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
('330988679', 'W11010639', 'W11010639', 'CADT01', 'Mancheva Village Square Dental Office', 'Zanka', 'Dimitrova', 'Mancheva', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1534 Encinitas  Blvd', 'Encinitas', 'San Diego', 'CA', '92024', '7609440453', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007411', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('270044793', 'W11009871', 'W11009871', 'CADT01', NULL, 'Carlos', 'R', 'Chong', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '142 Encinitas Blvd', 'Encinitas', 'San Diego', 'CA', '92024', '7606347980', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005686', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('203642955', 'W11009147', 'W11009147', 'CADT01', 'Park And Rygg Dental Corporation', 'Lance', 'Christian', 'Rygg', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1340 Encinitas Blvd Ste 100', 'Encinitas', 'San Diego', 'CA', '92024', '7609423900', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-12-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008518', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330809853', 'W11009072', 'W11009072', 'CADT01', 'Smile By Design', 'Greg', 'A', 'Mcelroy', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '740 Garden View Ct Ste 215', 'Encinitas', 'San Diego', 'CA', '92024', '7604799898', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007507', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('561158188', 'W11009181', 'W11009181', 'CADT01', NULL, 'Kurt', 'Martin', 'Schubert', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '856 N Coast Hwy 101', 'Encinitas', 'San Diego', 'CA', '92024', '7609439907', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008626', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('841205583', 'W11010776', 'W11010776', 'CADT01', NULL, 'Robert', 'Glen', 'Young', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '290-A El Camino Real', 'Encinitas', 'San Diego', 'CA', '92024', '7607536188', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-06-23', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009723', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('352171574', 'W11009235', 'W11009235', 'CADT01', 'San Diego Premier Dental', 'Farhad', NULL, 'Dena', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1403 Encinitas Blvd Ste D', 'Encinitas', 'San Diego', 'CA', '92024', '7609437788', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005949', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330606977', 'W11010817', 'W11010817', 'CADT01', NULL, 'Barnaby', 'Ira', 'Bender', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1293 Encinitas Blvd', 'Encinitas', 'San Diego', 'CA', '92024', '7609448313', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-02-24', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005259', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('352254659', 'W11009192', 'W11009192', 'CADT01', NULL, 'Aaron', 'Mario', 'Perez', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2240 Encinitas Blvd Ste E', 'Encinitas', 'San Diego', 'CA', '92024', '7604368234', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008131', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330937932', 'W11009957', 'W11009957', 'CADT01', NULL, 'James', 'A', 'Snow', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '156 N El Camino Real', 'Encinitas', 'San Diego', 'CA', '92024', '7604367222', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-05-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008792', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330939655', 'W11009246', 'W11009246', 'CADT01', NULL, 'Michael', 'D', 'Klein', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '227 N El Camino Real Ste 104', 'Encinitas', 'San Diego', 'CA', '92024', '7606342082', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-05-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007112', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('770625304', 'W11009708', 'W11009708', 'CADT01', NULL, 'Zobair', 'S', 'Baha', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '334 Encinitas Blvd', 'Encinitas', 'San Diego', 'CA', '92024', '7604365181', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-02-28', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005146', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('203642955', 'W11008475', 'W11008475', 'CADT01', 'Park And Rygg Dental Corporation', 'Hamid', 'Reza', 'Abedi', 'BDS', 'Endodontist', NULL, NULL, NULL, 'O', '1340 Encinitas Blvd Ste 100', 'Encinitas', 'San Diego', 'CA', '92024', '7609423900', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004889', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('721565730', 'W11009897', 'W11009897', 'CADT01', NULL, 'Tuan', 'M', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '473 Encinitas Blvd', 'Encinitas', 'San Diego', 'CA', '92024', '7606342024', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007868', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330991332', 'W11008492', 'W11008492', 'CADT01', NULL, 'Stuart', 'Dow Ming', 'Chang', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '290 N El Camino Real', 'Encinitas', 'San Diego', 'CA', '92024', '7607536188', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-05-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005645', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('203802451', 'W11009023', 'W11009023', 'CADT01', NULL, 'Nancy', NULL, 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '199 N El Camino Real Ste E', 'Encinitas', 'San Diego', 'CA', '92024', '7609447911', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-08-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007860', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('721565730', 'W11009898', 'W11009898', 'CADT01', NULL, 'Cathleen', 'A', 'Domingo-Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '473 Encinitas Blvd', 'Encinitas', 'San Diego', 'CA', '92024', '7606342024', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006004', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('270128720', 'W11008490', 'W11008490', 'CADT01', NULL, 'Michael', 'M', 'Tarighati', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '700 Garden View Ct Ste 200', 'Encinitas', 'San Diego', 'CA', '92024', '7609445588', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-05-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009004', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('203642955', 'W11008832', 'W11008832', 'CADT01', 'Park And Rygg Dental Corporation', 'Kouros', NULL, 'Izadi', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '1340 Encinitas Blvd Ste 100', 'Encinitas', 'San Diego', 'CA', '92024', '7609423900', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-04-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006888', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('202903564', 'W11008539', 'W11008539', 'CADT01', NULL, 'Gannon', 'Ka', 'Lee', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2240 Encinitas Blvd Ste E', 'Encinitas', 'San Diego', 'CA', '92024', '7604368234', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007242', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('680504157', 'W11009215', 'W11009215', 'CADT01', NULL, 'Jim', 'Sung Ho', 'Rhee', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '477 N El Camino Real Ste C 210', 'Encinitas', 'San Diego', 'CA', '92024', '7609438880', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-08-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008375', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('352254659', 'W11009190', 'W11009190', 'CADT01', NULL, 'Aaron', 'Mario', 'Perez', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '727 E Ohio Ave', 'Escondido', 'San Diego', 'CA', '92025', '7607353000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008131', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('710877675', 'W11009211', 'W11009211', 'CADT01', NULL, 'An', 'Hong', 'Vuong', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '639 S  Escondido Blvd', 'Escondido', 'San Diego', 'CA', '92025', '7604896197', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-09-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009466', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330619067', 'W11009787', 'W11009787', 'CADT01', NULL, 'Donald', 'C', 'Kellar', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '925 E Pennsylvania Ave Ste F', 'Escondido', 'San Diego', 'CA', '92025', '7607436969', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007056', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('651165326', 'W11008588', 'W11008588', 'CADT01', 'Escondido Dental Group', 'Kouros', NULL, 'Izadi', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '860 W Valley Pkwy Ste 100', 'Escondido', 'San Diego', 'CA', '92025', '7602332266', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006888', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('203599762', 'W11008922', 'W11008922', 'CADT01', 'Patricia Patino DDS', 'Stella', NULL, 'Patino', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '301 S Juniper St', 'Escondido', 'San Diego', 'CA', '92025', '7607405979', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008088', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('576311871', 