', 'W11006928', 'UTMH1', 'Valley Mental Health  Inc', 'ISABELLA', NULL, 'TCACIUC', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245201870', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006929', 'W11006929', 'UTMH1', 'Valley Mental Health  Inc', 'Julie', '', 'Wiese', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', '', '', '0.00', '35.00', '0.00', 6, '2008-07-01', '2012-10-15', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1417931296', 0, 'Y', 0, '2014-04-16', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006930', 'W11006930', 'UTMH1', 'Valley Mental Health  Inc', 'ANNA M', NULL, 'WILLIAMS', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770553190', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006931', 'W11006931', 'UTMH1', 'Valley Mental Health  Inc', 'JOSEPH', NULL, 'YAU', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1639156649', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006932', 'W11006932', 'UTMH1', 'Valley Mental Health  Inc', 'Jean', 'D', 'Zehnder', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', '', '', '', 'HCFA|UB|', '1770562621', 0, 'Y', 0, '2014-04-11', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006933', 'W11006933', 'UTMH1', 'Valley Mental Health  Inc', 'FARROKH', NULL, 'HOSSEINI', 'MFT', 'Mental Health', 'Marriage and Family Therapy', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023094000', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006895', 'W11006895', 'UTMH1', 'Valley Mental Health  Inc', 'AURA', '', 'ROYO-SNARR', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1952460214', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006935', 'W11006935', 'UTMH1', 'Valley Mental Health  Inc', 'DAVID', NULL, 'ANSON', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992776223', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006921', 'W11006921', 'UTMH1', 'Valley Mental Health  Inc', 'ARTHUR', NULL, 'MILLER', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659342921', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006937', 'W11006937', 'UTMH1', 'Valley Mental Health  Inc', 'C', 'B', 'Hallett', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1134107881', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006938', 'W11006938', 'UTMH1', 'Valley Mental Health  Inc', 'Ted', 'A', 'Harris', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1033186382', 0, 'Y', 0, '2013-08-20', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006939', 'W11006939', 'UTMH1', 'Valley Mental Health  Inc', 'KEN', NULL, 'HOPPS', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265404032', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006940', 'W11006940', 'UTMH1', 'Valley Mental Health  Inc', 'GAIL', NULL, 'HUNT', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1235100413', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006941', 'W11006941', 'UTMH1', 'Valley Mental Health  Inc', 'SCOTT WM', NULL, 'KADERA', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497726186', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006942', 'W11006942', 'UTMH1', 'Valley Mental Health  Inc', 'ALYSSA B', NULL, 'LEVY', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043296205', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006943', 'W11006943', 'UTMH1', 'Valley Mental Health  Inc', 'JOHN', NULL, 'MALOUF', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1104801620', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006944', 'W11006944', 'UTMH1', 'Valley Mental Health  Inc', 'LIZABETH', NULL, 'MCGILL', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346226420', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006945', 'W11006945', 'UTMH1', 'Valley Mental Health  Inc', 'JAMES D', NULL, 'RICCIARDI', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659355790', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006946', 'W11006946', 'UTMH1', 'Valley Mental Health  Inc', 'Pamela', 'C', 'Wilkison', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, '', '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1518923226', 0, 'Y', 0, '2014-05-13', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006947', 'W11006947', 'UTMH1', 'Valley Mental Health  Inc', 'ELISABETH', NULL, 'MOSIER-MALMBORG', 'Speech', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225297104', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006934', 'W11006934', 'UTMH1', 'Valley Mental Health  Inc', 'ELIZABETH', NULL, 'ALBERTSEN', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHPHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871575472', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006910', 'W11006910', 'UTMH1', 'Valley Mental Health  Inc', 'Shannon', '', 'Gullett', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669559118', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006839', 'W11006839', 'UTMH1', 'Valley Mental Health  Inc', 'BETH R', '', 'PASSEY', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, '', '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1144294703', 0, 'Y', 0, '2014-05-13', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006898', 'W11006898', 'UTMH1', 'Valley Mental Health  Inc', 'NAOMI J', '', 'SPENCER', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1720261324', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006899', 'W11006899', 'UTMH1', 'Valley Mental Health  Inc', 'LYN', '', 'WILSON', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1710967161', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006900', 'W11006900', 'UTMH1', 'Valley Mental Health  Inc', 'KAREN', '', 'WINWARD', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1962531574', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006901', 'W11006901', 'UTMH1', 'Valley Mental Health  Inc', 'DEAN E', '', 'WORKMAN', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1861463358', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006902', 'W11006902', 'UTMH1', 'Valley Mental Health  Inc', 'CLAUDIA', '', 'ZAFRAN-RONA', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1992880538', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006903', 'W11006903', 'UTMH1', 'Valley Mental Health  Inc', 'NUSRAT', '', 'AHMED', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '          ', 'UTMD-2', '', '', '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1497739387', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006904', 'W11006904', 'UTMH1', 'Valley Mental Health  Inc', 'Meredith', NULL, 'Alden', 'MD, PHD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306816483', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006905', 'W11006905', 'UTMH1', 'Valley Mental Health  Inc', 'CHERONNE', NULL, 'ANDERSON', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245205566', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006906', 'W11006906', 'UTMH1', 'Valley Mental Health  Inc', 'LEROY', NULL, 'ANDERSON', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1356328272', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006907', 'W11006907', 'UTMH1', 'Valley Mental Health  Inc', 'AMIE', '', 'ASLAMI', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1083685796', 0, 'Y', 0, '2013-03-12', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006923', 'W11006923', 'UTMH1', 'Valley Mental Health  Inc', 'T Michael', '', 'Reid', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '          ', 'UTMD-2', '', '', '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1053381194', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006909', 'W11006909', 'UTMH1', 'Valley Mental Health  Inc', 'CHARLES', 'TAYLOR', 'ELLIS', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124196845', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006922', 'W11006922', 'UTMH1', 'Valley Mental Health  Inc', 'P', 'Brent', 'Petersen', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306824628', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006911', 'W11006911', 'UTMH1', 'Valley Mental Health  Inc', 'CHARLOTTE E', NULL, 'GANT', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1518944818', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006912', 'W11006912', 'UTMH1', 'Valley Mental Health  Inc', 'BETH', NULL, 'GASPARO', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598736217', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006913', 'W11006913', 'UTMH1', 'Valley Mental Health  Inc', 'JANET', NULL, 'GRISSOM', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417928763', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006914', 'W11006914', 'UTMH1', 'Valley Mental Health  Inc', 'Jamal', '', 'Hejazi', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1558332437', 0, 'Y', 0, '2013-04-16', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006915', 'W11006915', 'UTMH1', 'Valley Mental Health  Inc', 'Bruce', '', 'Kahn', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558415752', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006916', 'W11006916', 'UTMH1', 'Valley Mental Health  Inc', 'Christopher', 'M', 'Lang', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1174502546', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006917', 'W11006917', 'UTMH1', 'Valley Mental Health  Inc', 'Ludmil', 'K', 'Manov', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1629098108', 0, 'Y', 0, '2013-08-20', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006918', 'W11006918', 'UTMH1', 'Valley Mental Health  Inc', 'LAURA', 'ALLYSON', 'MARKLEY', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679635916', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006919', 'W11006919', 'UTMH1', 'Valley Mental Health  Inc', 'Michael', 'O', 'Measom', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', '', '', '', 'HCFA|UB|', '1861479701', 0, 'Y', 0, '2014-04-17', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006920', 'W11006920', 'UTMH1', 'Valley Mental Health  Inc', 'RICHARD', NULL, 'MICKELSEN', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740250372', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006896', 'W11006896', 'UTMH1', 'Valley Mental Health  Inc', 'GREG', '', 'RUGG', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1184694200', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006908', 'W11006908', 'UTMH1', 'Valley Mental Health  Inc', 'KATHERINE', NULL, 'CARLSON', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTMD-2', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770554115', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006738', 'W11006738', 'UTMH1', 'Valley Mental Health  Inc', 'JANE', NULL, 'CUMBERLAND', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396715504', 0, 'Y', 0, '2013-02-27', 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
('942938348', 'W11006776', 'W11006776', 'UTMH1', 'Valley Mental Health  Inc', 'ANNETTE E', NULL, 'DAY', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255310520', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006774', 'W11006774', 'UTMH1', 'Valley Mental Health  Inc', 'DEBORAH A', NULL, 'DAVIS', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851362529', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006797', 'W11006797', 'UTMH1', 'Valley Mental Health  Inc', 'Bryan', 'C', 'Harrison', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1427196799', 0, 'Y', 0, '2013-11-26', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006886', 'W11006886', 'UTMH1', 'Valley Mental Health  Inc', 'LEANNE', 'L', 'HUFF', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407964018', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006775', 'W11006775', 'UTMH1', 'Valley Mental Health  Inc', 'DEREK PAUL', NULL, 'DAVIS', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386624625', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006777', 'W11006777', 'UTMH1', 'Valley Mental Health  Inc', 'JAMIE', NULL, 'DAYBELL', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649221771', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006778', 'W11006778', 'UTMH1', 'Valley Mental Health  Inc', 'SARAH', NULL, 'DEBOIS', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1285605584', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006743', 'W11006743', 'UTMH1', 'Valley Mental Health  Inc', 'SUSAN T', NULL, 'MILLER', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528045457', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006742', 'W11006742', 'UTMH1', 'Valley Mental Health  Inc', 'MARGARET', NULL, 'MCCOY', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407839236', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006741', 'W11006741', 'UTMH1', 'Valley Mental Health  Inc', 'FRAN', NULL, 'MATUSZEWSKI', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1295955821', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006841', 'W11006841', 'UTMH1', 'Valley Mental Health  Inc', 'LEE', 'LEGRAND', 'PERRY', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760588818', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006739', 'W11006739', 'UTMH1', 'Valley Mental Health  Inc', 'KAREN', NULL, 'DEARING', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740267665', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006771', 'W11006771', 'UTMH1', 'Valley Mental Health  Inc', 'MERRILY S', NULL, 'COPE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003896044', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006737', 'W11006737', 'UTMH1', 'Valley Mental Health  Inc', 'PAULA', NULL, 'BRAUN', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639140726', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006736', 'W11006736', 'UTMH1', 'Valley Mental Health  Inc', 'PERRINE', NULL, 'ANDERSON', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447222849', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006780', 'W11006780', 'UTMH1', 'Valley Mental Health  Inc', 'RANDAL T', NULL, 'DOW', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598743502', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006779', 'W11006779', 'UTMH1', 'Valley Mental Health  Inc', 'MARGIE V', NULL, 'DELGADO', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386615862', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006768', 'W11006768', 'UTMH1', 'Valley Mental Health  Inc', 'JEREMY LEE', NULL, 'CHRISTENSEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205812450', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006820', 'W11006820', 'UTMH1', 'Valley Mental Health  Inc', 'VICTORIA', NULL, 'LIEDTKE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659351492', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006781', 'W11006781', 'UTMH1', 'Valley Mental Health  Inc', 'ROBERT G', NULL, 'DWYER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245219773', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006782', 'W11006782', 'UTMH1', 'Valley Mental Health  Inc', 'STEVEN D', NULL, 'EDWARDS', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457331605', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006783', 'W11006783', 'UTMH1', 'Valley Mental Health  Inc', 'NADIA', NULL, 'EKENSTAM', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487612149', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006786', 'W11006786', 'UTMH1', 'Valley Mental Health  Inc', 'KARL', 'RYAN', 'FISCHER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932186830', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006788', 'W11006788', 'UTMH1', 'Valley Mental Health  Inc', 'DENNIS', NULL, 'GEERTSEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184604639', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006740', 'W11006740', 'UTMH1', 'Valley Mental Health  Inc', 'SUE', NULL, 'FISHER', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568449619', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006766', 'W11006766', 'UTMH1', 'Valley Mental Health  Inc', 'VICTORIA', NULL, 'CARMAN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033188511', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006750', 'W11006750', 'UTMH1', 'Valley Mental Health  Inc', 'CONNIE', NULL, 'STRONG', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1053398610', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006751', 'W11006751', 'UTMH1', 'Valley Mental Health  Inc', 'NELLIE', 'M', 'ARRIETA', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821026923', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006752', 'W11006752', 'UTMH1', 'Valley Mental Health  Inc', 'WILLIAM', NULL, 'ASPER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407835218', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006753', 'W11006753', 'UTMH1', 'Valley Mental Health  Inc', 'GINA', NULL, 'ATTALLAH', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679543185', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006754', 'W11006754', 'UTMH1', 'Valley Mental Health  Inc', 'TAMMER', NULL, 'ATTALLAH', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790755643', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006755', 'W11006755', 'UTMH1', 'Valley Mental Health  Inc', 'MARCIA', NULL, 'BAILEY', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1275510265', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006787', 'W11006787', 'UTMH1', 'Valley Mental Health  Inc', 'JENNIFER', '', 'FRISCHKNECHT', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1295706893', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006756', 'W11006756', 'UTMH1', 'Valley Mental Health  Inc', 'ROBERT G', '', 'BARTH', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1396721536', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006784', 'W11006784', 'UTMH1', 'Valley Mental Health  Inc', 'David', 'G', 'Eldredge', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', '', '', '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1699758342', 0, 'Y', 0, '2014-07-24', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006760', 'W11006760', 'UTMH1', 'Valley Mental Health  Inc', 'Daniel', 'S', 'Braun', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184660425', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006762', 'W11006762', 'UTMH1', 'Valley Mental Health  Inc', 'LORAINE', NULL, 'BUNKER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003886086', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006773', 'W11006773', 'UTMH1', 'Valley Mental Health  Inc', 'KATHERINE A', NULL, 'CROCKER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023011566', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006765', 'W11006765', 'UTMH1', 'Valley