'W11010658', 'W11010658', 'CADT01', NULL, 'Emilie', 'Santos', 'Pepper', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '899 E Grand Ave Ste A', 'Escondido', 'San Diego', 'CA', '92025', '7607381878', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2001-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008129', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953053161', 'W11010825', 'W11010825', 'CADT01', NULL, 'Robert', 'V', 'Reznichek', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '135 E Third Ave', 'Escondido', 'San Diego', 'CA', '92025', '7607451831', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-05-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008374', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008914', 'W11008914', 'CADT01', 'Cox Dental Corporation', 'Jon', 'Chen', 'Ou', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '636 N Escondido Blvd', 'Escondido', 'San Diego', 'CA', '92025', '7607431516', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008014', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('522378518', 'W11009183', 'W11009183', 'CADT01', NULL, 'Erol', 'S', 'Apaydin', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '850 E Grand Ave Ste B', 'Escondido', 'San Diego', 'CA', '92025', '7607411355', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005065', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330798052', 'W11010613', 'W11010613', 'CADT01', NULL, 'Jamshid', NULL, 'Khazian', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '727 E Grand Ave', 'Escondido', 'San Diego', 'CA', '92025', '7607387000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007081', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731639712', 'W11010611', 'W11010611', 'CADT01', NULL, 'Lotfali', NULL, 'Yari', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '230 E Fifth Ave', 'Escondido', 'San Diego', 'CA', '92025', '7607389595', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-06-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009700', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330987619', 'W11010609', 'W11010609', 'CADT01', 'All Smile Dental Corporation', 'Christy', 'Yan Ching', 'Chen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '205 W Mission Ave Ste V', 'Escondido', 'San Diego', 'CA', '92025', '7604892600', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-07-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005661', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330975517', 'W11009178', 'W11009178', 'CADT01', NULL, 'Bruce', 'C', 'Smith', 'DMD', 'Endodontist', NULL, NULL, NULL, 'O', '850 E Grand Ave Ste B', 'Escondido', 'San Diego', 'CA', '92025', '7607411355', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008756', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('392055248', 'W11008611', 'W11008611', 'CADT01', NULL, 'Norma', '', 'Martinez', 'DDS', 'Dentist', '', '', NULL, 'O', '840 E Grand Ave', 'Escondido', 'San Diego', 'CA', '92025', '7607432500', NULL, '840 E Grand Ave', 'Escondido', 'San Diego', 'CA', '92025', '7607432500', '', '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-08-31', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '0000007452', 0, 'N', 0, '2013-10-11', NULL, NULL, 0, 0, NULL, NULL),
('953654746', 'W11009170', 'W11009170', 'CADT01', NULL, 'David', 'Scott', 'Brunson', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '850 E Grand Ave Ste B', 'Escondido', 'San Diego', 'CA', '92025', '7607411355', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005459', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('954571944', 'W11010748', 'W11010748', 'CADT01', NULL, 'Leilani', 'Sazon', 'Alarcon', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '202 S Juniper 1', 'Escondido', 'San Diego', 'CA', '92025', '7607473140', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1998-10-27', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004947', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('651165326', 'W11008511', 'W11008511', 'CADT01', 'Escondido Dental Group', 'Liliana', NULL, 'Hernandez Esguerra', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '860 W Valley Pkwy Ste 100', 'Escondido', 'San Diego', 'CA', '92025', '7602332266', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-04-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006688', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('204628100', 'W11009046', 'W11009046', 'CADT01', NULL, 'Esam', 'Abou', 'Nahlah', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1201 E Valley Pkwy Ste 201', 'Escondido', 'San Diego', 'CA', '92027', '7608399112', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007784', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('330065869', 'W11008859', 'W11008859', 'CADT01', 'Western Dental Services', 'Mi Sung', NULL, 'Kim', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1468 E Valley Pkwy', 'Escondido', 'San Diego', 'CA', '92027', '7604808700', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007093', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('529666251', 'W11009000', 'W11009000', 'CADT01', NULL, 'Kent', 'Fred', 'Davis', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2335  E Valley Pkwy Ste C', 'Escondido', 'San Diego', 'CA', '92027', '7607419653', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005905', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('203729069', 'W11008834', 'W11008834', 'CADT01', NULL, 'William', 'Michael', 'Allen', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '304 E Mission Rd Ste E', 'Fallbrook', 'San Diego', 'CA', '92028', '7607282240', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004975', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('571725209', 'W11010833', 'W11010833', 'CADT01', NULL, 'Rosario', 'J', 'Desimone', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '577 E Elder St Ste A', 'Fallbrook', 'San Diego', 'CA', '92028', '7607230787', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-08-21', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005960', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330838981', 'W11009255', 'W11009255', 'CADT01', NULL, 'Quynh Thu', NULL, 'Thai', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '855 S Main Ave Ste J', 'Fallbrook', 'San Diego', 'CA', '92028', '7607238599', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-05-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009041', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330736186', 'W11010787', 'W11010787', 'CADT01', NULL, 'David', 'Robert', 'Plocki', 'DMD', 'Oral Surgeon', NULL, NULL, NULL, 'O', '111 W Mission Rd Ste A', 'Fallbrook', 'San Diego', 'CA', '92028', '7607231123', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '1999-11-08', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008220', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11009113', 'W11009113', 'CADT01', 'Cox Dental Corporation', 'Timothy', 'P', 'Rorman', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '3440 Del Lago Blvd Ste C', 'Escondido', 'San Diego', 'CA', '92029', '7607468777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008476', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11009112', 'W11009112', 'CADT01', 'Cox Dental Corporation', 'Frederick', 'White', 'Hammond', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '3440 Del Lago Blvd Ste C', 'Escondido', 'San Diego', 'CA', '92029', '7607468777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006547', 0, 'N', 0, '2008-08-25', 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
('911935627', 'W11010683', 'W11010683', 'CADT01', 'Del Lago Dental Group', 'Sharon', 'Camilo', 'Sampaga', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3440 Del Lago Blvd Ste C', 'Escondido', 'San Diego', 'CA', '92029', '7607468777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008564', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('911935627', 'W11010682', 'W11010682', 'CADT01', 'Del Lago Dental Group', 'Parag', 'S', 'Patel', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '3440 Del Lago Blvd Ste C', 'Escondido', 'San Diego', 'CA', '92029', '7607468777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008083', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11009111', 'W11009111', 'CADT01', 'Cox Dental Corporation', 'Carlo', NULL, 'Moreno', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3440 Del Lago Blvd Ste C', 'Escondido', 'San Diego', 'CA', '92029', '7607468777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007690', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('911935627', 'W11010768', 'W11010768', 'CADT01', 'Del Lago Dental Group', 'Charles', 'Ulumahiehie', 'Basso', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3440 Del Lago Blvd Ste C', 'Escondido', 'San Diego', 'CA', '92029', '7607468777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-01-18', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005214', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008921', 'W11008921', 'CADT01', 'Cox Dental Corporation', 'Jon', 'Chen', 'Ou', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '3440 Del Lago Blvd Ste C', 'Escondido', 'San Diego', 'CA', '92029', '7607468777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008014', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('553753610', 'W11010044', 'W11010044', 'CADT01', NULL, 'Junia', 'Prabhjot', 'Wadia', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1340 W Valley Pkwy Ste 205', 'Escondido', 'San Diego', 'CA', '92029', '7607474338', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009468', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008787', 'W11008787', 'CADT01', 'Cox Dental Corporation', 'Haris', NULL, 'Lakisic', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '3440 Del Lago Blvd Ste C', 'Escondido', 'San Diego', 'CA', '92029', '7607468777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-06-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007181', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11009114', 'W11009114', 'CADT01', 'Cox Dental Corporation', 'Paul', NULL, 'Anderson', 'DMD', 'Oral Surgeon', 'Dentist', NULL, NULL, 'O', '3440 Del Lago Blvd Ste C', 'Escondido', 'San Diego', 'CA', '92029', '7607468777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005032', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11010232', 'W11010232', 'CADT01', 'Smilecare', 'Wael', NULL, 'Oweity', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008016', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010231', 'W11010231', 'CADT01', 'Smilecare', 'Wael', NULL, 'Oweity', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008016', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010091', 'W11010091', 'CADT01', 'Smilecare', 'Hesham', 'Mahmoud', 'Hassan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006611', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009206', 'W11009206', 'CADT01', 'Smilecare', 'David', 'A', 'Buchan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005464', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010387', 'W11010387', 'CADT01', 'Smilecare', 'Andrew', NULL, 'Huang', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006792', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010224', 'W11010224', 'CADT01', 'Smilecare', 'Myat', NULL, 'Htoo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006791', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010420', 'W11010420', 'CADT01', 'Smilecare', 'Samer', NULL, 'Hamza', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006554', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010223', 'W11010223', 'CADT01', 'Smilecare', 'Myat', NULL, 'Htoo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006791', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010419', 'W11010419', 'CADT01', 'Smilecare', 'Samer', NULL, 'Hamza', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006554', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009163', 'W11009163', 'CADT01', 'Smilecare', 'Violet', NULL, 'Baitchev', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005160', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010083', 'W11010083', 'CADT01', 'Smilecare', 'Omeed', 'Butrus', 'Toma', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009127', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009162', 'W11009162', 'CADT01', 'Smilecare', 'Violet', NULL, 'Baitchev', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005160', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010396', 'W11010396', 'CADT01', 'Smilecare', 'Ashley', 'H', 'Ho', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006733', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010075', 'W11010075', 'CADT01', 'Smilecare', 'Maryam', NULL, 'Bagheri', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005145', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009293', 'W11009293', 'CADT01', 'Smilecare', 'Vinh', NULL, 'Le', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007232', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010076', 'W11010076', 'CADT01', 'Smilecare', 'Maryam', NULL, 'Bagheri', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005145', 0, 'N', 0, '2008-08-25', 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
('953542081', 'W11010215', 'W11010215', 'CADT01', 'Smilecare', 'Najlaa', 'F', 'Dawood', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005916', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010108', 'W11010108', 'CADT01', 'Smilecare', 'Coracel', 'Suratos', 'Templo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009031', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010214', 'W11010214', 'CADT01', 'Smilecare', 'Najlaa', 'F', 'Dawood', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005916', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010203', 'W11010203', 'CADT01', 'Smilecare', 'Dhafir', 'Jalal', 'Petros', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008167', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010204', 'W11010204', 'CADT01', 'Smilecare', 'Dhafir', 'Jalal', 'Petros', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008167', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010394', 'W11010394', 'CADT01', 'Smilecare', 'Ashley', 'H', 'Ho', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006733', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010084', 'W11010084', 'CADT01', 'Smilecare', 'Omeed', 'Butrus', 'Toma', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009127', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010107', 'W11010107', 'CADT01', 'Smilecare', 'Coracel', 'Suratos', 'Templo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009031', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009161', 'W11009161', 'CADT01', 'Smilecare', 'Bita', NULL, 'Moghaddas', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007657', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010427', 'W11010427', 'CADT01', 'Smilecare', 'Lei', NULL, 'Zeng', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009741', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010151', 'W11010151', 'CADT01', 'Smilecare', 'Hsiao', 'Y', 'Meng', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-01-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007568', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009325', 'W11009325', 'CADT01', 'Smilecare', 'Shadi', NULL, 'Hamidkhani', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006544', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010150', 'W11010150', 'CADT01', 'Smilecare', 'Hsiao', 'Y', 'Meng', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-01-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007568', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009992', 'W11009992', 'CADT01', 'Smilecare', 'Madhavi', 'R', 'Setty', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008662', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010031', 'W11010031', 'CADT01', 'Smilecare', 'Raju', 'Y', 'Reddy', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008345', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010617', 'W11010617', 'CADT01', 'Smilecare', 'Warren', NULL, 'Dean', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005928', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009333', 'W11009333', 'CADT01', 'Smilecare', 'Horst', 'G', 'Dzuira', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006071', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009398', 'W11009398', 'CADT01', 'Smilecare', 'Eugene', NULL, 'Pylen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008289', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009341', 'W11009341', 'CADT01', 'Smilecare', 'Sean', NULL, 'Daniels', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005883', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11010488', 'W11010488', 'CADT01', 'Smilecare', 'James', NULL, 'Bailey', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005150', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010472', 'W11010472', 'CADT01', 'Smilecare', 'Brenda', NULL, 'Caillouel', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005522', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010378', 'W11010378', 'CADT01', 'Smilecare', 'Robert', 'Michael', 'Jones', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006993', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010297', 'W11010297', 'CADT01', 'Smilecare', 'Marjan', NULL, 'Mohammadi', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007658', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010240', 'W11010240', 'CADT01', 'Smilecare', 'Mohammad', NULL, 'Bustati', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005499', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010305', 'W11010305', 'CADT01', 'Smilecare', 'Sudabeh', NULL, 'Moavenian', 'DMD', 'Periodontist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007653', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010306', 'W11010306', 'CADT01', 'Smilecare', 'Sudabeh', NULL, 'Moavenian', 'DMD', 'Periodontist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007653', 0, 'N', 0, '2008-08-25', 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