Mental Health  Inc', 'Adam ', 'B', 'Capel', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', '', '', '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790761518', 0, 'Y', 0, '2014-07-23', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006772', 'W11006772', 'UTMH1', 'Valley Mental Health  Inc', 'SARA', 'J', 'CRISTIE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174569149', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006763', 'W11006763', 'UTMH1', 'Valley Mental Health  Inc', 'JILLYN', NULL, 'BURK', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417124595', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006758', 'W11006758', 'UTMH1', 'Valley Mental Health  Inc', 'SUSAN', NULL, 'BIRKNER-ANDERSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629057286', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006759', 'W11006759', 'UTMH1', 'Valley Mental Health  Inc', 'ROBERT L', NULL, 'BRANNON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669450813', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006798', 'W11006798', 'UTMH1', 'Valley Mental Health  Inc', 'STEVEN', NULL, 'HOLLANDER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558331934', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006761', 'W11006761', 'UTMH1', 'Valley Mental Health  Inc', 'AMY', NULL, 'BUEHLER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679551634', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006764', 'W11006764', 'UTMH1', 'Valley Mental Health  Inc', 'JOHN', NULL, 'BYRNE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982674495', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006785', 'W11006785', 'UTMH1', 'Valley Mental Health  Inc', 'JED', NULL, 'ERICKSEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033198718', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006767', 'W11006767', 'UTMH1', 'Valley Mental Health  Inc', 'ERIC', 'P', 'CHRISTENSEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1902095656', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006770', 'W11006770', 'UTMH1', 'Valley Mental Health  Inc', 'KATHLEEN', NULL, 'CIRELLO', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407028483', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006769', 'W11006769', 'UTMH1', 'Valley Mental Health  Inc', 'KRISTIE', NULL, 'CHRISTOFFERSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578541330', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006791', 'W11006791', 'UTMH1', 'Valley Mental Health  Inc', 'ROBERT S', NULL, 'GORELIK', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548345408', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006757', 'W11006757', 'UTMH1', 'Valley Mental Health  Inc', 'LINDA', NULL, 'BEERYMORENO', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205807542', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006829', 'W11006829', 'UTMH1', 'Valley Mental Health  Inc', 'PATRICIA L', NULL, 'MERKLEY', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659340164', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006789', 'W11006789', 'UTMH1', 'Valley Mental Health  Inc', 'Marvin', '', 'Goldstein', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1386621910', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006816', 'W11006816', 'UTMH1', 'Valley Mental Health  Inc', 'FAN LEE', NULL, 'KWAN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992775415', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006817', 'W11006817', 'UTMH1', 'Valley Mental Health  Inc', 'LESLIE', NULL, 'LARSEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457321259', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006818', 'W11006818', 'UTMH1', 'Valley Mental Health  Inc', 'LINDA K', NULL, 'LASLEY', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174501019', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006819', 'W11006819', 'UTMH1', 'Valley Mental Health  Inc', 'DAWN', NULL, 'LEAVITT', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1720067275', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006821', 'W11006821', 'UTMH1', 'Valley Mental Health  Inc', 'ROBERT', 'L', 'LOFTUS', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326233552', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006822', 'W11006822', 'UTMH1', 'Valley Mental Health  Inc', 'RICKIE', 'B', 'LUNDSTROM', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942271028', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006823', 'W11006823', 'UTMH1', 'Valley Mental Health  Inc', 'HOLLY', NULL, 'MAJOR-YEH', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578540407', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006824', 'W11006824', 'UTMH1', 'Valley Mental Health  Inc', 'KEN J', NULL, 'MARTINEZ', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164492583', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006825', 'W11006825', 'UTMH1', 'Valley Mental Health  Inc', 'Bill', '', 'Mastson', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1578549127', 0, 'Y', 0, '2013-09-10', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006826', 'W11006826', 'UTMH1', 'Valley Mental Health  Inc', 'LAWRANCE H', NULL, 'MCCLUNG', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366426132', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006814', 'W11006814', 'UTMH1', 'Valley Mental Health  Inc', 'MARIAN', NULL, 'KNUDSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1538131461', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006828', 'W11006828', 'UTMH1', 'Valley Mental Health  Inc', 'TYLEAN A', NULL, 'MCTURK', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861470320', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006813', 'W11006813', 'UTMH1', 'Valley Mental Health  Inc', 'ELAINE', NULL, 'KNUDSEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881629681', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006830', 'W11006830', 'UTMH1', 'Valley Mental Health  Inc', 'JOSE', NULL, 'MEZA', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740260249', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006831', 'W11006831', 'UTMH1', 'Valley Mental Health  Inc', 'Wade', 'O', 'Milne', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1508843467', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006832', 'W11006832', 'UTMH1', 'Valley Mental Health  Inc', 'SUSAN', NULL, 'MITCHELL', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710965447', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006833', 'W11006833', 'UTMH1', 'Valley Mental Health  Inc', 'DOUG', NULL, 'MOTTONEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023097219', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006834', 'W11006834', 'UTMH1', 'Valley Mental Health  Inc', 'Evangelina', 'O', 'Neuman', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1013994946', 0, 'Y', 0, '2014-02-04', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006835', 'W11006835', 'UTMH1', 'Valley Mental Health  Inc', 'CHRISTINA B', NULL, 'NILSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992776413', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006836', 'W11006836', 'UTMH1', 'Valley Mental Health  Inc', 'SUZANN', NULL, 'NOWELS', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083684005', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006837', 'W11006837', 'UTMH1', 'Valley Mental Health  Inc', 'MICHAEL', NULL, 'OLSEN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215907886', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006838', 'W11006838', 'UTMH1', 'Valley Mental Health  Inc', 'KELLI', NULL, 'OLSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083695142', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006749', 'W11006749', 'UTMH1', 'Valley Mental Health  Inc', 'MITZY', NULL, 'STEWART', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1538147418', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006840', 'W11006840', 'UTMH1', 'Valley Mental Health  Inc', 'SHERIE LEE', NULL, 'PATON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699745778', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006827', 'W11006827', 'UTMH1', 'Valley Mental Health  Inc', 'CELESTE', '', 'MCKELVEY', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '          ', 'UTVMHMA', '', '', '0.00', '35.00', '0.00', 6, '2008-07-01', '2010-07-09', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1760451355', 0, 'Y', 0, '2010-07-09', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006801', 'W11006801', 'UTMH1', 'Valley Mental Health  Inc', 'TAMMY', NULL, 'ISHIMATSU', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730150210', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006948', 'W11006948', 'UTMH1', 'Valley Mental Health  Inc', 'VIRGINIA', NULL, 'SMITH', 'Speech', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124098231', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006792', 'W11006792', 'UTMH1', 'Valley Mental Health  Inc', 'JACQUE', NULL, 'GRAMER-SMITHE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952372633', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006793', 'W11006793', 'UTMH1', 'Valley Mental Health  Inc', 'Ryan', '', 'Grant', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1750352225', 0, 'Y', 0, '2013-09-16', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006794', 'W11006794', 'UTMH1', 'Valley Mental Health  Inc', 'SHERRY', NULL, 'GRIFFITH', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992781033', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006795', 'W11006795', 'UTMH1', 'Valley Mental Health  Inc', 'BRADLEY', NULL, 'HAMMEL', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225087026', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006796', 'W11006796', 'UTMH1', 'Valley Mental Health  Inc', 'LAURA', NULL, 'HANSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154391365', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006799', 'W11006799', 'UTMH1', 'Valley Mental Health  Inc', 'LINDA', 'R', 'HUNT', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770679755', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006800', 'W11006800', 'UTMH1', 'Valley Mental Health  Inc', 'LORI', NULL, 'HUNT', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1194704692', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006744', 'W11006744', 'UTMH1', 'Valley Mental Health  Inc', 'PAUL', NULL, 'OLAVSON', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770560690', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006745', 'W11006745', 'UTMH1', 'Valley Mental Health  Inc', 'M', 'Chris', 'Paegle', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1124237011', 0, 'Y', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006746', 'W11006746', 'UTMH1', 'Valley Mental Health  Inc', 'SCOTT', NULL, 'RICHINS', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770563629', 0, 'Y', 0, '2013-02-27', 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
('942938348', 'W11006815', 'W11006815', 'UTMH1', 'Valley Mental Health  Inc', 'DAVID', NULL, 'KOLDEWYN', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821076803', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006748', 'W11006748', 'UTMH1', 'Valley Mental Health  Inc', 'MARGO', 'VIVIAN', 'STEVENS', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275518185', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006790', 'W11006790', 'UTMH1', 'Valley Mental Health  Inc', 'CANDICE', 'ELIZABETH', 'GONZALEZ', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801830252', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006802', 'W11006802', 'UTMH1', 'Valley Mental Health  Inc', 'MARK', NULL, 'JARDINE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396719852', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006803', 'W11006803', 'UTMH1', 'Valley Mental Health  Inc', 'MABEL', NULL, 'JENTZSCH', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326020512', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006804', 'W11006804', 'UTMH1', 'Valley Mental Health  Inc', 'ELAINE', NULL, 'JEWETT', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649229543', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006805', 'W11006805', 'UTMH1', 'Valley Mental Health  Inc', 'SHARON', NULL, 'JOHNSON', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366421299', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006806', 'W11006806', 'UTMH1', 'Valley Mental Health  Inc', 'DIANE', NULL, 'JONES', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245203314', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006807', 'W11006807', 'UTMH1', 'Valley Mental Health  Inc', 'JAY KIM', NULL, 'KEELER', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275503336', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006808', 'W11006808', 'UTMH1', 'Valley Mental Health  Inc', 'SUSAN', NULL, 'KEENE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568433811', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006809', 'W11006809', 'UTMH1', 'Valley Mental Health  Inc', 'OZLEM', NULL, 'KENCE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639256555', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006810', 'W11006810', 'UTMH1', 'Valley Mental Health  Inc', 'Evan', 'T', 'Kenison', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1912977505', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006811', 'W11006811', 'UTMH1', 'Valley Mental Health  Inc', 'KIMBERLY', NULL, 'KETTLE', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871573634', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006812', 'W11006812', 'UTMH1', 'Valley Mental Health  Inc', 'LANETA', NULL, 'KIMBALL', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295700896', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11006747', 'W11006747', 'UTMH1', 'Valley Mental Health  Inc', 'SHERYL', NULL, 'STEADMAN', 'APRN', 'Mental Health', '', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHARNP', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-07-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407826134', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('820497055', 'W11006950', 'W11006950', 'ID01', 'Lifestyles Chiropractic', 'Janet', '', 'Sermon', 'DC', 'Chiropractic', '', '', NULL, 'O', '1159 E Iron Eagle Dr Ste 108', 'Eagle', 'Ada', 'ID', '83616', '2083223606', NULL, '1159 E Iron Eagle Dr Ste 108', 'Eagle', 'Ada', 'ID', '83616', '2083223606', '', 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1164597951', 0, 'n', 0, '2011-11-10', NULL, NULL, 43.6905, -116.34, NULL, NULL),
('820444536', 'W11006954', 'W11006954', 'ID01', 'Care Chiropractic Clinic Inc', 'Richard', 'P', 'Sampson', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1504 N Main St', 'Meridian', 'Ada', 'ID', '83642', '2088882267', NULL, '1504 N Main St', 'Meridian', 'Ada', 'ID', '83642', '2088882267', '', 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1174517858', 0, 'n', 0, '2011-10-05', NULL, NULL, 43.6168, -116.392, NULL, NULL),
('820533863', 'W11006956', 'W11006956', 'ID01', 'Idaho Sleep Specialists PC', 'Brett (CPAP)', '', 'Troyer', 'MD', 'Sleep Disorders', 'Durable Medical Equipment', 'Sleep Medicine', NULL, 'O', '403 S 11th St Ste 210', 'Boise', 'Ada', 'ID', '83702', '2088950411', NULL, '403 S 11th St Ste 210', 'Boise', 'Ada', 'ID', '83702', '2088950411', '          ', 'IDSLEEP', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', NULL, '', '', 'HCFA|UB|', '1841385523', 0, 'N', 0, '2013-11-19', NULL, NULL, 43.6148, -116.209, NULL, NULL),
('840611484', 'W11006962', 'W11006962', 'ID01', 'LabCorp of America Holdings', NULL, NULL, 'LabCorp of America Holdings', 'GROUP', 'Laboratory', NULL, NULL, NULL, 'O', '6086 W Emerald St', 'Boise', 'Ada', 'ID', '83704', '2083735061', NULL, '5626 Oberlin Dr', 'San Diego', 'Ada', 'CA', '92121', NULL, NULL, 'WULABCORP5', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007171', 0, 'n', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('820344182', 'W11006955', 'W11006955', 'ID01', NULL, 'Eric', 'G', 'Stackle', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '2429 N Cole Rd', 'Boise', 'Ada', 'ID', '83704', '2083774190', NULL, '2429 N Cole Rd', 'Boise', 'Ada', 'ID', '83704', NULL, NULL, 'IDSTD', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2008-08-01', '2012-08-19', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1922110188', 0, 'n', 0, '2008-07-31', NULL, NULL, 43.6272, -116.274, NULL, NULL),
('820537898', 'W11006952', 'W11006952', 'ID01', 'Energetic Chiropractic', 'Michael', 'M', 'Moriarty', 'DC', 'Chiropractic', '', '', NULL, 'O', '1003 N Orchard', 'Boise', 'Ada', 'ID', '83706', '2083763113', NULL, '1003 N Orchard', 'Boise', 'Ada', 'ID', '83706', '2083763113', '', 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1831197086', 0, 'n', 0, '2012-04-18', NULL, NULL, 43.6134, -116.243, NULL, NULL),
('820528071', 'W11006949', 'W11006949', 'ID01', 'Chiropractic Arts', 'Jeffrey', 'A', 'Pewe', 'DC', 'Chiropractic', '', '', NULL, 'O', '1305 S Five Mile Rd', 'Boise', 'Ada', 'ID', '83709', '2083270066', NULL, '1305 S Five Mile Rd', 'Boise', 'Ada', 'ID', '83709', '2083270066', '', 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1689696650', 0, 'n', 0, '2012-03-27', NULL, NULL, 43.5931, -116.314, NULL, NULL),
('412160062', 'W11006951', 'W11006951', 'ID01', NULL, 'Anne', 'M', 'Briggs', 'DC', 'Chiropractic', '', '', NULL, 'O', '1839 N Wildwood', 'Boise', 'Ada', 'ID', '83713', '2083223306', NULL, '1839 N Wildwood', 'Boise', 'Ada', 'ID', '83713', '2083223306', '', 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1861476657', 0, 'n', 0, '2013-08-16', NULL, NULL, 43.6209, -116.32, NULL, NULL),
('562389776', 'W11006953', 'W11006953', 'ID01', 'Berning Chiropractic & Wellness Center', 'Keith', 'B', 'Berning', 'DC', 'Chiropractic', '', '', NULL, 'O', '9601 W State St Ste 108', 'Boise', 'Ada', 'ID', '83714', '2088532575', NULL, '9601 W State St Ste 108', 'Boise', 'Ada', 'ID', '83714', '2088532575', '          ', 'IDCHIRO1', '', '', '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1528147022', 0, 'N', 0, '2011-12-01', NULL, NULL, 43.6789, -116.303, NULL, NULL),
('870617733', 'W11006964', 'W11006964', 'UT01', 'Utah Eye Centers', 'Robert', 'W', 'Wing', 'MD', 'Ophthalmology', '', '', NULL, 'O', '1551 S Renaissance Towne Dr Ste 340', 'Bountiful', 'Davis', 'UT', '84010', '8016771122', NULL, '1551 S Renaissance Towne Dr Ste 340', 'Bountiful', 'Davis', 'UT', '84010', '8016771122', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-08-01', NULL, 0, 0, 0, 'Lakeview Hospital', '', '', '', 'HCFA|UB|', '1629064027', 0, 'N', 0, '2014-03-25', NULL, NULL, 40.8737, -111.888, NULL, NULL),