('953542081', 'W11010353', 'W11010353', 'CADT01', 'Smilecare', 'Liliana', 'Gaby', 'Khabbaz', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007078', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010249', 'W11010249', 'CADT01', 'Smilecare', 'David', NULL, 'Noriega', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007894', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010250', 'W11010250', 'CADT01', 'Smilecare', 'David', NULL, 'Noriega', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007894', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010497', 'W11010497', 'CADT01', 'Smilecare', 'Vahid', NULL, 'Babaeian', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005137', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010354', 'W11010354', 'CADT01', 'Smilecare', 'Liliana', 'Gaby', 'Khabbaz', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007078', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010298', 'W11010298', 'CADT01', 'Smilecare', 'Marjan', NULL, 'Mohammadi', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007658', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010473', 'W11010473', 'CADT01', 'Smilecare', 'Brenda', NULL, 'Caillouel', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005522', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010346', 'W11010346', 'CADT01', 'Smilecare', 'Gordon', NULL, 'Kilmer', 'DMD', 'Orthodontist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007087', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010369', 'W11010369', 'CADT01', 'Smilecare', 'Armaghan', NULL, 'Kayhan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007046', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010464', 'W11010464', 'CADT01', 'Smilecare', 'Van', NULL, 'Dang', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005881', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010465', 'W11010465', 'CADT01', 'Smilecare', 'Van', NULL, 'Dang', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005881', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010505', 'W11010505', 'CADT01', 'Smilecare', 'Nazanin', NULL, 'Alameh Zadeh', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004945', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010313', 'W11010313', 'CADT01', 'Smilecare', 'Fariba', NULL, 'Matinfar', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007472', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010257', 'W11010257', 'CADT01', 'Smilecare', 'Gloria', NULL, 'Nollie', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007890', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010345', 'W11010345', 'CADT01', 'Smilecare', 'Gordon', NULL, 'Kilmer', 'DMD', 'Orthodontist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007087', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010314', 'W11010314', 'CADT01', 'Smilecare', 'Fariba', NULL, 'Matinfar', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007472', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010258', 'W11010258', 'CADT01', 'Smilecare', 'Gloria', NULL, 'Nollie', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', 'Bldg 1377 Area 13', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7603850096', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007890', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010260', 'W11010260', 'CADT01', 'Smilecare', 'Duc', 'Hoang', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007848', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010504', 'W11010504', 'CADT01', 'Smilecare', 'Nazanin', NULL, 'Alameh Zadeh', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004945', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010496', 'W11010496', 'CADT01', 'Smilecare', 'Vahid', NULL, 'Babaeian', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005137', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010338', 'W11010338', 'CADT01', 'Smilecare', 'John', 'J', 'Kirby', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', 'Pacific Plaza Bldg 20845 Ste 109 MARINE CORPS BASE', 'Camp Pendleton', 'San Diego', 'CA', '92055', '7604304445', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007105', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008852', 'W11008852', 'CADT01', 'Western Dental Services', 'Duy', 'Duc', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3125 Vista Way Ste 100', 'Oceanside', 'San Diego', 'CA', '92056', '7604391000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007850', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008853', 'W11008853', 'CADT01', 'Western Dental Services', 'Michael', 'E', 'Koury', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '3125 Vista Way Ste 100', 'Oceanside', 'San Diego', 'CA', '92056', '7604391000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007151', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953758951', 'W11008595', 'W11008595', 'CADT01', NULL, 'Brian', 'David', 'Mudd', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '3909 Waring Rd Ste D', 'Oceanside', 'San Diego', 'CA', '92056', '7609459011', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007753', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008847', 'W11008847', 'CADT01', 'Western Dental Services', 'Naina', 'B', 'Mamtora', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3125 Vista Way Ste 100', 'Oceanside', 'San Diego', 'CA', '92056', '7604391000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007410', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330858425', 'W11010816', 'W11010816', 'CADT01', 'Dentistry 2000', 'Alireza', NULL, 'Assadian', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3529 Cannon Rd Ste 2G', 'Oceanside', 'San Diego', 'CA', '92056', '7609457000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-08-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005108', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330787429', 'W11010754', 'W11010754', 'CADT01', 'Mira Costa Dental', 'Angela', 'Teresita', 'Duenes', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3502 College Blvd Ste B', 'Oceanside', 'San Diego', 'CA', '92056', '7609417502', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1998-08-14', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006044', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330931903', 'W11010558', 'W11010558', 'CADT01', NULL, 'Thomas', 'William', 'Maddocks', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1976 College Blvd', 'Oceanside', 'San Diego', 'CA', '92056', '7607589400', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-02-28', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007388', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('330361224', 'W11010819', 'W11010819', 'CADT01', NULL, 'Steven', 'M', 'Shevinsky', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1530 Main St Ste 17', 'Ramona', 'San Diego', 'CA', '92065', '7607898060', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-06-29', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008699', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('542172630', 'W11009029', 'W11009029', 'CADT01', 'Doctor Minter And Macias General Partners', 'Amber', 'C', 'Moore', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '425 10Th St Ste B', 'Ramona', 'San Diego', 'CA', '92065', '7607890170', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007677', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953684279', 'W11010763', 'W11010763', 'CADT01', NULL, 'Leticia', 'C', 'Bowen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1039 D St Ste 11', 'Ramona', 'San Diego', 'CA', '92065', '7607899500', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1998-07-09', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005377', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('770474394', 'W11010524', 'W11010524', 'CADT01', NULL, 'Rasika', NULL, 'Jain', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '630 Nordahl Rd Ste D', 'San Marcos', 'San Diego', 'CA', '92069', '7604801750', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006906', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953053161', 'W11010824', 'W11010824', 'CADT01', NULL, 'Robert', 'V', 'Reznichek', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '245 N Rancho Santa Fe Rd', 'San Marcos', 'San Diego', 'CA', '92069', '7607451835', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-05-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008374', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330606014', 'W11010826', 'W11010826', 'CADT01', NULL, 'Michael', 'K', 'Koceja', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1511 Grand Ave', 'San Marcos', 'San Diego', 'CA', '92069', '7607448450', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-10-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007125', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('364531944', 'W11010544', 'W11010544', 'CADT01', NULL, 'Nirav', 'H', 'Shah', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '467 N Twin Oaks Valley Rd', 'San Marcos', 'San Diego', 'CA', '92069', '7607443385', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008669', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('208199051', 'W11008779', 'W11008779', 'CADT01', 'Family Dental Of San Marcos', 'Peter', 'Baduc', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '100 N Rancho Santa Fe Rd Ste 123', 'San Marcos', 'San Diego', 'CA', '92069', '7605979999', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', '2008-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007861', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330786701', 'W11010827', 'W11010827', 'CADT01', 'Molar Enterprises', 'Michael', 'A', 'Novikoff', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '277 S Rancho Santa Fe Rd Ste J', 'San Marcos', 'San Diego', 'CA', '92069', '7607448314', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-02-23', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007915', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('208017110', 'W11008451', 'W11008451', 'CADT01', NULL, 'Jorge', 'A', 'Urrea', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '100 N Rancho Santa Fe Rd Ste 123', 'San Marcos', 'San Diego', 'CA', '92069', '7607343660', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-08-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009340', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('563703947', 'W11010828', 'W11010828', 'CADT01', NULL, 'David', 'Stanley', 'Banks', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '333 S Rancho Santa Fe Rd', 'San Marcos', 'San Diego', 'CA', '92069', '7607443693', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-10-17', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005178', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330641277', 'W11010686', 'W11010686', 'CADT01', NULL, 'Patricia', 'Lynn', 'Yoshida', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '365 S Rancho Santa Fe Rd Ste 105', 'San Marcos', 'San Diego', 'CA', '92069', '7604719560', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009713', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('602783477', 'W11009770', 'W11009770', 'CADT01', NULL, 'Anitha', NULL, 'Krishnan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '740 Nordahl Rd Ste 121', 'San Marcos', 'San Diego', 'CA', '92069', '7607467008', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007154', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330567682', 'W11010796', 'W11010796', 'CADT01', NULL, 'Raul', 'Enrique', 'Escalante', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '758 S Rancho Santa Fe Rd', 'San Marcos', 'San Diego', 'CA', '92069', '7607341462', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1998-06-26', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006151', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330903216', 'W11008558', 'W11008558', 'CADT01', NULL, 'William', 'S', 'Kachele', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '751 Rancheros Dr Ste 3', 'San Marcos', 'San Diego', 'CA', '92069', '7604717115', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007018', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330641277', 'W11010684', 'W11010684', 'CADT01', NULL, 'Stephen', 'Francis', 'Mann', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '365 S Rancho Santa Fe Rd Ste 105', 'San Marcos', 'San Diego', 'CA', '92069', '7604719560', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007415', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330641277', 'W11010835', 'W11010835', 'CADT01', NULL, 'Michael', 'J', 'Nelson', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '365 S Rancho Santa Fe Rd Ste 105', 'San Marcos', 'San Diego', 'CA', '92069', '7604719560', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-08-21', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007815', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('200917538', 'W11009842', 'W11009842', 'CADT01', 'San Marcos Dental Group', 'Darin', 'S', 'Reagan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '709 Ctr Dr Ste 101', 'San Marcos', 'San Diego', 'CA', '92069', '7607462045', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008338', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330964692', 'W11009931', 'W11009931', 'CADT01', 'Hurt Dental', 'Gregory', 'Allen', 'Hurt', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '162 S Rancho Santa Fe Rd', 'San Marcos', 'San Diego', 'CA', '92069', '7607344311', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-06-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006815', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('200917538', 'W11008481', 'W11008481', 'CADT01', 'San Marcos Dental Group', 'Hamid', 'Reza', 'Abedi', 'BDS', 'Endodontist', NULL, NULL, NULL, 'O', '709 Ctr Dr Ste 101', 'San Marcos', 'San Diego', 'CA', '92069', '7607462045', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004889', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('547632861', 'W11010713', 'W11010713', 'CADT01', NULL, 'Rima', 'C', 'Shahhal', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '740 Nordahl Rd Ste 121', 'San Marcos', 'San Diego', 'CA', '92069', '7607467008', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-09-18', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008671', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('200917538', 'W11009208', 'W11009208', 'CADT01', 'San Marcos Dental Group', 'Kouros', NULL, 'Izadi', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '709 Ctr Dr Ste 101', 'San Marcos', 'San Diego', 'CA', '92069', '7607462045', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006888', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('432023642', 'W11010043', 'W11010043', 'CADT01', NULL, 'Anna', 'V', 'Durkin', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1344 E Mission Rd Ste C', 'San Marcos', 'San Diego', 'CA', '92069', '7607400070', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006064', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('200917538', 'W11009210', 'W11009210', 'CADT01', 'San Marcos Dental Group', 'Liliana', NULL, 'Hernandez Esguerra', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '709 Ctr Dr Ste 101', 'San Marcos', 'San Diego', 'CA', '92069', '7607462045', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-09-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006688', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330853076', 'W11010198', 'W11010198', 'CADT01', 'Parisa Dental Care', 'Parisa', NULL, 'Rahmanian', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1001 W San Marcos Blvd Ste 106 C', 'San Marcos', 'San Diego', 'CA', '92069', '7607442168', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008305', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870690293', 'W11009212', 'W11009212', 'CADT01', 'Town Center Dental Group', 'Keyoumars', NULL, 'Izadi', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '9862 E Mission Gorge Rd Ste E', 'Santee', 'San Diego', 'CA', '92071', '6195961600', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006887', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('770691872', 'W11008538', 'W11008538', 'CADT01', NULL, 'Michael', 'T', 'Cornell', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '9715 Mission Jorge Rd', 'Santee', 'San Diego', 'CA', '92071', '6194487444', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005803', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('770691872', 'W11008614', 'W11008614', 'CADT01', NULL, 'Charles', 'Simms', 'Nicholson', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '9717  Mission Gorge Rd', 'Santee', 'San Diego', 'CA', '92071', '6194494700', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007874', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('261928752', 'W11008509', 'W11008509', 'CADT01', NULL, 'Parmis', 'S', 'Sionit', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '246 Town Ctr Pkwy', 'Santee', 'San Diego', 'CA', '92071', '6193126006', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008733', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953292813', 'W11009230', 'W11009230', 'CADT01', NULL, 'Walter', 'James', 'Drexl', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '8760 Cuyamaca St Ste 205', 'Santee', 'San Diego', 'CA', '92071', '6192588824', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-06-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006035', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870690293', 'W11009843', 'W11009843', 'CADT01', 'Town Center Dental Group', 'Lance', 'Christian', 'Rygg', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '9862 E Mission Gorge Rd Ste E', 'Santee', 'San Diego', 'CA', '92071', '6195961600', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008518', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('392072697', 'W11008484', 'W11008484', 'CADT01', NULL, 'James', 'Curran', 'Byrne', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '9460 Cuyamaca St Ste 101', 'Santee', 'San Diego', 'CA', '92071', '6195961128', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-06-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005509', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('204294554', 'W11009073', 'W11009073', 'CADT01', NULL, 'Albert', 'E', 'Klitzke', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8790 Cuyamaca St Ste E', 'Santee', 'San Diego', 'CA', '92071', '6195960144', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007113', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330263779', 'W11008552', 'W11008552', 'CADT01', NULL, 'Edward', 'T', 'Reidy', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '9280 Mast Blvd', 'Santee', 'San Diego', 'CA', '92071', '6194498530', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-12-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008352', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330451409', 'W11010651', 'W11010651', 'CADT01', NULL, 'Byron', NULL, 'Cosgrove', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '9850 Magnolia Ave', 'Santee', 'San Diego', 