('870299862', 'W11006975', 'W11006975', 'UTMH1', 'LDS Family Services', 'Christopher', 'J', 'Bouwhuis', 'LMFT', 'Mental Health', 'Marriage and Family Therapy', '', NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1619053949', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006968', 'W11006968', 'UTMH1', 'LDS Family Services', 'Ken', '', 'Folsom', 'LMFT', 'Mental Health', 'Marriage & Family Therapy', '', NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2009-03-27', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1558573923', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006967', 'W11006967', 'UTMH1', 'LDS Family Services', 'Melanie', '', 'Jackson', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'O', '1466 N Hwy 89 Ste 220', 'Farmington', 'Davis', 'UT', '84025', '8014510475', NULL, '1466 N Hwy 89 Ste 220', 'Farmington', 'Davis', 'UT', '84025', '8014510475', '', 'MA', NULL, '', '0.00', '35.00', '0.00', 8, '2008-08-01', '2009-01-15', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1639229131', 0, 'N', 0, '2014-06-16', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006966', 'W11006966', 'UTMH1', 'LDS Family Services', 'Kristine', '', 'Plummer', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, '', '0.00', '35.00', '0.00', 8, '2008-08-01', '2008-10-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1598821951', 0, 'N', 0, '2014-05-15', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006970', 'W11006970', 'UTMH1', 'LDS Family Services', 'Brad', NULL, 'Simmons', 'LCSW', 'Mental Health', 'Social Worker', NULL, NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd', 'Layton', 'Davis', 'UT', '84041', NULL, NULL, 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2009-03-27', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982759908', 0, 'N', 0, '2009-01-21', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006976', 'W11006976', 'UTMH1', 'LDS Family Services', 'Alan', 'T', 'Saunders', 'PHD', 'Mental Health', 'Social Worker', '', NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1811043789', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006972', 'W11006972', 'UTMH1', 'LDS Family Services', 'John', 'W', 'Howard', 'LMFT', 'Mental Health', 'Marriage and Family Therapy', '', NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1689738130', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006971', 'W11006971', 'UTMH1', 'LDS Family Services', 'Doug', 'E', 'Nielsen', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003034240', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006969', 'W11006969', 'UTMH1', 'LDS Family Services', 'Kelly', '', 'Morse', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1871774596', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006974', 'W11006974', 'UTMH1', 'LDS Family Services', 'Michael', 'S', 'Bouck', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', '', '', '0.00', '35.00', '0.00', 8, '2008-08-01', '2011-09-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1922165505', 0, 'N', 0, '2013-01-07', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006977', 'W11006977', 'UTMH1', 'LDS Family Services', 'Paul', 'J', 'Peterson', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'o', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1528114667', 0, 'n', 0, '2013-09-23', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006973', 'W11006973', 'UTMH1', 'LDS Family Services', 'Daniel', 'S', 'Braun', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184660425', 0, 'y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870299862', 'W11006978', 'W11006978', 'UTMH1', 'LDS Family Services', 'Lisa', '', 'Bradford', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'O', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', '930 W Hillfield Rd Ste A', 'Layton', 'Davis', 'UT', '84041', '8013363040', '8013363041', 'MA', NULL, NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', '2009-04-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1417007311', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870617733', 'W11006965', 'W11006965', 'UT01', 'Utah Eye Centers', 'Robert', 'W', 'Wing', 'MD', 'Ophthalmology', '', '', NULL, 'B', 'PO Box 1529', 'Layton', 'Davis', 'UT', '84041', '8015933223', NULL, 'PO Box 1529', 'Layton', 'Davis', 'UT', '84041', '8015933223', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-08-01', NULL, 0, 0, 0, 'Lakeview Hospital', '', '', '', 'HCFA|UB|', '1629064027', 0, 'N', 0, '2014-03-25', NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W11006961', 'W11006961', 'UT01', 'University Health Care', 'C', 'Matthew', 'Peterson', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'o', '675 Arapeen Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015814838', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W11006960', 'W11006960', 'UT01', 'University Health Care', 'C', 'Matthew', 'Peterson', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'o', '555 S Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015852111', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870418421', 'W11006957', 'W11006957', 'UT01', 'Brigham Eye Specialists', 'Scott', 'D', 'Turner', 'MD', 'Ophthalmology', '', '', NULL, 'O', '990 Medical Dr Ste GL3', 'Brigham City', 'Box Elder', 'UT', '84302', '4357342097', NULL, '990 Medical Dr Ste GL3', 'Brigham City', 'Box Elder', 'UT', '84302', '4357342097', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, 'Brigham City Community Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1760607782', 0, 'N', 0, '2011-12-14', NULL, NULL, 41.4887, -112.027, NULL, NULL),
('260397625', 'W11006959', 'W11006959', 'UT01', NULL, 'Dennis', 'D', 'Winters', 'MD', 'Neurosurgery', '', '', NULL, 'O', '4403 Harrison Blvd Ste 1815', 'Ogden', 'Weber', 'UT', '84403', '8013876520', NULL, '4403 Harrison Blvd Ste 1815', 'Ogden', 'Weber', 'UT', '84403', '8013876520', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', '', '', '', 'HCFA|UB|', '1710166020', 0, 'n', 0, '2011-08-10', NULL, NULL, 41.1828, -111.949, NULL, NULL),
('870418421', 'W11006958', 'W11006958', 'UT01', 'Farr West Eye Specialists', 'Scott', 'D', 'Turner', 'MD', 'Ophthalmology', '', '', NULL, 'O', '3615 N 2000 W Ste 2', 'Farr West', 'Weber', 'UT', '84404', '8017316326', NULL, '3615 N 2000 W Ste 2', 'Farr West', 'Weber', 'UT', '84404', '8017316326', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-08-01', '2011-11-10', 0, 0, 0, 'Brigham City Community Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1760607782', 0, 'N', 0, '2011-12-14', NULL, NULL, 0, 0, NULL, NULL),
('840611484', 'W11006963', 'W11006963', 'ID01', 'LabCorp of America Holdings', NULL, NULL, 'LabCorp of America Holdings', 'GROUP', 'Laboratory', NULL, NULL, NULL, 'O', '550 17th Ave Ste 300', 'Seattle', 'King', 'WA', '98122', '2083735061', NULL, '5626 Oberlin Dr', 'San Diego', 'King', 'CA', '92121', NULL, NULL, 'WULABCORP5', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007171', 0, 'n', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('850462068', 'W11006986', 'W11006986', 'UTPEHP', '', 'Eugene', 'P', 'Toner', 'MD', 'Orthopedic Surgery', '', '', NULL, 'O', '1280 N Mildred Rd Ste 1', 'Cortez', 'Montezuma', 'CO', '81321', '9705659500', NULL, '1280 N Mildred Rd Ste 1', 'Cortez', 'Montezuma', 'CO', '81321', '9705659500', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1720075443', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('451749515', 'W11006994', 'W11006994', 'UTPEHP', '', 'Carolyn', 'J', 'Johnson', 'MD', 'Family Practice', '', '', NULL, 'O', '1413 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705654436', NULL, '1413 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705654436', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073697447', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('270003566', 'W11007006', 'W11007006', 'UTPEHP', '', 'Andrew', 'M', 'Mcalpin', 'MD', 'Internal Medicine', '', '', NULL, 'O', '111 N Park St', 'Cortez', 'Montezuma', 'CO', '81321', '9705648730', NULL, '111 N Park St', 'Cortez', 'Montezuma', 'CO', '81321', '9705648730', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1386714129', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841522090', 'W11007002', 'W11007002', 'UTPEHP', '', 'Theresa', '', 'Brown', 'CNP', 'Family Practice', '', '', NULL, 'O', '2095 N Dolores Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705648086', NULL, '2095 N Dolores Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705648086', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1255450458', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007003', 'W11007003', 'UTPEHP', '', 'Manda', '', 'Guilette', 'PA', 'Family Practice', '', '', NULL, 'O', '33 N Elm St', 'Cortez', 'Montezuma', 'CO', '81321', '9705642130', NULL, '33 N Elm Street', 'Cortez', 'Montezuma', 'CO', '81321', '9705642130', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1699764092', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('201180391', 'W11007004', 'W11007004', 'UTPEHP', ' ', 'Peggy', NULL, 'Towles', 'CNP', 'Family Practice', NULL, NULL, NULL, 'O', '118 N Chestnut ', 'Cortez', 'Montezuma', 'CO', '81321', '9705659777', NULL, NULL, NULL, 'Ada', NULL, NULL, NULL, NULL, 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', NULL, 3, '2008-07-01', '2007-07-13', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598768871', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007005', 'W11007005', 'UTPEHP', '', 'Kameo', 'L', 'Smith', 'DO', 'Family Practice', '', '', NULL, 'O', '33 N Elm St', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', NULL, '33 N Elm Street', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1083645881', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007008', 'W11007008', 'UTPEHP', 'Southwest Memorial Hospital', '', '', 'Southwest Memorial Hospital', '', 'Hospital', '', '', NULL, 'B', 'Po Drawer L', 'Cortez', 'Montezuma', 'CO', '81321', '9705642130', NULL, 'Po Drawer L', 'Cortez', 'Montezuma', 'CO', '81321', '9705642130', '', '', NULL, NULL, '0.00', '10.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649241571', 0, 'Y', 0, '2011-02-22', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007007', 'W11007007', 'UTPEHP', '', 'Blair', 'W', 'Pyle', 'MD', 'Internal Medicine', '', '', NULL, 'O', '33 N Elm St', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', NULL, '33 N Elm Street', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1619913670', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11006981', 'W11006981', 'UTPEHP', 'Southwest Memorial Hospital', '', '', 'Southwest Memorial Hospital', '', 'Hospital', '', '', NULL, 'O', '1311 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705656666', NULL, '1311 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705656666', '', '', NULL, NULL, '0.00', '10.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649241571', 0, 'N', 0, '2011-02-22', NULL, NULL, 0, 0, NULL, NULL),
('841526641', 'W11006979', 'W11006979', 'UTPEHP', '', 'Leonard', '', 'Cain', 'MD', 'Family Practice', '', '', NULL, 'O', '2095 N Dolores Rd Ste C', 'Cortez', 'Montezuma', 'CO', '81321', '9705648177', NULL, '2095 N Dolores Rd Ste C', 'Cortez', 'Montezuma', 'CO', '81321', '9705648177', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1336290741', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841611938', 'W11006990', 'W11006990', 'UTPEHP', '', 'Kevin', 'M', 'Matteson', 'MD', 'General Surgery', '', '', NULL, 'O', '111 N Park St', 'Cortez', 'Montezuma', 'CO', '81321', '9705656670', NULL, '111 N Park St', 'Cortez', 'Montezuma', 'CO', '81321', '9705656670', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1407853013', 0, 'N', 0, '2011-10-19', NULL, NULL, 0, 0, NULL, NULL),
('840830451', 'W11006980', 'W11006980', 'UTPEHP', '', 'Robert', 'A', 'Heyl', 'MD', 'Family Practice', '', '', NULL, 'O', '1413 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705654436', NULL, '1413 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705654436', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1194809749', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('870579394', 'W11006984', 'W11006984', 'UTPEHP', '', 'Terry', 'R', 'Cook', 'DPM', 'Podiatry', '', '', NULL, 'O', '1280 N Mildred Rd Ste 1', 'Cortez', 'Montezuma', 'CO', '81321', '9705658336', NULL, '1280 N Mildred Rd Ste 1', 'Cortez', 'Montezuma', 'CO', '81321', '9705658336', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1285636449', 0, 'N', 0, '2011-10-14', NULL, NULL, 0, 0, NULL, NULL),
('870579394', 'W11006985', 'W11006985', 'UTPEHP', '', 'Terry', 'R', 'Cook', 'DPM', 'Podiatry', '', '', NULL, 'O', '262 E Hwy', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', NULL, '262 E Highway', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1285636449', 0, 'N', 0, '2011-10-14', NULL, NULL, 0, 0, NULL, NULL),
('841497134', 'W11006983', 'W11006983', 'UTPEHP', ' ', 'Alex', 'R', 'Cudkowicz', 'MD', 'Pathology', NULL, NULL, NULL, 'B', '1311 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705642083', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356539084', 0, 'Y', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('870648872', 'W11006982', 'W11006982', 'UTPEHP', ' ', 'Kenneth', 'H', 'Picillo', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'B', '1311 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705658146', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, '1000', '41.00', '100.00', '0.00', 3, '2008-07-01', NULL, 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972536977', 0, 'Y', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('204094183', 'W11007016', 'W11007016', 'UTPEHP', '', 'Marcus', 'T', 'Higi', 'MD', 'Family Practice', 'Emergency Medicine', '', NULL, 'B', '1423 E Main St Ste 404', 'Cortez', 'Montezuma', 'CO', '81321', '9705648177', NULL, '1423 E Main St Ste 404', 'Cortez', 'Montezuma', 'CO', '81321', '9705648177', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1437125200', 0, 'Y', 0, '2011-02-22', NULL, NULL, 0, 0, NULL, NULL),
('481500919', 'W11007018', 'W11007018', 'UTPEHP', ' ', 'Larry', 'D', 'Hare', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'B', 'Po Box 503', 'Cortez', 'Montezuma', 'CO', '81321', '9705658146', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, '1000', '41.00', '100.00', '0.00', 3, '2008-07-01', NULL, 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871506303', 0, 'Y', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('352179070', 'W11006987', 'W11006987', 'UTPEHP', '', 'Edwin', 'M', 'Wyman', 'MD', 'Orthopedic Surgery', '', '', NULL, 'O', '1280 N Mildred Rd Ste 1', 'Cortez', 'Montezuma', 'CO', '81321', '9705659500', NULL, '1280 N Mildred Rd Ste 1', 'Cortez', 'Montezuma', 'CO', '81321', '9705659500', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1730171620', 0, 'N', 0, '2012-01-23', NULL, NULL, 0, 0, NULL, NULL),
('841522090', 'W11007013', 'W11007013', 'UTPEHP', '', 'Hope', 'K', 'Barkhurst', 'MD', 'Family Practice', '', '', NULL, 'B', 'Po Box 1687', 'Cortez', 'Montezuma', 'CO', '81321', '9705648086', NULL, 'Po Box 1687', 'Cortez', 'Montezuma', 'CO', '81321', '9705648086', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1205857406', 0, 'Y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007015', 'W11007015', 'UTPEHP', '', 'Marilyn', '', 'Griebel', 'CNP', 'Family Practice', '', '', NULL, 'B', 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', NULL, 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649249434', 0, 'Y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('850462068', 'W11007011', 'W11007011', 'UTPEHP', '', 'Eugene', 'P', 'Toner', 'MD', 'Orthopedic Surgery', '', '', NULL, 'B', 'Po Box 1593', 'Cortez', 'Montezuma', 'CO', '81321', '9705659500', NULL, 'Po Box 1593', 'Cortez', 'Montezuma', 'CO', '81321', '9705659500', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1720075443', 0, 'Y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11006998', 'W11006998', 'UTPEHP', '', 'Marilyn', '', 'Griebel', 'CNP', 'Family Practice', '', '', NULL, 'O', '33 N Elm St', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', NULL, '33 N Elm Street', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649249434', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11006997', 'W11006997', 'UTPEHP', '', 'Dianna', 'L', 'Fury', 'MD', 'Family Practice', '', '', NULL, 'O', '33 N Elm St', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', NULL, '33 N Elm St', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', '          ', 'PEHPSWPHO', '', '', '0.00', '30.00', '0.00', 6, '2008-07-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790784973', 0, 'N', 0, '2013-10-10', NULL, NULL, 0, 0, NULL, NULL),
('870648872', 'W11007009', 'W11007009', 'UTPEHP', ' ', 'Kenneth', 'H', 'Picillo', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'B', 'Po Box 1589', 'Cortez', 'Montezuma', 'CO', '81321', '9705658146', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, '1000', '41.00', '100.00', '0.00', 3, '2008-07-01', NULL, 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972536977', 0, 'Y', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('841299115', 'W11006989', 'W11006989', 'UTPEHP', '', 'William', 'G', 'Rainer', 'MD', 'General Surgery', '', '', NULL, 'O', '106 E First St', 'Cortez', 'Montezuma', 'CO', '81321', '9705654500', NULL, '106 E First St', 'Cortez', 'Montezuma', 'CO', '81321', '9705654500', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1821067190', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('840830453', 'W11006991', 'W11006991', 'UTPEHP', ' ', 'Gerald', 'W', 'Griebel', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1311 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705656666', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710048566', 0, 'N', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('270003566', 'W11006993', 'W11006993', 'UTPEHP', '', 'Karla', 'J', 'Demby', 'MD', 'Internal Medicine', '', '', NULL, 'O', '111 N Park St', 'Cortez', 'Montezuma', 'CO', '81321', '9705648730', NULL, '111 N Park St', 'Cortez', 'Montezuma', 'CO', '81321', '9705648730', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1194895094', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('201180391', 'W11007012', 'W11007012', 'UTPEHP', '', 'Karen', 'D', 'Libsch', 'MD', 'Family Practice', '', '', NULL, 'B', 'Po Box 1297', 'Cortez', 'Montezuma', 'CO', '81321', '9705659777', NULL, 'Po Box 1297', 'Cortez', 'Montezuma', 'CO', '81321', '9705659777', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114996428', 0, 'Y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('270003566', 'W11006992', 'W11006992', 'UTPEHP', '', 'Robin', 'E', 'Page', 'MD', 'Internal Medicine', '', '', NULL, 'O', '111 N Park St', 'Cortez', 'Montezuma', 'CO', '81321', '9705648730', NULL, '111 N Park St', 'Cortez', 'Montezuma', 'CO', '81321', '9705648730', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1306916218', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007017', 'W11007017', 'UTPEHP', '', 'Douglas', '', 'Bagge', 'MD', 'Orthopedic Surgery', '', '', NULL, 'B', '2233 E Main St', 'Montrose', 'Montrose', 'CO', '81401', '9705652600', NULL, '2233 E Main St', 'Montrose', 'Montrose', 'CO', '81401', '9705652600', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1891765020', 0, 'Y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841522090', 'W11007019', 'W11007019', 'UTPEHP', '', 'Theresa', '', 'Brown', 'CNP', 'Family Practice', '', '', NULL, 'B', 'Po Box 1687', 'Cortez', 'Montezuma', 'CO', '81321', '9705648086', NULL, 'Po Box 1687', 'Cortez', 'Montezuma', 'CO', '81321', '9705648086', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1255450458', 0, 'Y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841507302', 'W11006988', 'W11006988', 'UTPEHP', ' ', 'John', 'G', 'Petty', 'MD', 'Opthalmology', NULL, NULL, NULL, 'O', '2423 Mancos Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705658809', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881665263', 0, 'N', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007014', 'W11007014', 'UTPEHP', '', 'Dianna', 'L', 'Fury', 'MD', 'Family Practice', '', '', NULL, 'B', 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', NULL, 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', '          ', 'PEHPSWPHO', '', '', '0.00', '30.00', '0.00', 6, '2008-07-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790784973', 0, 'Y', 0, '2013-10-10', NULL, NULL, 0, 0, NULL, NULL),