'CA', '92071', '6194486113', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2001-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005808', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330939881', 'W11010614', 'W11010614', 'CADT01', NULL, 'Charles', 'Daniel', 'Schlesinger', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8790 Cuyamaca St Ste E', 'Santee', 'San Diego', 'CA', '92071', '6195960144', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008616', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('261928752', 'W11008530', 'W11008530', 'CADT01', NULL, 'Lance', 'Christian', 'Rygg', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '246 Town Ctr Pkwy', 'Santee', 'San Diego', 'CA', '92071', '6193126006', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-02-29', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008518', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870690293', 'W11008477', 'W11008477', 'CADT01', 'Town Center Dental Group', 'Hamid', 'Reza', 'Abedi', 'BDS', 'Endodontist', NULL, NULL, NULL, 'O', '9862 E Mission Gorge Rd Ste E', 'Santee', 'San Diego', 'CA', '92071', '6195961600', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004889', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('204982439', 'W11008907', 'W11008907', 'CADT01', 'Tiner Dental Group', 'Manuel', NULL, 'Lopez', 'MD', 'Dentist', NULL, NULL, NULL, 'O', '985  S Santa Fe Ave Ste 5', 'ViSta', 'San Diego', 'CA', '92083', '7609408410', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000130040', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('205672837', 'W11008954', 'W11008954', 'CADT01', 'Rodgers Abd Do Professional Dental Group', 'Darren', 'T', 'Do', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '320 Sycamore Ave Ste 60', 'ViSta', 'San Diego', 'CA', '92083', '7609456043', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-12-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005993', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('205672837', 'W11008486', 'W11008486', 'CADT01', 'Rodgers Abd Do Professional Dental Group', 'Hamid', 'Reza', 'Abedi', 'BDS', 'Endodontist', NULL, NULL, NULL, 'O', '320 Sycamore Ave Ste 60', 'ViSta', 'San Diego', 'CA', '92083', '7609456043', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004889', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('205672837', 'W11008963', 'W11008963', 'CADT01', 'Rodgers Abd Do Professional Dental Group', 'Liliana', NULL, 'Hernandez Esguerra', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '320 Sycamore Ave Ste 60', 'ViSta', 'San Diego', 'CA', '92083', '7609456043', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-12-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006688', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('204982439', 'W11008896', 'W11008896', 'CADT01', 'Tiner Dental Group', 'Nader', NULL, 'Baydoun', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '985  S Santa Fe Ave Ste 5', 'ViSta', 'San Diego', 'CA', '92083', '7609408410', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-28', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005233', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330690778', 'W11009157', 'W11009157', 'CADT01', 'Mirhadi Management', 'Ray', NULL, 'Derakhshan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '610 S Melrose Dr', 'ViSta', 'San Diego', 'CA', '92083', '7609419000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005956', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('204982439', 'W11008893', 'W11008893', 'CADT01', 'Tiner Dental Group', 'Juilet', 'Haghigat', 'Hananian', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '985  S Santa Fe Ave Ste 5', 'ViSta', 'San Diego', 'CA', '92083', '7609408410', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-28', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006557', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330910618', 'W11010154', 'W11010154', 'CADT01', 'Vista Family Dental Group', 'Mehmood', 'Fatehali', 'Manji', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '985 S Santa Fe Ave Ste 5', 'ViSta', 'San Diego', 'CA', '92083', '7609408410', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007414', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330910618', 'W11010153', 'W11010153', 'CADT01', 'Vista Family Dental Group', 'Kari', NULL, 'Nguyen', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '985 S Santa Fe Ave Ste 5', 'ViSta', 'San Diego', 'CA', '92083', '7609408410', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007854', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('743169051', 'W11009015', 'W11009015', 'CADT01', NULL, 'Dayana', 'N', 'Coffler', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '1235 W Vista Way Ste A', 'ViSta', 'San Diego', 'CA', '92083', '7602267777', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005752', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('431981848', 'W11009234', 'W11009234', 'CADT01', 'Dynamic Dental', 'Tenette', 'Serrano', 'Trevino', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '161 Thunder Dr Ste 211', 'ViSta', 'San Diego', 'CA', '92083', '7606310454', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009177', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330690778', 'W11009158', 'W11009158', 'CADT01', 'Mirhadi Management', 'Gerald', 'R', 'Moore', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '610 S Melrose Dr', 'ViSta', 'San Diego', 'CA', '92083', '7609419000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007680', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('204982439', 'W11009020', 'W11009020', 'CADT01', 'Tiner Dental Group', 'Kirk', 'Elliott', 'Tiner', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '985  S Santa Fe Ave Ste 5', 'ViSta', 'San Diego', 'CA', '92083', '7609408410', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-08-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009106', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11010230', 'W11010230', 'CADT01', 'Smilecare', 'Wael', NULL, 'Oweity', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008016', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009792', 'W11009792', 'CADT01', 'Smilecare', 'Adora', 'A', 'Okam', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-12-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007946', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009290', 'W11009290', 'CADT01', 'Smilecare', 'Jin Song', NULL, 'Yom', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009710', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009816', 'W11009816', 'CADT01', 'Smilecare', 'Babak', NULL, 'Shemirani', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-12-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008691', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010344', 'W11010344', 'CADT01', 'Smilecare', 'Gordon', NULL, 'Kilmer', 'DMD', 'Orthodontist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007087', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010256', 'W11010256', 'CADT01', 'Smilecare', 'Gloria', NULL, 'Nollie', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007890', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010434', 'W11010434', 'CADT01', 'Smilecare', 'Gabriel', NULL, 'Gabbaypour', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006335', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009829', 'W11009829', 'CADT01', 'Smilecare', 'Yen', 'H', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007869', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010049', 'W11010049', 'CADT01', 'Smilecare', 'Reza', NULL, 'Nazari', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007799', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009798', 'W11009798', 'CADT01', 'Smilecare', 'Jose', 'E', 'De Luna', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-12-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005925', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010106', 'W11010106', 'CADT01', 'Smilecare', 'Coracel', 'Suratos', 'Templo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009031', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010503', 'W11010503', 'CADT01', 'Smilecare', 'Nazanin', NULL, 'Alameh Zadeh', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004945', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008799', 'W11008799', 'CADT01', 'Smilecare', 'Mercedes', NULL, 'Lau', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007211', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330980512', 'W11009837', 'W11009837', 'CADT01', NULL, 'Ruth', 'Irene', 'Drago', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '951 E Vista Way', 'ViSta', 'San Diego', 'CA', '92084', '7607321428', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006025', 0, 'N', 0, '2008-08-25', 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
('201178061', 'W11008577', 'W11008577', 'CADT01', 'Vista Dental Group', 'Kouros', NULL, 'Izadi', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '435 S Melrose Dr Ste 105', 'ViSta', 'San Diego', 'CA', '92084', '7607587580', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006888', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009762', 'W11009762', 'CADT01', 'Smilecare', 'Bita', NULL, 'Moghaddas', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007657', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009823', 'W11009823', 'CADT01', 'Smilecare', 'Kent', 'Carl', 'Meierhenry', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007555', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010248', 'W11010248', 'CADT01', 'Smilecare', 'David', NULL, 'Noriega', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007894', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010265', 'W11010265', 'CADT01', 'Smilecare', 'Nam', 'Dai', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007859', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010066', 'W11010066', 'CADT01', 'Smilecare', 'Trang', 'Huyen', 'To', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009109', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009298', 'W11009298', 'CADT01', 'Smilecare', 'Vinh', NULL, 'Le', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007232', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010518', 'W11010518', 'CADT01', 'Smilecare', 'Emmanuel', NULL, 'Aguilar', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004933', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009338', 'W11009338', 'CADT01', 'Smilecare', 'Horst', 'G', 'Dzuira', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006071', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009869', 'W11009869', 'CADT01', 'Smilecare', 'Suong', 'T', 'Le', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007230', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009330', 'W11009330', 'CADT01', 'Smilecare', 'Shadi', NULL, 'Hamidkhani', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006544', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009346', 'W11009346', 'CADT01', 'Smilecare', 'Sean', NULL, 'Daniels', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005883', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010487', 'W11010487', 'CADT01', 'Smilecare', 'James', NULL, 'Bailey', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005150', 0, 'N', 0, '2008-08-25', 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
('953542081', 'W11010141', 'W11010141', 'CADT01', 'Smilecare', 'Nazanin', NULL, 'Attaie', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-01-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005119', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009322', 'W11009322', 'CADT01', 'Smilecare', 'Mohamed', 'A', 'Hassan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006612', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009749', 'W11009749', 'CADT01', 'Smilecare', 'Hoa', 'Vincent', 'Lai', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007178', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010038', 'W11010038', 'CADT01', 'Smilecare', 'Luan', 'D', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007858', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009863', 'W11009863', 'CADT01', 'Smilecare', 'Fred', NULL, 'Ou Yang', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008015', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('124405330', 'W11010818', 'W11010818', 'CADT01', NULL, 'Martin', 'J', 'Hodes', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '203 E Broadway', 'ViSta', 'San Diego', 'CA', '92084', '7609406076', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1998-07-20', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006740', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009314', 'W11009314', 'CADT01', 'Smilecare', 'Anthony', 'S', 'Moscato', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007712', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009755', 'W11009755', 'CADT01', 'Smilecare', 'Hien', 'Tam', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007852', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010328', 'W11010328', 'CADT01', 'Smilecare', 'Michael', 'E', 'Koury', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007151', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009395', 'W11009395', 'CADT01', 'Smilecare', 'Saghi', 'Shayan', 'Razi', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008336', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010011', 'W11010011', 'CADT01', 'Smilecare', 'Michael', 'D', 'Thai', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009040', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010409', 'W11010409', 'CADT01', 'Smilecare', 'Abbas', NULL, 'Hariri', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006583', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009379', 'W11009379', 'CADT01', 'Smilecare', 'Roanna', 'M', 'Siangio', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008713', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009506', 'W11009506', 'CADT01', 'Smilecare', 'Sussan', NULL, 'Changizi', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005647', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010320', 'W11010320', 'CADT01', 'Smilecare', 'Aiham', NULL, 'Machhadani', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007378', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009713', 'W11009713', 'CADT01', 'Smilecare', 'Vazrick', NULL, 'Navasartian', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-02-28', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007797', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009371', 'W11009371', 'CADT01', 'Smilecare', 'Moravarid', NULL, 'Rouhani', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1010 E Vista Way Ste A & B', 'ViSta', 'San Diego', 'CA', '92084', '7609408811', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008494', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('330800860', 'W11010864', 'W11010864', 'CADT01', 'Premier Family Dental', 'Shervin', NULL, 'Erfani', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4230 30Th St', 'San Diego', 'San Diego', 'CA', '92104', '6192821007', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-05-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006144', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11009200', 'W11009200', 'CADT01', 'Western Dental Services', 'Chad', NULL, 'Daloisio', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2948 University Ave', 'San Diego', 'San Diego', 'CA', '92104', '6192944500', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005879', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953067437', 'W11010732', 'W11010732', 'CADT01', 'Horizon Dental Group', 'Russell', 'A', 'Wilbourn', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3939 Iowa St', 'San Diego', 'San Diego', 'CA', '92104', '6192801820', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1999-09-21', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009614', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330855703', 'W11010868', 'W11010868', 'CADT01', NULL, 'Eduardo', NULL, 'Diaz', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3795 30Th St', 'San Diego', 'San Diego', 'CA', '92104', '6192200548', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-09-18', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005967', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330568580', 'W11010649', 'W11010649', 'CADT01', NULL, 'Gregory', 'H', 'Taylor', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4082 30Th St', 'San Diego', 'San Diego', 'CA', '92104', '6192804730', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2001-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009014', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008776', 'W11008776', 'CADT01', 'Western Dental Services', 'Mohamed', 'K', 'Dowaidari', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2948 University Ave', 'San Diego', 'San Diego', 'CA', '92104', '6192944500', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006017', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('952833205', 'W11008524', 'W11008524', 'CADT01', 'Family Health Center Of San Diego', 'Francisco', NULL, 'Mondragon', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3544 30Th St', 'San Diego', 'San Diego', 'CA', '92104', '6195152434', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007669', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953067437', 'W11010726', 'W11010726', 'CADT01', 'Horizon Dental Group', 'Florencio', 'Tomas', 'Burquez', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3939 Iowa St', 'San Diego', 'San Diego', 'CA', '92104', '6192801820', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1999-09-21', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005491', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953067437', 'W11010749', 'W11010749', 'CADT01', 'Horizon Dental Group', 'Terrence', 'Emmet', 'Connor', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3939 Iowa St', 'San Diego', 'San Diego', 'CA', '92104', '6192801820', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1999-09-21', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005788', 0, 'N', 0, '2008-08-25', 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