('841497134', 'W11007010', 'W11007010', 'UTPEHP', ' ', 'Alex', 'R', 'Cudkowicz', 'MD', 'Pathology', NULL, NULL, NULL, 'B', 'Po Box 667', 'Cortez', 'Montezuma', 'CO', '81321', '9705642083', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356539084', 0, 'Y', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('841522090', 'W11006996', 'W11006996', 'UTPEHP', '', 'Hope', 'K', 'Barkhurst', 'MD', 'Family Practice', '', '', NULL, 'O', '2095 N Dolores Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705648086', NULL, '2095 N Dolores Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705648086', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1205857406', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('201180391', 'W11006995', 'W11006995', 'UTPEHP', '', 'Karen', 'D', 'Libsch', 'MD', 'Family Practice', '', '', NULL, 'O', '118 N Chestnut St', 'Cortez', 'Montezuma', 'CO', '81321', '9705649777', NULL, '118 N Chestnut St', 'Cortez', 'Montezuma', 'CO', '81321', '9705649777', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114996428', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007000', 'W11007000', 'UTPEHP', '', 'Douglas', '', 'Bagge', 'MD', 'Orthopedic Surgery', '', '', NULL, 'O', '208 W North Street', 'Cortez', 'Montezuma', 'CO', '81321', '9705652600', NULL, '208 W North Street', 'Cortez', 'Montezuma', 'CO', '81321', '9705652600', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1891765020', 0, 'N', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('481500919', 'W11007001', 'W11007001', 'UTPEHP', ' ', 'Larry', 'D', 'Hare', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'B', '1311 N Mildred Rd', 'Cortez', 'Montezuma', 'CO', '81321', '9705658146', NULL, NULL, NULL, 'Coconino', NULL, NULL, NULL, NULL, '', NULL, '1000', '41.00', '100.00', '0.00', 3, '2008-07-01', NULL, 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871506303', 0, 'Y', 0, '2008-07-31', NULL, NULL, 0, 0, NULL, NULL),
('204094183', 'W11006999', 'W11006999', 'UTPEHP', '', 'Marcus', 'T', 'Higi', 'MD', 'Family Practice', 'Emergency Medicine', '', NULL, 'O', '2095 N Dolores Rd Ste C', 'Cortez', 'Montezuma', 'CO', '81321', '9705648177', NULL, '2095 N Dolores Rd Ste C', 'Cortez', 'Montezuma', 'CO', '81321', '9705648177', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1437125200', 0, 'N', 0, '2011-02-22', NULL, NULL, 0, 0, NULL, NULL),
('450579013', 'W11007027', 'W11007027', 'UT01', 'Monarch Womens Cancer Center', 'Karen', 'A', 'Zempolich', 'MD', 'Obstetrics and Gynecology', 'Gynecologic Oncology', '', NULL, 'B', 'PO Box 198546', 'Atlanta', 'Fulton', 'GA', '30384', '8017434730', NULL, 'PO Box 198546', 'Atlanta', 'Fulton', 'GA', '30384', '8017434730', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-07-30', '2010-08-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1841228525', 0, 'Y', 0, '2012-06-28', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W11007068', 'W11007068', 'WY01', 'Billings Clinic - Peds', 'Nadine', NULL, 'Seger', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '2800 10th Ave N', 'Billings', 'Yellowstone', 'MT', '59101', '4066574150', '4066574349', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', NULL, NULL, '', NULL, NULL, '0.00', '17.00', '0.00', 3, '2008-07-25', '2009-04-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255464046', 0, 'N', 0, '2009-05-04', NULL, NULL, 0, 0, NULL, NULL),
('742768427', 'W11008071', 'W11008071', 'TX01', 'Institute for Womens Health', 'Aspen', 'E', 'Laneman', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', '1210 Arion Pkwy', 'San Antonio', 'Bexar', 'TX', '78216', '2103499300', NULL, '1210 Arion Pkwy', 'San Antonio', 'Bexar', 'TX', '78216', '2103499300', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2008-08-08', '2010-01-01', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1619079274', 0, 'y', 0, '2013-08-26', NULL, NULL, 0, 0, NULL, NULL),
('742768427', 'W11008072', 'W11008072', 'TX01', 'Institute for Womens Health', 'Aspen', 'E', 'Laneman', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '3902 Wiseman', 'San Antonio', 'Bexar', 'TX', '78251', '2103499300', NULL, '3902 Wiseman', 'San Antonio', 'Bexar', 'TX', '78251', '2103499300', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2008-08-08', '2010-01-01', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1619079274', 0, 'N', 0, '2013-08-26', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007023', 'W11007023', 'UTPEHP', '', 'Blair', 'W', 'Pyle', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', NULL, 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1619913670', 0, 'Y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007020', 'W11007020', 'UTPEHP', '', 'Manda', '', 'Guilette', 'PA', 'Family Practice', '', '', NULL, 'B', 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705642130', NULL, 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705642130', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1699764092', 0, 'Y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('201180391', 'W11007021', 'W11007021', 'UTPEHP', ' ', 'Peggy', NULL, 'Towles', 'CNP', 'Family Practice', NULL, NULL, NULL, 'B', 'Po Box 1297', 'Cortez', 'Montezuma', 'CO', '81321', '9705659777', NULL, NULL, NULL, 'Montezuma', NULL, NULL, NULL, NULL, 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', NULL, 3, '2008-07-01', '2007-07-13', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598768871', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841337350', 'W11007022', 'W11007022', 'UTPEHP', '', 'Kameo', 'L', 'Smith', 'DO', 'Family Practice', '', '', NULL, 'B', 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', NULL, 'Po Box 1780', 'Cortez', 'Montezuma', 'CO', '81321', '9705658556', '', 'PEHPSWPHO', NULL, NULL, '0.00', '30.00', '0.00', 6, '2008-07-01', NULL, 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1083645881', 0, 'Y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('223887117', 'W11008078', 'W11008078', 'WY01', 'Mountain Valley Eye Institute', 'Stacy', 'R', 'Smith', 'MD', 'Ophthalmology', '', '', NULL, 'O', '196 Arrowhead Dr Ste 5', 'Evanston', 'Uinta', 'WY', '82930', '8774232020', NULL, '196 Arrowhead Dr Ste 5', 'Evanston', 'Uinta', 'WY', '82930', '8774232020', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-08', NULL, 0, 0, 0, 'Evanston Regional Hospital', 'Heber Valley Medical Center', NULL, NULL, 'HCFA|UB|', '1639348899', 0, 'N', 0, '2012-10-09', NULL, NULL, 41.2435, -110.998, NULL, NULL),
('820477852', 'W11007025', 'W11007025', 'ID01', 'Saint Alphonsus Medical Group Elm Family Medicine', 'Daniel', 'S', 'Knorpp', 'DO', 'Family Practice', '', '', NULL, 'O', '315 E Elm St Ste 100', 'Caldwell', 'Canyon', 'ID', '83605', '2084597415', '2084533307', '315 E Elm St Ste 100', 'Caldwell', 'Canyon', 'ID', '83605', '2084597415', '2084533307', 'IDSAMG2', '', '', '0.00', '10.00', '0.00', 6, '2008-08-01', '2012-08-19', 0, 0, 0, 'West Valley Medical Center', '', '', '', 'HCFA|UB|', '1538214184', 0, 'N', 0, '2014-06-20', NULL, NULL, 43.6539, -116.695, NULL, NULL),
('050544010', 'W11007035', 'W11007035', 'ID01', 'Swient', '', '', 'Swient LLC', 'GROUP', 'Imaging Center', 'Radiology', '', NULL, 'O', '900 N Liberty St Ste 305', 'Boise', 'Ada', 'ID', '83704', '2083673320', NULL, '900 N Liberty St Ste 305', 'Boise', 'Ada', 'ID', '83704', '2083673320', '          ', 'IDSWIENT', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2008-08-01', '2012-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1629031760', 0, 'N', 0, '2012-08-07', NULL, NULL, 43.6133, -116.259, NULL, NULL),
('841371719', 'W11007047', 'W11007047', 'ID01', NULL, 'James', 'E', 'Hollingsworth', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '10451 Garverdale Ct Ste 203', 'Boise', 'Ada', 'ID', '83704', '2083754415', NULL, '10451 Garverdale Ct Ste 203', 'Boise', 'Ada', 'ID', '83704', '2083754415', '', 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1801082953', 0, 'n', 0, '2012-02-22', NULL, NULL, 43.6207, -116.313, 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
('203717348', 'W11007024', 'W11007024', 'ID01', 'Ada Orthopaedic Clinic Don’t give out as Participating', 'Don’t map or give provider as participating', '', 'Only par with Dr Jeffrey Shilt for Radiology codes.', 'GROUP', 'Orthopedic Surgery', '', '', NULL, 'B', '6500 W Emerald St', 'Boise', 'Ada', 'ID', '83704', '2083770777', NULL, '6500 W Emerald St', 'Boise', 'Ada', 'ID', '83704', '2083770777', '', 'IDSAMG1', NULL, NULL, '0.00', '10.00', '0.00', 3, '2008-07-22', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1386806347', 0, 'y', 0, '2012-08-27', NULL, NULL, 43.612, -116.262, NULL, NULL),
('820477852', 'W11007045', 'W11007045', 'ID01', 'Saint Alphonsus Medical Group Federal Way', 'Laura', 'L', 'Tirrell', 'MD', 'Family Practice', '', '', NULL, 'O', '1880 W Judith Ln', 'Boise', 'Ada', 'ID', '83705', '2083676910', NULL, '1880 W Judith Ln', 'Boise', 'Ada', 'ID', '83705', '2083676910', '          ', 'IDSAMG2', '', '', '0.00', '10.00', '0.00', 6, '2008-08-25', '2012-04-03', 0, 0, 0, 'Saint Alphonsus Medical Center Nampa', '', '', '', 'HCFA|UB|', '1245271659', 0, 'N', 0, '2012-04-03', NULL, NULL, 43.5916, -116.204, NULL, NULL),
('820470661', 'W11007031', 'W11007031', 'ID01', 'Lifeline Chiropractic', 'Michelle', 'A', 'Fisher', 'DC', 'Chiropractic', '', '', NULL, 'O', '1627 S Orchard Ste 1', 'Boise', 'Ada', 'ID', '83705', '2083367900', NULL, '1627 S Orchard Ste 1', 'Boise', 'Ada', 'ID', '83705', '2083367900', '          ', 'IDCHIRO1', '', '', '0.00', '35.00', '0.00', 3, '2008-08-01', '2010-07-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1316064215', 0, 'N', 0, '2012-04-25', NULL, NULL, 0, 0, NULL, NULL),
('820477852', 'W11007043', 'W11007043', 'ID01', 'Saint Alphonsus Medical Group Federal Way', 'Steven', 'M', 'Greenberg', 'MD', 'Family Practice', '', '', NULL, 'O', '1880 W Judith Ln', 'Boise', 'Ada', 'ID', '83705', '2083676910', NULL, '1880 W Judith Ln', 'Boise', 'Ada', 'ID', '83705', '2083676910', '', 'IDSAMG2', NULL, NULL, '0.00', '10.00', '0.00', 6, '2008-08-25', '2012-08-19', 0, 0, 0, 'Saint Alphonsus Regional Medical Center', '', '', '', 'HCFA|UB|', '1407817364', 0, 'n', 0, '2014-04-21', NULL, NULL, 43.5916, -116.204, NULL, NULL),
('820477852', 'W11007044', 'W11007044', 'ID01', 'Saint Alphonsus Medical Group Federal Way', 'Leck', '', 'Read', 'MD', 'Family Practice', '', '', NULL, 'B', '1880 W Judith Ln', 'Boise', 'Ada', 'ID', '83705', '2083676910', NULL, '1880 W Judith Ln', 'Boise', 'Ada', 'ID', '83705', '2083676910', '          ', 'IDSAMG2', '', '', '0.00', '10.00', '0.00', 6, '2008-08-25', '2012-04-03', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1316965239', 0, 'Y', 0, '2012-04-03', NULL, NULL, 43.5916, -116.204, NULL, NULL),
('820470661', 'W11007030', 'W11007030', 'ID01', 'Lifeline Chiropractic', 'Yvonne', 'D', 'Honovich', 'DC', 'Chiropractic', '', '', NULL, 'O', '1627 S Orchard Ste 1', 'Boise', 'Ada', 'ID', '83705', '2083367900', NULL, '1627 S Orchard Ste 1', 'Boise', 'Ada', 'ID', '83705', '2083367900', '          ', 'IDCHIRO1', '', '', '0.00', '35.00', '0.00', 3, '2008-08-01', '2010-06-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1740309442', 0, 'N', 0, '2012-05-08', NULL, NULL, 0, 0, NULL, NULL),
('820477852', 'W11007046', 'W11007046', 'ID01', 'Saint Alphonsus Medical Group Federal Way', '', '', 'Saint Alphonsus Regional Medical Center ', 'Group', 'Hospital', '', '', NULL, 'B', '1880 W Judith Ln', 'Boise', 'Ada', 'ID', '83705', '2083676910', NULL, '1880 W Judith Ln', 'Boise', 'Ada', 'ID', '83705', '2083676910', '', 'IDSAMG2', '', '', '0.00', '10.00', '0.00', 6, '2008-08-25', '2012-04-03', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1861676298', 0, 'Y', 0, '2014-06-13', NULL, NULL, 43.5916, -116.204, NULL, NULL),
('820470661', 'W11007032', 'W11007032', 'ID01', 'Lifeline Chiropractic', 'Lynne', 'A', 'Jellum', 'DC', 'Chiropractic', '', '', NULL, 'O', '1627 S Orchard Ste 1', 'Boise', 'Ada', 'ID', '83705', '2083367900', NULL, '1627 S Orchard Ste 1', 'Boise', 'Ada', 'ID', '83705', '2083367900', '          ', 'IDCHIRO1', '', '', '0.00', '35.00', '0.00', 3, '2008-08-01', '2013-09-29', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1144347048', 0, 'N', 0, '2013-10-31', NULL, NULL, 0, 0, NULL, NULL),
('460500210', 'W11008041', 'W11008041', 'ID01', 'Saint Alphonsus Outpatient Trauma Services', NULL, NULL, 'Saint Alphonsus Outpatient Trauma Services', 'Group', 'General Surgery', NULL, NULL, NULL, 'B', 'PO Box 9589', 'Boise', 'Ada', 'ID', '83707', '2083677676', '2083676849', '901 N Curtis Rd ', 'Boise', 'Ada', 'ID', '83706', NULL, NULL, 'IDSAMG1', NULL, NULL, '0.00', '10.00', '0.00', 3, '2008-07-01', '2008-07-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008547', 0, 'Y', 0, '2008-08-06', NULL, NULL, 0, 0, NULL, NULL),
('800180043', 'W11007048', 'W11007048', 'UT01', 'Alpine Family Medicine', 'Daniel', 'W', 'Egan', 'MD', 'Family Practice', '', '', NULL, 'O', '38 E Redpine Dr', 'Alpine', 'Utah', 'UT', '84004', '8017639851', NULL, '38 E Redpine Dr', 'Alpine', 'Utah', 'UT', '84004', '8017639851', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-07-01', '2011-02-28', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1417066564', 0, 'N', 0, '2013-08-13', NULL, NULL, 0, 0, NULL, NULL),
('800180043', 'W11007049', 'W11007049', 'UT01', 'Alpine Family Medicine', 'Peter', 'V', 'Sundwall', 'MD', 'Family Practice', '', '', NULL, 'O', '38 E Redpine Dr', 'Alpine', 'Utah', 'UT', '84004', '8017639851', NULL, '38 E Redpine Dr', 'Alpine', 'Utah', 'UT', '84004', '8017639851', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-07-01', '2010-08-03', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1942200274', 0, 'N', 0, '2010-07-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007871', 'W11007871', 'UTIHC03', 'Primary Childrens Medical Center', 'Lisa', 'Morley', 'Quintana', 'PT', 'Physical Therapy', '', '', NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1538278528', 0, 'N', 0, '2014-01-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007805', 'W11007805', 'UTIHC03', 'Primary Childrens Medical Center', 'Julia', 'L', 'Haywood-Breault', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-04-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801803952', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007689', 'W11007689', 'UTIHC03', 'Primary Childrens Medical Center', 'Carey', 'M', 'Anderson', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518052075', 0, 'N', 0, '2014-01-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007300', 'W11007300', 'UTIHC01', 'PCMC Rehab Bountiful', 'Lisa', 'Morley', 'Quintana', 'PT', 'Physical Therapy', '', '', NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1538278528', 0, 'N', 0, '2014-01-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007668', 'W11007668', 'UTIHC02', 'PCMC Rehab Bountiful', 'Susan', 'J B', 'Tibbitts', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871500975', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007079', 'W11007079', 'UTIHC01', 'PCMC Rehab Bountiful', 'Carey', 'M', 'Anderson', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518052075', 0, 'N', 0, '2014-01-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007545', 'W11007545', 'UTIHC02', 'PCMC Rehab Bountiful', 'Julia', 'L', 'Haywood-Breault', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-04-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801803952', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007583', 'W11007583', 'UTIHC02', 'PCMC Rehab Bountiful', 'Lisa', 'Morley', 'Quintana', 'PT', 'Physical Therapy', '', '', NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1538278528', 0, 'N', 0, '2014-01-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007603', 'W11007603', 'UTIHC02', 'PCMC Audiology', 'Jason', 'R', 'Norby', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2010-03-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861409047', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('870622803', 'W11008067', 'W11008067', 'UT01', 'Bountiful Surgical Associates', 'Jon', 'C', 'Oberg', 'MD', 'General Surgery', 'Vascular Surgery', '', NULL, 'O', '425 Medical Dr Ste 101', 'Bountiful', 'Davis', 'UT', '84010', '8012957444', '8012921271', '425 Medical Dr Ste 101', 'Bountiful', 'Davis', 'UT', '84010', '8012957444', '8012921271', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-08-08', NULL, 0, 0, 0, 'Davis Hospital', 'Lakeview Hospital', '', '', 'HCFA|UB|', '1316035942', 0, 'N', 0, '2014-04-17', NULL, NULL, 40.8873, -111.872, NULL, NULL),