('200483611', 'W11009222', 'W11009222', 'CADT01', NULL, 'Duy', 'Duc', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3078 University Ave', 'San Diego', 'San Diego', 'CA', '92104', '6192958891', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007850', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11010556', 'W11010556', 'CADT01', 'Western Dental Services', 'Thuy', 'Thanh', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2948 University Ave', 'San Diego', 'San Diego', 'CA', '92104', '6192944500', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007865', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008840', 'W11008840', 'CADT01', 'Western Dental Services', 'Maria', 'C', 'Fajardo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2948 University Ave', 'San Diego', 'San Diego', 'CA', '92104', '6192944500', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006192', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11009518', 'W11009518', 'CADT01', 'Western Dental Services', 'Mohamed', 'A', 'Hassan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2948 University Ave', 'San Diego', 'San Diego', 'CA', '92104', '6192944500', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006612', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330902375', 'W11008909', 'W11008909', 'CADT01', NULL, 'Kambiz', NULL, 'Ardjmand', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4230 30Th St', 'San Diego', 'San Diego', 'CA', '92104', '6192821007', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005077', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953067437', 'W11010709', 'W11010709', 'CADT01', 'Horizon Dental Group', 'Jonathan', 'E', 'Fremo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3939 Iowa St', 'San Diego', 'San Diego', 'CA', '92104', '6192801820', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1999-09-21', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006318', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953067437', 'W11010760', 'W11010760', 'CADT01', 'Horizon Dental Group', 'Anitha', NULL, 'Krishnan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3939 Iowa St', 'San Diego', 'San Diego', 'CA', '92104', '6192801820', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1999-09-21', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007154', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11010542', 'W11010542', 'CADT01', 'Western Dental Services', 'Michael', 'E', 'Koury', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '2948 University Ave', 'San Diego', 'San Diego', 'CA', '92104', '6192944500', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007151', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953759282', 'W11009144', 'W11009144', 'CADT01', 'Boulevard Dental Center', 'Chan', 'Kim', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3531 E El Cajon Blvd Ste A', 'San Diego', 'San Diego', 'CA', '92104', '6195848975', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007843', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11009258', 'W11009258', 'CADT01', 'Western Dental Services', 'Ashraf', 'Morsy', 'Okba', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2948 University Ave', 'San Diego', 'San Diego', 'CA', '92104', '6192944500', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-05-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007947', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330147099', 'W11010718', 'W11010718', 'CADT01', 'Fair East Dental Office', 'Julianne', 'M', 'Ton', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4170 Fairmount Ave', 'San Diego', 'San Diego', 'CA', '92105', '6192803322', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-07-11', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009132', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330147099', 'W11010733', 'W11010733', 'CADT01', 'Fair East Dental Office', 'Trang', 'Quynh', 'Tran', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4170 Fairmount Ave', 'San Diego', 'San Diego', 'CA', '92105', '6192803322', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-07-11', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009165', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('555619077', 'W11009962', 'W11009962', 'CADT01', NULL, 'Long', 'Kim', 'Tran', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4448 University Ave Ste D', 'San Diego', 'San Diego', 'CA', '92105', '6195216799', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-05-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009160', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330968100', 'W11010602', 'W11010602', 'CADT01', 'Mid City Dental', 'Bang', 'K', 'Do', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4090 El Cajon Blvd Ste F', 'San Diego', 'San Diego', 'CA', '92105', '6192800337', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005992', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008449', 'W11008449', 'CADT01', 'Western Dental Services', 'Maximo', 'Daniel', 'Meza Crespo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4123 University Ave', 'San Diego', 'San Diego', 'CA', '92105', '6195210012', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-08-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007589', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('943252599', 'W11010646', 'W11010646', 'CADT01', NULL, 'Donald', 'T', 'Tran', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4132 University Ave', 'San Diego', 'San Diego', 'CA', '92105', '6192803373', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2001-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009158', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330147099', 'W11010676', 'W11010676', 'CADT01', 'Fair East Dental Office', 'Di', 'Trong', 'Vo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4170 Fairmount Ave', 'San Diego', 'San Diego', 'CA', '92105', '6192803322', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2001-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009456', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('205344283', 'W11008999', 'W11008999', 'CADT01', NULL, 'Derek', 'D', 'Hyun', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4021 Fairmount Ave', 'San Diego', 'San Diego', 'CA', '92105', '6192823735', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006826', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('841616572', 'W11008796', 'W11008796', 'CADT01', NULL, 'Vinh', NULL, 'Tran', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4205 Fairmount Ave', 'San Diego', 'San Diego', 'CA', '92105', '6192804861', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009167', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008875', 'W11008875', 'CADT01', 'Western Dental Services', 'Ashraf', 'Morsy', 'Okba', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4123 University Ave', 'San Diego', 'San Diego', 'CA', '92105', '6195210012', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007947', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008888', 'W11008888', 'CADT01', 'Western Dental Services', 'Bruce', NULL, 'Hmurovic', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '4123 University Ave', 'San Diego', 'San Diego', 'CA', '92105', '6195210012', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006732', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008882', 'W11008882', 'CADT01', 'Western Dental Services', 'Louai', NULL, 'Haidar', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4123 University Ave', 'San Diego', 'San Diego', 'CA', '92105', '6195210012', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006529', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008887', 'W11008887', 'CADT01', 'Western Dental Services', 'William', 'A', 'Thomas', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4123 University Ave', 'San Diego', 'San Diego', 'CA', '92105', '6195210012', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009068', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330969279', 'W11008473', 'W11008473', 'CADT01', 'Petros Toma And Putrus Dental Corporation', 'Omeed', 'Butrus', 'Toma', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4844 University Ave Ste B', 'San Diego', 'San Diego', 'CA', '92105', '6192855010', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009127', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330969279', 'W11008467', 'W11008467', 'CADT01', 'Petros Toma And Putrus Dental Corporation', 'Dhafir', 'Jalal', 'Petros', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4844 University Ave Ste B', 'San Diego', 'San Diego', 'CA', '92105', '6192855010', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008167', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008889', 'W11008889', 'CADT01', 'Western Dental Services', 'Michael', 'E', 'Koury', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '4123 University Ave', 'San Diego', 'San Diego', 'CA', '92105', '6195210012', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007151', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008886', 'W11008886', 'CADT01', 'Western Dental Services', 'Sergey', NULL, 'Sirenko', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4123 University Ave', 'San Diego', 'San Diego', 'CA', '92105', '6195210012', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008734', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330065869', 'W11008884', 'W11008884', 'CADT01', 'Western Dental Services', 'Alfredo', NULL, 'Solano', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4123 University Ave', 'San Diego', 'San Diego', 'CA', '92105', '6195210012', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008802', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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