('942854057', 'W11007702', 'W11007702', 'UTIHC03', 'Primary Childrens Medical Center', 'Roxann', NULL, 'Beauregard', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-08-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568636439', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007621', 'W11007621', 'UTIHC02', 'PCMC Audiology', 'Cache', 'L', 'Pitt', 'AUD', 'Audiology', '', '', NULL, 'O', '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-06-03', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1871509356', 0, 'N', 0, '2013-12-02', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007922', 'W11007922', 'UTIHC03', 'Primary Childrens Medical Center', 'Cache', 'L', 'Pitt', 'AUD', 'Audiology', '', '', NULL, 'O', '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-06-03', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1871509356', 0, 'N', 0, '2013-12-02', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007417', 'W11007417', 'UTIHC01', 'Rehab', 'Kelly', 'L', 'Stoddard', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008922', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007225', 'W11007225', 'UTIHC01', 'PCMC Rehab Bountiful', 'Julia', 'L', 'Haywood-Breault', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-04-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801803952', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007093', 'W11007093', 'UTIHC01', 'PCMC Rehab Bountiful', 'Roxann', NULL, 'Beauregard', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-08-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568636439', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007898', 'W11007898', 'UTIHC03', 'Primary Childrens Medical Center', 'Jason', 'R', 'Norby', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2010-03-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861409047', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007326', 'W11007326', 'UTIHC01', 'PCMC Audiology', 'Jason', 'R', 'Norby', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2010-03-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861409047', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007977', 'W11007977', 'UTIHC03', 'Primary Childrens Medical Center', 'Kelly', 'L', 'Stoddard', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008922', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007353', 'W11007353', 'UTIHC01', 'PCMC Audiology', 'Cache', 'L', 'Pitt', 'AUD', 'Audiology', '', '', NULL, 'O', '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-06-03', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1871509356', 0, 'N', 0, '2013-12-02', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007478', 'W11007478', 'UTIHC02', 'PCMC Rehab Bountiful', 'Carey', 'M', 'Anderson', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8016624900', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518052075', 0, 'N', 0, '2014-01-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007486', 'W11007486', 'UTIHC02', 'PCMC Rehab Bountiful', 'Roxann', NULL, 'Beauregard', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-08-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568636439', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007652', 'W11007652', 'UTIHC02', 'Rehab', 'Kelly', 'L', 'Stoddard', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '280 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008922', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007440', 'W11007440', 'UTIHC01', 'PCMC Rehab Bountiful', 'Susan', 'J B', 'Tibbitts', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871500975', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W11008050', 'W11008050', 'UT01', 'Performance West Physical Therapy', 'Deven', 'M', 'Bawden', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '1511 S Renaissance Towne Dr Ste 300', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', '1511 S Renaissance Towne Dr Ste 300', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2008-07-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1316019037', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007996', 'W11007996', 'UTIHC03', 'Primary Childrens Medical Center', 'Susan', 'J B', 'Tibbitts', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', NULL, '280 N Main', 'Bountiful', 'Davis', 'UT', '84010', '8012928665', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871500975', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('876000297', 'W11007063', 'W11007063', 'UT01', 'Davis County Health Dept', NULL, NULL, 'Davis County Health Dept', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '140 E Ctr St 2nd Fl', 'Clearfield', 'Davis', 'UT', '84015', '8017738834', NULL, 'PO Box 618', 'Farmington', 'Davis', 'UT', '84025', NULL, NULL, 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952460362', 0, 'N', 0, '2008-08-04', NULL, NULL, 0, 0, NULL, NULL),
('876000297', 'W11007061', 'W11007061', 'UT01', 'Davis County Health Dept', NULL, NULL, 'Davis County Health Dept', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'B', '50 E State St', 'Farmington', 'Davis', 'UT', '84025', '8012983919', NULL, 'PO Box 618', 'Farmington', 'Davis', 'UT', '84025', NULL, NULL, 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952460362', 0, 'y', 0, '2008-08-04', NULL, NULL, 0, 0, NULL, NULL),
('223887117', 'W11008077', 'W11008077', 'UT01', 'Mountain Valley Eye Institute', 'Stacy', 'R', 'Smith', 'MD', 'Ophthalmology', '', '', NULL, 'O', '1471 S Hwy 40', 'Heber City', 'Wasatch', 'UT', '84032', '4356543090', NULL, '1471 S Hwy 40', 'Heber City', 'Wasatch', 'UT', '84032', '4356543090', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-08', NULL, 0, 0, 0, 'Evanston Regional Hospital', 'Heber Valley Medical Center', NULL, NULL, 'HCFA|UB|', '1639348899', 0, 'N', 0, '2012-10-09', NULL, NULL, 40.4893, -111.41, NULL, NULL),
('522229954', 'W11008043', 'W11008043', 'UT01', 'Wasatch Peak Physical Therapy', 'Randall', 'W', 'Erickson', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1492 W Antelope Dr Ste 100', 'Layton', 'Davis', 'UT', '84041', '8015479462', '8015479116', NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2008-06-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366602484', 0, 'N', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('205498534', 'W11007072', 'W11007072', 'UTMH1', 'Kay Psychological & Consulting PC', 'Steven', 'J', 'Kay', 'PSYD', 'Mental Health', 'Psychology', '', NULL, 'O', '1601 N Hill Field Rd', 'Layton', 'Davis', 'UT', '84041', '8017761303', '8017765066', '1601 N Hill Field Rd', 'Layton', 'Davis', 'UT', '84041', '8017761303', '8017765066', 'PHD', NULL, '', '0.00', '35.00', '0.00', 3, '2008-08-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1447210646', 0, 'n', 0, '2014-05-13', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W11008046', 'W11008046', 'UT01', 'Advanced Motion Physical Therapy', 'Daniel', '', 'Mcatee', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '8089 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012506733', '8012505038', '8089 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012506733', '8012505038', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2008-06-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1215057617', 0, 'N', 0, '2013-09-30', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W11008049', 'W11008049', 'UT01', 'Herriman Physical Therapy', 'Paul', NULL, 'Smith', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5734 W 13400 S', 'Herriman', 'Salt Lake', 'UT', '84065', '8013027232', '8013027237', NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2008-05-20', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023276375', 0, 'N', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W11008042', 'W11008042', 'UT01', 'Wasatch Physical Therapy Roy', 'Pamela', '', 'Frinkman', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1967 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017748600', '8017748681', '1967 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017748600', '8017748681', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2007-10-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1699873364', 0, 'N', 0, '2013-12-04', NULL, NULL, 0, 0, NULL, NULL),
('876000297', 'W11007062', 'W11007062', 'UT01', 'Davis County Health Dept', NULL, NULL, 'Davis County Health Dept', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '596 W 750 S', 'Wood Cross', 'Davis', 'UT', '84087', '8012983919', NULL, 'PO Box 618', 'Farmington', 'Davis', 'UT', '84025', NULL, NULL, 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952460362', 0, 'N', 0, '2008-08-04', NULL, NULL, 40.8821, -111.893, NULL, NULL),
('522229954', 'W11008051', 'W11008051', 'UT01', 'Rocky Mountain First Med', 'Matthew', NULL, 'Wilkinson', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '8822  S Redwood Rd Ste E122', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015667080', '8012561133', NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2007-10-31', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386665917', 0, 'N', 0, '2008-11-19', NULL, NULL, 0, 0, NULL, NULL),
('202422775', 'W11007066', 'W11007066', 'UT01', 'Wasatch Endocrinology Inc', 'Michelle', 'L', 'Litchman', 'ARPN', 'Endocrinology', '', '', NULL, 'B', 'PO Box 932', 'Sandy', 'Salt Lake', 'UT', '84091', '8017460776', '8017460775', 'PO Box 932', 'Sandy', 'Salt Lake', 'UT', '84091', '8017460776', '8017460775', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-08-01', '2012-11-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1518045806', 0, 'Y', 0, '2013-11-14', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007531', 'W11007531', 'UTIHC02', 'PCMC Rehab Sandy', 'Lori', 'McClure', 'Fox', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114935236', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007640', 'W11007640', 'UTIHC02', 'PCMC Rehab Sandy', 'Elizabeth', 'Anne', 'Siebert', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417041450', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007742', 'W11007742', 'UTIHC03', 'Primary Childrens Medical Center', 'Jonel', 'M', 'Condra', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649365248', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007651', 'W11007651', 'UTIHC02', 'Rehab', 'Kelly', 'L', 'Stoddard', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008922', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007902', 'W11007902', 'UTIHC03', 'Primary Childrens Medical Center', 'Wende', 'A', 'OBerg', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528152485', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007687', 'W11007687', 'UTIHC03', 'Primary Childrens Medical Center', 'Adrianne', NULL, 'Andersen', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-01-25', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679747547', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007272', 'W11007272', 'UTIHC01', 'PCMC Rehab South', 'Andrea', 'R', 'Lobb', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760507339', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007416', 'W11007416', 'UTIHC01', 'Rehab', 'Kelly', 'L', 'Stoddard', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008922', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007196', 'W11007196', 'UTIHC01', 'PCMC Rehab Sandy', 'Lori', 'McClure', 'Fox', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114935236', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007568', 'W11007568', 'UTIHC02', 'PCMC Rehab South', 'Andrea', 'R', 'Lobb', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760507339', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007782', 'W11007782', 'UTIHC03', 'Primary Childrens Medical Center', 'Lori', 'McClure', 'Fox', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114935236', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007961', 'W11007961', 'UTIHC03', 'Primary Childrens Medical Center', 'Elizabeth', 'Anne', 'Siebert', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417041450', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007607', 'W11007607', 'UTIHC02', 'PCMC Rehab Sandy', 'Wende', 'A', 'OBerg', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528152485', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007078', 'W11007078', 'UTIHC01', 'PCMC Rehab Sandy', 'Adrianne', NULL, 'Andersen', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-01-25', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679747547', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007557', 'W11007557', 'UTIHC02', 'PCMC Rehab Sandy', 'Lisa', 'M', 'Jones', 'OT', 'Occupational Therapy', '', '', NULL, 'O', '870 E 9400 S', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, '870 E 9400 S', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-03-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467663732', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007429', 'W11007429', 'UTIHC01', 'PCMC Rehab Sandy', 'Allison', 'Rae', 'Tanner', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841389947', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007747', 'W11007747', 'UTIHC03', 'Primary Childrens Medical Center', 'Martina', 'H', 'Costello', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578657599', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007556', 'W11007556', 'UTIHC02', 'PCMC Rehab Sandy', 'Courtney', 'E', 'Jones', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669539342', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007594', 'W11007594', 'UTIHC02', 'PCMC Rehab Sandy', 'Annette', 'G', 'Myers', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982798930', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007976', 'W11007976', 'UTIHC03', 'Primary Childrens Medical Center', 'Kelly', 'L', 'Stoddard', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008922', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007987', 'W11007987', 'UTIHC03', 'Primary Childrens Medical Center', 'Allison', 'Rae', 'Tanner', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841389947', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007505', 'W11007505', 'UTIHC02', 'PCMC Rehab Sandy', 'Jonel', 'M', 'Condra', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649365248', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007155', 'W11007155', 'UTIHC01', 'PCMC Rehab Sandy', 'Martina', 'H', 'Costello', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578657599', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007477', 'W11007477', 'UTIHC02', 'PCMC Rehab Sandy', 'Adrianne', NULL, 'Andersen', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-01-25', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679747547', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007825', 'W11007825', 'UTIHC03', 'Primary Childrens Medical Center', 'Lisa', 'M', 'Jones', 'OT', 'Occupational Therapy', '', '', NULL, 'O', '870 E 9400 S', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, '870 E 9400 S', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-03-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467663732', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007823', 'W11007823', 'UTIHC03', 'Primary Childrens Medical Center', 'Courtney', 'E', 'Jones', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669539342', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007247', 'W11007247', 'UTIHC01', 'PCMC Rehab Sandy', 'Courtney', 'E', 'Jones', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669539342', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007330', 'W11007330', 'UTIHC01', 'PCMC Rehab Sandy', 'Wende', 'A', 'OBerg', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528152485', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007249', 'W11007249', 'UTIHC01', 'PCMC Rehab Sandy', 'Lisa', 'M', 'Jones', 'OT', 'Occupational Therapy', '', '', NULL, 'O', '870 E 9400 S', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, '870 E 9400 S', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-03-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467663732', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007150', 'W11007150', 'UTIHC01', 'PCMC Rehab Sandy', 'Jonel', 'M', 'Condra', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649365248', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007314', 'W11007314', 'UTIHC01', 'PCMC Rehab Sandy', 'Annette', 'G', 'Myers', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982798930', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007846', 'W11007846', 'UTIHC03', 'Primary Childrens Medical Center', 'Andrea', 'R', 'Lobb', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760507339', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007508', 'W11007508', 'UTIHC02', 'PCMC Rehab Sandy', 'Martina', 'H', 'Costello', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578657599', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007886', 'W11007886', 'UTIHC03', 'Primary Childrens Medical Center', 'Annette', 'G', 'Myers', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982798930', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007395', 'W11007395', 'UTIHC01', 'PCMC Rehab Sandy', 'Elizabeth', 'Anne', 'Siebert', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417041450', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007661', 'W11007661', 'UTIHC02', 'PCMC Rehab Sandy', 'Allison', 'Rae', 'Tanner', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '870 E 9400 S Ste 112', 'Sandy', 'Salt Lake', 'UT', '84094', '8015713081', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841389947', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W11008048', 'W11008048', 'UT01', 'Mckell Physical Therapy', 'John', '', 'McKell', 'MS PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '504 E 770 N', 'Orem', 'Utah', 'UT', '84097', '8012242177', '8012242195', '504 E 770 N', 'Orem', 'Utah', 'UT', '84097', '8012242177', '8012242195', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2007-12-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1629005301', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('223887117', 'W11008075', 'W11008075', 'UT01', 'Mountain Valley Eye Institute', 'Stacy', 'R', 'Smith', 'MD', 'Ophthalmology', '', '', NULL, 'O', '2700 W Homestead Rd Ste 30', 'Park City', 'Summit', 'UT', '84098', '4356583090', NULL, '2700 W Homestead Rd Ste 30', 'Park City', 'Summit', 'UT', '84098', '4356583090', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-08', NULL, 0, 0, 0, 'Evanston Regional Hospital', 'Heber Valley Medical Center', NULL, NULL, 'HCFA|UB|', '1639348899', 0, 'N', 0, '2012-10-09', NULL, NULL, 40.7561, -111.57, NULL, NULL),
('202422775', 'W11007067', 'W11007067', 'UT01', 'Wasatch Endocrinology Inc', 'Michelle', 'L', 'Litchman', 'ARPN', 'Endocrinology', '', '', NULL, 'O', '807 E South Temple Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8017460776', '8017460775', '807 E South Temple Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8017460776', '8017460775', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-08-01', '2012-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1518045806', 0, 'N', 0, '2013-12-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W11008047', 'W11008047', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Bonnie', 'R', 'Butler', 'PT-CSCS', 'Physical Therapy', '', '', NULL, 'O', '702 E South Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', '8013641242', '702 E South Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', '8013641242', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2008-07-03', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255332938', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007244', 'W11007244', 'UTIHC01', 'Neuropsychology', 'Jenise', NULL, 'Jensen', 'PhD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8016625982', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-10-20', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366534943', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007821', 'W11007821', 'UTIHC03', 'Primary Childrens Medical Center', 'Jenise', NULL, 'Jensen', 'PhD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8016625982', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-10-20', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366534943', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007554', 'W11007554', 'UTIHC02', 'Neuropsychology', 'Jenise', NULL, 'Jensen', 'PhD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8016625982', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-10-20', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366534943', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007808', 'W11007808', 'UTIHC03', 'Primary Childrens Medical Center', 'Gail', 'C', 'Hilton', 'LCSW', 'Mental Health', 'Social Worker', NULL, NULL, 'O', '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8012692109', NULL, '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8012692109', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-10-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006722', 0, 'N', 0, '2012-12-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007548', 'W11007548', 'UTIHC02', 'Primary Childrens Medical Center', 'Gail', 'C', 'Hilton', 'LCSW', 'Mental Health', 'Social Worker', NULL, NULL, 'O', '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8012692109', NULL, '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8012692109', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-10-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006722', 0, 'N', 0, '2012-12-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007228', 'W11007228', 'UTIHC01', 'Primary Childrens Medical Center', 'Gail', 'C', 'Hilton', 'LCSW', 'Mental Health', 'Social Worker', NULL, NULL, 'O', '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8012692109', NULL, '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8012692109', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-10-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006722', 0, 'N', 0, '2012-12-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007503', 'W11007503', 'UTIHC02', 'Onc / BMT Dept PCMC', 'Paul', 'David', 'Colte', 'PsyD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015882882', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015882882', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-01-12', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1912055229', 0, 'N', 0, '2013-08-28', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007147', 'W11007147', 'UTIHC01', 'Onc / BMT Dept PCMC', 'Paul', 'David', 'Colte', 'PsyD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015882882', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015882882', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-01-12', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1912055229', 0, 'N', 0, '2013-08-28', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007741', 'W11007741', 'UTIHC03', 'Primary Childrens Medical Center', 'Paul', 'David', 'Colte', 'PsyD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015882882', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015882882', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-01-12', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1912055229', 0, 'N', 0, '2013-08-28', NULL, NULL, 0, 0, NULL, NULL),
('870354540', 'W11007064', 'W11007064', 'UT01', 'ENT Specialists', 'Justin', 'D', 'Gull', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '4000 S 700 E Ste 10', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012684141', NULL, '4000 S 700 E Ste 10', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012684141', '', 'WUSTDENT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1962600338', 0, 'N', 0, '2012-06-27', NULL, NULL, 40.6857, -111.871, 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
('870354540', 'W11007065', 'W11007065', 'UT01', NULL, 'Justin', 'D', 'Gull', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '5770 S 250 E Ste 285', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012684141', NULL, '5770 S 250 E Ste 285', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012684141', '', 'WUSTDENT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-08-01', NULL, 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1962600338', 0, 'N', 0, '2012-06-27', NULL, NULL, 40.6452, -111.884, NULL, NULL),
('942854057', 'W11007844', 'W11007844', 'UTIHC03', 'Primary Childrens Medical Center', 'Alan (Rob)', 'N', 'Lindsay', 'MD', 'Pediatrics', 'Pediatric Endocrinology', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'Salt Lake Regional Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1538281050', 0, 'N', 0, '2014-01-27', NULL, NULL, 0, 0, NULL, NULL),
('710885968', 'W11007069', 'W11007069', 'UT01', 'University Health Care', 'Daniel', 'A', 'Drennan', 'MD', 'Pain Management', NULL, NULL, NULL, 'o', '546 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015816393', NULL, '546 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015816393', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-08-04', '2012-08-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932387966', 0, 'N', 0, '2012-08-31', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007516', 'W11007516', 'UTIHC02', 'Utah Diabetes Center', 'David', 'L', 'Donaldson', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1063584290', 0, 'N', 0, '2013-08-28', NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W11007059', 'W11007059', 'UT01', 'University Health Care', 'Kathryn', 'L', 'Schabel', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-08-01', '2009-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770764995', 0, 'N', 0, '2008-08-04', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007585', 'W11007585', 'UTIHC02', 'Utah Diabetes Center', 'Mary', 'A', 'Murray', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1427097237', 0, 'N', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007399', 'W11007399', 'UTIHC01', 'Diabetic Clinic', 'Marie', 'F', 'Couldwell', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1083793558', 0, 'Y', 0, '2013-12-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007822', 'W11007822', 'UTIHC03', 'Primary Childrens Medical Center', 'Michael', 'R', 'Johnson', 'MD', 'Pediatrics', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817761', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817761', '', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2010-10-01', 0, 0, 0, 'Jordan Valley Medical Center', '', '', '', 'HCFA|UB|', '1396839403', 0, 'N', 0, '2014-07-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007192', 'W11007192', 'UTIHC01', 'Utah Diabetes Center', 'Carol', 'M', 'Foster', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1871672345', 0, 'N', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007778', 'W11007778', 'UTIHC03', 'Primary Childrens Medical Center', 'Carol', 'M', 'Foster', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1871672345', 0, 'N', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W11008036', 'W11008036', 'UT01', 'University Health Care', 'Kevin', 'B', 'Jones', 'MD', 'Orthopedic Surgery', NULL, NULL, 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, '2008-08-01', '2012-08-22', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1750599114', 0, 'N', 0, '2012-08-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007400', 'W11007400', 'UTIHC01', 'Inpatient Psych', 'Kirk', 'A', 'Simon', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', '          ', '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1043399611', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007566', 'W11007566', 'UTIHC02', 'Utah Diabetes Center', 'Alan (Rob)', 'N', 'Lindsay', 'MD', 'Pediatrics', 'Pediatric Endocrinology', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'Salt Lake Regional Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1538281050', 0, 'N', 0, '2014-01-27', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007246', 'W11007246', 'UTIHC01', 'Utah Diabetes Center', 'Michael', 'R', 'Johnson', 'MD', 'Pediatrics', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817761', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817761', '', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2010-10-01', 0, 0, 0, 'Jordan Valley Medical Center', '', '', '', 'HCFA|UB|', '1396839403', 0, 'N', 0, '2014-07-10', NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W11007057', 'W11007057', 'UT01', 'University Health Care', 'Clifford', 'D', 'Clark', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-08-01', '2009-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881612653', 0, 'N', 0, '2008-08-04', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007644', 'W11007644', 'UTIHC02', 'Inpatient Psych', 'Kirk', 'A', 'Simon', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', '          ', '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1043399611', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007642', 'W11007642', 'UTIHC02', 'Diabetic Clinic', 'Marie', 'F', 'Couldwell', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1083793558', 0, 'Y', 0, '2013-12-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007964', 'W11007964', 'UTIHC03', 'Primary Childrens Medical Center', 'Kirk', 'A', 'Simon', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', '          ', '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1043399611', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007962', 'W11007962', 'UTIHC03', 'Diabetic Clinic', 'Marie', 'F', 'Couldwell', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1083793558', 0, 'Y', 0, '2013-12-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007529', 'W11007529', 'UTIHC02', 'Utah Diabetes Center', 'Carol', 'M', 'Foster', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1871672345', 0, 'N', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007167', 'W11007167', 'UTIHC01', 'Utah Diabetes Center', 'David', 'L', 'Donaldson', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1063584290', 0, 'N', 0, '2013-08-28', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007304', 'W11007304', 'UTIHC01', 'Utah Diabetes Center', 'Mary', 'A', 'Murray', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1427097237', 0, 'N', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007270', 'W11007270', 'UTIHC01', 'Utah Diabetes Center', 'Alan (Rob)', 'N', 'Lindsay', 'MD', 'Pediatrics', 'Pediatric Endocrinology', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'Salt Lake Regional Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1538281050', 0, 'N', 0, '2014-01-27', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007223', 'W11007223', 'UTIHC01', 'Inpatient Psych', 'John', 'W', 'Harris Jr', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', '', NULL, 'O', '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', NULL, '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-03-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073609533', 0, 'N', 0, '2013-03-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007757', 'W11007757', 'UTIHC03', 'Primary Childrens Medical Center', 'David', 'L', 'Donaldson', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1063584290', 0, 'N', 0, '2013-08-28', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007543', 'W11007543', 'UTIHC02', 'Inpatient Psych', 'John', 'W', 'Harris Jr', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', '', NULL, 'O', '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', NULL, '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-03-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073609533', 0, 'N', 0, '2013-03-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007802', 'W11007802', 'UTIHC03', 'Primary Childrens Medical Center', 'John', 'W', 'Harris Jr', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', '', NULL, 'O', '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', NULL, '497 Colorow Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8016626400', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-03-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073609533', 0, 'N', 0, '2013-03-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007555', 'W11007555', 'UTIHC02', 'Utah Diabetes Center', 'Michael', 'R', 'Johnson', 'MD', 'Pediatrics', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817761', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817761', '', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2010-10-01', 0, 0, 0, 'Jordan Valley Medical Center', '', '', '', 'HCFA|UB|', '1396839403', 0, 'N', 0, '2014-07-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007876', 'W11007876', 'UTIHC03', 'Primary Childrens Medical Center', 'Mary', 'A', 'Murray', 'MD', 'Pediatric Endocrinology', '', '', NULL, 'O', '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', NULL, '615 Arapeen Dr Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015873922', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1427097237', 0, 'N', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('841419284', 'W11008074', 'W11008074', 'UT01', NULL, 'Wendy', 'L', 'Matis', 'MD', 'Dermatology', '', '', NULL, 'B', 'PO Box 9697', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8015210100', NULL, 'PO Box 9697', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8015210100', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-08-08', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407851595', 0, 'y', 0, '2012-05-15', NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W11008027', 'W11008027', 'UT01', 'University Health Care', 'Nathan', 'D', 'Meeker', 'MD', 'Pediatric Hematology and Oncolocy', 'Pediatrics', '', NULL, 'o', '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', NULL, '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-01', '2012-07-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003087735', 0, 'N', 0, '2012-07-17', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007754', 'W11007754', 'UTIHC03', 'Primary Childrens Medical Center', 'Renae', '', 'Decker-Cahoon', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1699785824', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007726', 'W11007726', 'UTIHC03', 'Primary Childrens Medical Center', 'Nancy', 'L', 'Cantor', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1144243312', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007231', 'W11007231', 'UTIHC01', 'Ophthalmology', 'Robert', 'O', 'Hoffman', 'MD', 'Ophthalmology', 'Pediatric Ophthalmology', '', NULL, 'O', '100 N Mario Capecchi Dr Ste 3650', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015814955', NULL, '100 N Mario Capecchi Dr Ste 3650', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015814955', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1992895593', 0, 'N', 0, '2012-10-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007752', 'W11007752', 'UTIHC03', 'Primary Childrens Medical Center', 'Ronald', 'W', 'Day', '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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1780763359', 0, 'N', 0, '2013-07-08', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007722', 'W11007722', 'UTIHC03', 'Primary Childrens Medical Center', 'David', 'W', 'Branch', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1922012830', 0, 'N', 0, '2011-06-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007749', 'W11007749', 'UTIHC03', 'Primary Childrens Medical Center', 'Craig', 'M', 'Crookston', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005841', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007480', 'W11007480', 'UTIHC02', 'PCMC Rehab Ogden', 'Mary Ann', 'O', 'Anderson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-07-06', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487748489', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007974', 'W11007974', 'UTIHC03', 'Primary Childrens Medical Center', 'Peter', 'M', 'Stevens', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1881649929', 0, 'N', 0, '2014-01-31', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007479', 'W11007479', 'UTIHC02', 'PCMC Rehab Bountiful', 'Carey', 'M', 'Anderson', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518052075', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007743', 'W11007743', 'UTIHC03', 'Primary Childrens Medical Center', 'Jonel', 'M', 'Condra', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649365248', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008001', 'W11008001', 'UTIHC03', 'Primary Childrens Medical Center', 'Colin', 'B', 'Van Orman', 'MD', 'Pediatric Neurology', 'Neurology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1225117898', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008000', 'W11008000', 'UTIHC03', 'Primary Childrens Medical Center', 'Martin', 'J', 'Tristani-Firouzi', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-25', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1669551230', 0, 'N', 0, '2011-11-08', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007222', 'W11007222', 'UTIHC01', 'Consult Liaison', 'John', 'W', 'Harris Jr', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8012653142', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8012653142', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-03-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073609533', 0, 'N', 0, '2013-03-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007740', 'W11007740', 'UTIHC03', 'Primary Childrens Medical Center', 'Paul', 'David', 'Colte', 'PsyD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882698', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912055229', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007224', 'W11007224', 'UTIHC01', 'PCMC Rehab Bountiful', 'Julia', 'L', 'Haywood-Breault', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-04-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801803952', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007995', 'W11007995', 'UTIHC03', 'Primary Childrens Medical Center', 'Susan', 'J B', 'Tibbitts', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871500975', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007993', 'W11007993', 'UTIHC03', 'Primary Childrens Medical Center', 'Joel', 'A', 'Thompson', 'MD', 'Pediatric Neurology', 'Neurology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912071093', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007992', 'W11007992', 'UTIHC03', 'Primary Childrens Medical Center', 'Joel', 'A', 'Thompson', 'MD', 'Pediatric Neurology', 'Neurology', 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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-10-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912071093', 0, 'N', 0, '2012-10-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008006', 'W11008006', 'UTIHC03', 'Primary Childrens Medical Center', 'Marion', 'L', 'Walker', 'MD', 'Pediatric Neurosurgery', 'Pediatric Neurology', NULL, NULL, 'O', '100 N Mario Capecchi Dr Ste 2700', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883382', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1396854550', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008007', 'W11008007', 'UTIHC03', 'Primary Childrens Medical Center', 'Marion', 'L', 'Walker', 'MD', 'Pediatric Neurosurgery', 'Pediatric Neurology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883382', '', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883382', '', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1396854550', 0, 'N', 0, '2014-07-22', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007990', 'W11007990', 'UTIHC03', 'Primary Childrens Medical Center', 'Helene', 'Mary', 'Taylor', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1568470664', 0, 'N', 0, '2014-05-22', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007983', 'W11007983', 'UTIHC03', 'Primary Childrens Medical Center', 'Jason', 'T', 'Su', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-25', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1427137991', 0, 'N', 0, '2011-11-08', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008012', 'W11008012', 'UTIHC03', 'Primary Childrens Medical Center', 'Scott', 'B', 'Whittle', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015993938', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015993938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1346395795', 0, 'N', 0, '2013-09-03', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007217', 'W11007217', 'UTIHC01', 'PCMC Rehab Ogden', 'Trent', 'K', 'Gunnell', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2010-02-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427141068', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007227', 'W11007227', 'UTIHC01', 'Primary Childrens Medical Center', 'Bruce', 'E', 'Herman', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1326129115', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007988', 'W11007988', 'UTIHC03', 'Primary Childrens Medical Center', 'Allison', 'Rae', 'Tanner', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841389947', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007986', 'W11007986', 'UTIHC03', 'Primary Childrens Medical Center', 'Lloyd', 'Y', 'Tani', 'MD', 'Pediatric Cardiology', '', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326127994', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W11007054', 'W11007054', 'UT01', 'University Health Care', 'Larry', 'S', 'Green', 'MD', 'Cardiovascular Disease', 'Internal Medicine', 'Pediatric Cardiology', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-12-04', '2012-08-01', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1982635843', 0, 'N', 0, '2013-08-01', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008002', 'W11008002', 'UTIHC03', 'Primary Childrens Medical Center', 'Colin', 'B', 'Van Orman', 'MD', 'Pediatric Neurology', 'Neurology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1225117898', 0, 'N', 0, '2009-11-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007984', 'W11007984', 'UTIHC03', 'Primary Childrens Medical Center', 'Teresa', 'L', 'Such-Neibar', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1013924158', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007221', 'W11007221', 'UTIHC01', 'Safe and Healthy Families', 'Karen', 'K', 'Hansen', 'MD', 'Pediatrics', 'Child Protection and Family Health', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1093805699', 0, 'N', 0, '2012-10-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007982', 'W11007982', 'UTIHC03', 'Primary Childrens Medical Center', 'Nanette', 'L', 'Sturgill', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-12-04', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659387165', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007746', 'W11007746', 'UTIHC03', 'Primary Childrens Medical Center', 'Martina', 'H', 'Costello', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578657599', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008020', 'W11008020', 'UTIHC03', 'Primary Childrens Medical Center', 'Kevin', 'B', 'Worwood', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-07-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437243516', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('743134271', 'W11007056', 'W11007056', 'UT01', 'University Health Care', 'Larry', 'S', 'Green', 'MD', 'Cardiovascular Disease', 'Internal Medicine', 'Pediatric Cardiology', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625400', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2007-12-04', '2007-12-04', 0, NULL, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1982635843', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008010', 'W11008010', 'UTIHC03', 'Primary Childrens Medical Center', 'Howard', 'R', 'Weeks', 'MD', 'Mental Health', 'Pediatric Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-03-18', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1760570915', 0, 'N', 0, '2012-01-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007891', 'W11007891', 'UTIHC03', 'Primary Childrens Medical Center', 'Patricia', 'Klotz', 'Nations', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007793', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007173', 'W11007173', 'UTIHC01', 'PCMC Rehab Taylorsville', 'Natalie', 'Brooke', 'Edwards', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427279926', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007810', 'W11007810', 'UTIHC03', 'Primary Childrens Medical Center', 'Robert', 'O', 'Hoffman', 'MD', 'Ophthalmology', 'Pediatric Ophthalmology', '', NULL, 'O', '100 N Mario Capecchi Dr Ste 3650', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015814955', NULL, '100 N Mario Capecchi Dr Ste 3650', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015814955', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1992895593', 0, 'N', 0, '2012-10-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007881', 'W11007881', 'UTIHC03', 'Primary Childrens Medical Center', 'Nancy', 'A', 'Murray', 'AUD', 'Speech Therapy', 'Audiology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124035373', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007882', 'W11007882', 'UTIHC03', 'Primary Childrens Medical Center', 'Nancy', 'A', 'Murray', 'AUD', 'Speech Therapy', 'Audiology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124035373', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007883', 'W11007883', 'UTIHC03', 'Primary Childrens Medical Center', 'Nancy', 'A', 'Murray', 'AUD', 'Speech Therapy', 'Audiology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124035373', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007885', 'W11007885', 'UTIHC03', 'Primary Childrens Medical Center', 'Annette', 'G', 'Myers', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982798930', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007119', 'W11007119', 'UTIHC01', 'Primary Childrens Medical Center', 'David', 'J', 'Bradley', 'MD', 'Pediatric Cardiology', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184703654', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007903', 'W11007903', 'UTIHC03', 'Primary Childrens Medical Center', 'Wende', 'A', 'OBerg', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528152485', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007807', 'W11007807', 'UTIHC03', 'Primary Childrens Medical Center', 'Bruce', 'E', 'Herman', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1326129115', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007816', 'W11007816', 'UTIHC03', 'Primary Childrens Medical Center', 'M', 'Jocelyn', 'Jackman', 'APRN', 'Neonatology', 'Neonatal Nurse Practitioner', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-25', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770756199', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007892', 'W11007892', 'UTIHC03', 'Primary Childrens Medical Center', 'Patricia', 'Klotz', 'Nations', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N. Medical Drive', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007793', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007893', 'W11007893', 'UTIHC03', 'Primary Childrens Medical Center', 'Patricia', 'Klotz', 'Nations', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N. Medical Drive', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007793', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007894', 'W11007894', 'UTIHC03', 'Primary Childrens Medical Center', 'Patricia', 'Klotz', 'Nations', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N. Medical Drive', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007793', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007178', 'W11007178', 'UTIHC01', 'PCMC Rehab Taylorsville', 'Mary', 'L', 'Emerson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740374735', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007115', 'W11007115', 'UTIHC01', 'PCMC Rehab Ogden', 'Julie', 'A', 'Bouck', 'PT', 'Physical Therapy', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1801905831', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007899', 'W11007899', 'UTIHC03', 'Primary Childrens Medical Center', 'Jason', 'R', 'Norby', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2010-03-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861409047', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007804', 'W11007804', 'UTIHC03', 'Primary Childrens Medical Center', 'Julia', 'L', 'Haywood-Breault', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-04-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801803952', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007197', 'W11007197', 'UTIHC01', 'PCMC Rehab Sandy', 'Lori', 'McClure', 'Fox', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114935236', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007888', 'W11007888', 'UTIHC03', 'Primary Childrens Medical Center', 'Shelley', NULL, 'Nakasone', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649287731', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007826', 'W11007826', 'UTIHC03', 'Primary Childrens Medical Center', 'Victoria', 'E', 'Judd', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-07-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790864361', 0, 'Y', 0, '2012-07-06', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007148', 'W11007148', 'UTIHC01', 'Onc / BMT Dept PCMC', 'Paul', 'David', 'Colte', 'PsyD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882698', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912055229', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007841', 'W11007841', 'UTIHC03', 'Primary Childrens Medical Center', 'Lara', 'A', 'Leishman', 'PhD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1215197264', 0, 'N', 0, '2011-05-03', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007849', 'W11007849', 'UTIHC03', 'Primary Childrens Medical Center', 'Christopher', 'R', 'Mart', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-25', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1346329810', 0, 'N', 0, '2012-05-03', 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
('942854057', 'W11007149', 'W11007149', 'UTIHC01', 'PCMC Rehab Sandy', 'Jonel', 'M', 'Condra', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649365248', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007838', 'W11007838', 'UTIHC03', 'Primary Childrens Medical Center', 'Ranae', 'L', 'Layton', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013023225', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007853', 'W11007853', 'UTIHC03', 'Primary Childrens Medical Center', 'Lori', 'A', 'Maughan', 'OT', 'Occupational Therapy', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1316031289', 0, 'N', 0, '2013-05-17', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007154', 'W11007154', 'UTIHC01', 'PCMC Rehab Sandy', 'Martina', 'H', 'Costello', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578657599', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007857', 'W11007857', 'UTIHC03', 'Primary Childrens Medical Center', 'Deborah', 'L', 'Mennenga', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, 'Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1669493920', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007878', 'W11007878', 'UTIHC03', 'Primary Childrens Medical Center', 'Nancy', 'A', 'Murray', 'AUD', 'Speech Therapy', 'Audiology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1124035373', 0, 'N', 0, '2013-11-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007162', 'W11007162', 'UTIHC01', 'Cardiology', 'Ronald', 'W', 'Day', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1780763359', 0, 'Y', 0, '2013-07-08', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007122', 'W11007122', 'UTIHC01', 'Primary Childrens Medical Center', 'David', 'W', 'Branch', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1922012830', 0, 'N', 0, '2011-06-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007863', 'W11007863', 'UTIHC03', 'Primary Childrens Medical Center', 'Lois', 'LuAnn', 'Minich', 'MD', 'Pediatric Cardiology', '', '', 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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-25', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1578642146', 0, 'N', 0, '2012-05-03', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007164', 'W11007164', 'UTIHC01', 'Residential Treatment', 'Renae', '', 'Decker-Cahoon', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1699785824', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007129', 'W11007129', 'UTIHC01', 'Primary Childrens Medical Center', 'Nancy', 'L', 'Cantor', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1144243312', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007819', 'W11007819', 'UTIHC03', 'Primary Childrens Medical Center', 'William', 'Daniel', 'Jackson', 'MD', 'Pediatric Gastroenterology', '', '', 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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1417036088', 0, 'N', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007869', 'W11007869', 'UTIHC03', 'Primary Childrens Medical Center', 'Laura', 'R', 'Moncrief', 'AUD', 'Audiology', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073622049', 0, 'N', 0, '2013-05-17', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007817', 'W11007817', 'UTIHC03', 'Primary Childrens Medical Center', 'Adrienne', 'B', 'Jackson', 'AUD', 'Audiology', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624947', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624947', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1902087687', 0, 'N', 0, '2014-01-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007872', 'W11007872', 'UTIHC03', 'Primary Childrens Medical Center', 'Lisa', 'Morley', 'Quintana', 'PT', 'Physical Therapy', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1538278528', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007803', 'W11007803', 'UTIHC03', 'Primary Childrens Medical Center', 'John', 'W', 'Harris Jr', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8012653142', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8012653142', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-03-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073609533', 0, 'N', 0, '2013-03-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007158', 'W11007158', 'UTIHC01', 'Physical Therapy', 'Craig', 'M', 'Crookston', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005841', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007953', 'W11007953', 'UTIHC03', 'Primary Childrens Medical Center', 'Mark', 'G', 'Schwei', 'MD PHD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, 'Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1639199110', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007080', 'W11007080', 'UTIHC01', 'PCMC Rehab Bountiful', 'Carey', 'M', 'Anderson', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518052075', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007777', 'W11007777', 'UTIHC03', 'Primary Childrens Medical Center', 'Francis', 'M', 'Filloux', 'MD', 'Pediatric Neurology', 'Neurology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1942389515', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007776', 'W11007776', 'UTIHC03', 'Primary Childrens Medical Center', 'Francis', 'M', 'Filloux', 'MD', 'Pediatric Neurology', 'Neurology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1942389515', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007941', 'W11007941', 'UTIHC03', 'Primary Childrens Medical Center', 'Tera', 'C', 'Robinson', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1922192798', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007775', 'W11007775', 'UTIHC03', 'Primary Childrens Medical Center', 'Richard', 'C', 'Ferre', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1548283302', 0, 'N', 0, '2013-12-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007770', 'W11007770', 'UTIHC03', 'Primary Childrens Medical Center', 'Susan', 'P', 'Etheridge', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1952480527', 0, 'Y', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007945', 'W11007945', 'UTIHC03', 'Primary Childrens Medical Center', 'Amy', 'Jo', 'Rosello', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801953690', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007901', 'W11007901', 'UTIHC03', 'Primary Childrens Medical Center', 'Eve', NULL, 'Noren', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1285728113', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007765', 'W11007765', 'UTIHC03', 'Primary Childrens Medical Center', 'Mary', 'L', 'Emerson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740374735', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007693', 'W11007693', 'UTIHC03', 'Primary Childrens Medical Center', 'Shannon', 'L', 'Arnold', 'PT', 'Physical Therapy', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326132325', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007955', 'W11007955', 'UTIHC03', 'Primary Childrens Medical Center', 'Robert', 'E', 'Shaddy', 'MD', 'Pediatric Cardiology', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-01-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508975749', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007956', 'W11007956', 'UTIHC03', 'Primary Childrens Medical Center', 'L', 'Kristin H', 'Shadow', 'MD', 'Mental Health', 'Pediatric Psychiatry', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1922028497', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007209', 'W11007209', 'UTIHC01', 'Rehab', 'Judith', 'L', 'Gooch', 'MD', 'Physical Medicine and Rehabilitation', '', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1437268588', 0, 'N', 0, '2013-09-20', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007761', 'W11007761', 'UTIHC03', 'Primary Childrens Medical Center', 'Natalie', 'Brooke', 'Edwards', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427279926', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007959', 'W11007959', 'UTIHC03', 'Primary Childrens Medical Center', 'Kalomyra "Myra"', 'C', 'Shenk', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700970845', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007960', 'W11007960', 'UTIHC03', 'Primary Childrens Medical Center', 'Elizabeth', 'Anne', 'Siebert', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417041450', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007965', 'W11007965', 'UTIHC03', 'Primary Childrens Medical Center', 'Kirk', 'A', 'Simon', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-03-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1043399611', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007968', 'W11007968', 'UTIHC03', 'Primary Childrens Medical Center', 'Julien', 'T', 'Smith', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625982', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625982', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326069022', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007767', 'W11007767', 'UTIHC03', 'Primary Childrens Medical Center', 'Liane', 'C', 'Emmett', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624500', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-01-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083631428', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007793', 'W11007793', 'UTIHC03', 'Primary Childrens Medical Center', 'Judith', 'L', 'Gooch', 'MD', 'Physical Medicine and Rehabilitation', '', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1437268588', 0, 'N', 0, '2013-09-20', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007905', 'W11007905', 'UTIHC03', 'Primary Childrens Medical Center', 'Molly', 'A', 'O Gorman', 'MD', 'Pediatric Gastroenterology', '', '', 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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1144339391', 0, 'N', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007906', 'W11007906', 'UTIHC03', 'Primary Childrens Medical Center', 'Anne', 'M', 'O''Melia', 'MD', 'Mental Health', 'Pediatric Psychiatry', 'Pediatric Psychiatry', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-03-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619022738', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007104', 'W11007104', 'UTIHC01', 'Consult Liaison', 'Deborah', 'A', 'Bilder', 'MD', 'Mental Health', 'Psychiatry', 'Pediatrics', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-04-25', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1427084615', 0, 'N', 0, '2013-05-17', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007801', 'W11007801', 'UTIHC03', 'Primary Childrens Medical Center', 'Karen', 'K', 'Hansen', 'MD', 'Pediatrics', 'Child Protection and Family Health', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1093805699', 0, 'N', 0, '2012-10-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007094', 'W11007094', 'UTIHC01', 'PCMC Rehab Bountiful', 'Roxann', NULL, 'Beauregard', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-08-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568636439', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007088', 'W11007088', 'UTIHC01', 'Primary Childrens Medical Center', 'James', 'F', 'Bale', 'MD', 'Neurology', 'Pediatric Neurology', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1750460226', 0, 'N', 0, '2012-10-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007179', 'W11007179', 'UTIHC01', 'Hematology / Oncology', 'Liane', 'C', 'Emmett', 'APRN', 'Mental Health', 'Advanced Practice Registered Nurse', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624500', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-01-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083631428', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007182', 'W11007182', 'UTIHC01', 'Primary Childrens Medical Center', 'Susan', 'P', 'Etheridge', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1952480527', 0, 'Y', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007719', 'W11007719', 'UTIHC03', 'Primary Childrens Medical Center', 'David', 'J', 'Bradley', 'MD', 'Pediatric Cardiology', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184703654', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007085', 'W11007085', 'UTIHC01', 'PCMC Rehab Taylorsville', 'Shannon', 'L', 'Arnold', 'PT', 'Physical Therapy', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326132325', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007930', 'W11007930', 'UTIHC03', 'Primary Childrens Medical Center', 'Paula', 'J', 'Rasmussen', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821015710', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007188', 'W11007188', 'UTIHC01', 'Consult Liaison', 'Richard', 'C', 'Ferre', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2012-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1548283302', 0, 'N', 0, '2013-12-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007190', 'W11007190', 'UTIHC01', 'Primary Childrens Medical Center', 'Francis', 'M', 'Filloux', 'MD', 'Pediatric Neurology', 'Neurology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1942389515', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007191', 'W11007191', 'UTIHC01', 'Neurology', 'Francis', 'M', 'Filloux', 'MD', 'Pediatric Neurology', 'Neurology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1942389515', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007923', 'W11007923', 'UTIHC03', 'Primary Childrens Medical Center', 'Cache', 'L', 'Pitt', 'AUD', 'Audiology', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-06-03', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1871509356', 0, 'N', 0, '2013-12-02', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007781', 'W11007781', 'UTIHC03', 'Primary Childrens Medical Center', 'Lori', 'McClure', 'Fox', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114935236', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007928', 'W11007928', 'UTIHC03', 'Primary Childrens Medical Center', 'Michael', 'David', 'Puchalski', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-25', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1639258106', 0, 'N', 0, '2012-05-03', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007081', 'W11007081', 'UTIHC01', 'PCMC Rehab Ogden', 'Mary Ann', 'O', 'Anderson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-07-06', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487748489', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007969', 'W11007969', 'UTIHC03', 'Primary Childrens Medical Center', 'Patricia', 'A', 'Smith', 'PT', 'Physical Therapy', '', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1184852931', 0, 'N', 0, '2010-07-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007798', 'W11007798', 'UTIHC03', 'Primary Childrens Medical Center', 'Trent', 'K', 'Gunnell', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2010-02-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427141068', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007645', 'W11007645', 'UTIHC02', 'Consult Liaison', 'Kirk', 'A', 'Simon', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-03-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1043399611', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007595', 'W11007595', 'UTIHC02', 'PCMC Rehab Sandy', 'Annette', 'G', 'Myers', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982798930', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007631', 'W11007631', 'UTIHC02', 'PCMC Rehab Taylorsville', 'Amy', 'Jo', 'Rosello', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801953690', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007634', 'W11007634', 'UTIHC02', 'Consult Liaison', 'Mark', 'G', 'Schwei', 'MD PHD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-12-31', 0, 0, 0, 'Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1639199110', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007635', 'W11007635', 'UTIHC02', 'Primary Childrens Medical Center', 'Robert', 'E', 'Shaddy', 'MD', 'Pediatric Cardiology', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-01-21', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508975749', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007408', 'W11007408', 'UTIHC01', 'Primary Childrens Medical Center', 'Patricia', 'A', 'Smith', 'PT', 'Physical Therapy', '', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1184852931', 0, 'N', 0, '2010-07-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007637', 'W11007637', 'UTIHC02', 'Consult Liaison', 'L', 'Kristin H', 'Shadow', 'MD', 'Mental Health', 'Pediatric Psychiatry', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1922028497', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007407', 'W11007407', 'UTIHC01', 'Neuropsychology', 'Julien', 'T', 'Smith', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625982', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625982', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-10-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326069022', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007639', 'W11007639', 'UTIHC02', 'PCMC Rehab Taylorsville', 'Kalomyra "Myra"', 'C', 'Shenk', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700970845', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007414', 'W11007414', 'UTIHC01', 'Orthopedic Surgery', 'Peter', 'M', 'Stevens', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1881649929', 0, 'N', 0, '2014-01-31', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007306', 'W11007306', 'UTIHC01', 'PCMC Audiology', 'Nancy', 'A', 'Murray', 'AUD', 'Speech Therapy', 'Audiology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1124035373', 0, 'N', 0, '2013-11-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007626', 'W11007626', 'UTIHC02', 'PCMC Audiology', 'Paula', 'J', 'Rasmussen', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821015710', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007646', 'W11007646', 'UTIHC02', 'Neuropsychology', 'Julien', 'T', 'Smith', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625982', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625982', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326069022', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007647', 'W11007647', 'UTIHC02', 'Primary Childrens Medical Center', 'Patricia', 'A', 'Smith', 'PT', 'Physical Therapy', '', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1184852931', 0, 'N', 0, '2010-07-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007649', 'W11007649', 'UTIHC02', 'Orthopedic Surgery', 'Peter', 'M', 'Stevens', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1881649929', 0, 'N', 0, '2014-01-31', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007402', 'W11007402', 'UTIHC01', 'Consult Liaison', 'Kirk', 'A', 'Simon', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', '', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-03-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1043399611', 0, 'N', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007656', 'W11007656', 'UTIHC02', 'PCMC Audiology', 'Nanette', 'L', 'Sturgill', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-12-04', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659387165', 0, 'N', 0, '2012-09-13', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007657', 'W11007657', 'UTIHC02', 'Cardiology', 'Jason', 'T', 'Su', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-25', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1427137991', 0, 'N', 0, '2011-11-08', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007658', 'W11007658', 'UTIHC02', 'Rehab', 'Teresa', 'L', 'Such-Neibar', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1013924158', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007659', 'W11007659', 'UTIHC02', 'Cardiology', 'Lloyd', 'Y', 'Tani', 'MD', 'Pediatric Cardiology', '', '', 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', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326127994', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007641', 'W11007641', 'UTIHC02', 'PCMC Rehab Sandy', 'Elizabeth', 'Anne', 'Siebert', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417041450', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007611', 'W11007611', 'UTIHC02', 'Consult Liaison', 'Anne', 'M', 'O''Melia', 'MD', 'Mental Health', 'Pediatric Psychiatry', 'Pediatric Psychiatry', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883938', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', '2009-03-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619022738', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007597', 'W11007597', 'UTIHC02', 'PCMC Rehab Ogden', 'Shelley', NULL, 'Nakasone', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649287731', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007599', 'W11007599', 'UTIHC02', 'Inpatient', 'Patricia', 'Klotz', 'Nations', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007793', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007600', 'W11007600', 'UTIHC02', 'Inpatient', 'Patricia', 'Klotz', 'Nations', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N. Medical Drive', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007793', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007601', 'W11007601', 'UTIHC02', 'Inpatient', 'Patricia', 'Klotz', 'Nations', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N. Medical Drive', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007793', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007602', 'W11007602', 'UTIHC02', 'Inpatient', 'Patricia', 'Klotz', 'Nations', 'SLP', 'Speech Therapy', NULL, NULL, NULL, 'O', '100 N. Medical Drive', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624980', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007793', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007239', 'W11007239', 'UTIHC01', 'Primary Childrens Medical Center', 'M', 'Jocelyn', 'Jackman', 'APRN', 'Neonatology', 'Neonatal Nurse Practitioner', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-25', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770756199', 0, 'N', 0, '2008-10-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007428', 'W11007428', 'UTIHC01', 'PCMC Rehab Sandy', 'Allison', 'Rae', 'Tanner', 'SLP', 'Speech Therapy', 'Speech Language Pathology', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841389947', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007608', 'W11007608', 'UTIHC02', 'PCMC Rehab Sandy', 'Wende', 'A', 'OBerg', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528152485', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007629', 'W11007629', 'UTIHC02', 'PCMC Rehab Ogden', 'Tera', 'C', 'Robinson', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1922192798', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007610', 'W11007610', 'UTIHC02', 'Primary Childrens Medical Center', 'Molly', 'A', 'O Gorman', 'MD', 'Pediatric Gastroenterology', '', '', 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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1144339391', 0, 'N', 0, '2013-08-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007664', 'W11007664', 'UTIHC02', 'PCMC Rehab Taylorsville', 'Helene', 'Mary', 'Taylor', 'SLP', 'Speech Therapy', 'Speech Language Pathology', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2013-07-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1568470664', 0, 'N', 0, '2014-05-22', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007297', 'W11007297', 'UTIHC01', 'PCMC Audiology', 'Laura', 'R', 'Moncrief', 'AUD', 'Audiology', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624949', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073622049', 0, 'N', 0, '2013-05-17', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007425', 'W11007425', 'UTIHC01', 'Rehab', 'Teresa', 'L', 'Such-Neibar', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1013924158', 0, 'N', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11007424', 'W11007424', 'UTIHC01', 'Cardiology', 'Jason', 'T', 'Su', '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', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-08-01', '2011-04-25', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1427137991', 0, 'N', 0, '2011-11-08', NULL, NULL, 0, 0, NULL, NULL);
