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
('870548726', 'W77005724', 'W77005724', 'UT01', 'Snow Creek Emergency Center (Mtn Family Health)', 'John', 'A', 'Silverman', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '4356550055', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDER', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114974359', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77005725', 'W77005725', 'UT01', 'Utah Valley Pediatrics', 'Marsena', 'E', 'Conner', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1159 E 200 N Ste 200', 'American Fork', 'Utah', 'UT', '84003', '8017565609', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609812122', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77005726', 'W77005726', 'UT01', 'Utah Valley Pediatrics', 'Marsena', 'E', 'Conner', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '8013730308', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609812122', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77005727', 'W77005727', 'UT01', 'Utah Valley Pediatrics', 'Phil', NULL, 'Freestone', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '171 N 400 W Ste C12', 'Orem', 'Utah', 'UT', '84057', '8012244550', '8012254197', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811964695', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77005728', 'W77005728', 'UT01', 'Utah Valley Pediatrics', 'Jennifer', 'Geary', 'Brinton', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '8013730308', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-05-04', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831657', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77005729', 'W77005729', 'UT01', 'Utah Valley Pediatrics', 'Douglas', 'W', 'Hacking', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '171 N 400 W Ste C12', 'Orem', 'Utah', 'UT', '84057', '8012244550', '8012254197', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215904164', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77005730', 'W77005730', 'UT01', 'Utah Valley Pediatrics', 'Jeffrey', 'L', 'Jensen', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013738930', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-07-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275591471', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77005731', 'W77005731', 'UT01', 'Utah Valley Pediatrics', 'Melissa', 'A', 'Kendall', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '8013730308', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1598772089', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77005732', 'W77005732', 'UT01', 'Utah Valley Pediatrics', 'Richard', 'W', 'Later', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '8013730308', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962476002', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870536032', 'W77005733', 'W77005733', 'UT01', 'Jordan Valley Family Health', 'Deserae', 'J', 'Goble', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3570 W 9000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015691999', '8015692001', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831719', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870536032', 'W77005734', 'W77005734', 'UT01', 'Jordan Valley Family Health', 'Dennis', 'R', 'Hamp', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '3570 W 9000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015691999', '8015692001', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1568405397', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870536032', 'W77005735', 'W77005735', 'UT01', 'Jordan Valley Family Health', 'Bari', 'M', 'King', 'FNP', 'Family Practice', NULL, NULL, NULL, 'O', '3570 W 9000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015691999', '8015692001', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1063445948', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870536032', 'W77005736', 'W77005736', 'UT01', 'Jordan Valley Family Health', 'Todd', 'N', 'Schauers', 'PA-C', 'Family Practice', NULL, NULL, NULL, 'O', '3570 W 9000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015691999', '8015692001', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1053344937', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870539775', 'W77005737', 'W77005737', 'UT01', 'Djurich DO, Milan', 'Milan', NULL, 'Djurich', 'DO', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '8015656774', NULL, NULL, '', NULL, NULL, '', '', 'USTDPHMR', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2005-06-24', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912992454', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870539841', 'W77005738', 'W77005738', 'UT01', 'Mountain View Eye Center', 'Lamont', NULL, 'Ericson', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1580 W Antelope Dr Ste 175', 'Layton', 'Davis', 'UT', '84041', '8017732233', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOPHT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833983', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870540039', 'W77005739', 'W77005739', 'UT01', 'Midtown Community Health', 'Adam', 'R', 'Nebeker', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '670 28th St', 'Ogden', 'Weber', 'UT', '84403', '8013935355', '8013944609', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-04-02', '2007-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366449241', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870540039', 'W77005740', 'W77005740', 'UT01', 'Midtown Community Health', 'Bradley', NULL, 'Pace', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '670 28th St', 'Ogden', 'Weber', 'UT', '84403', '8013935355', '8013944609', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-10-01', '2007-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832344', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870540729', 'W77005741', 'W77005741', 'UT01', 'Vogeler, Douglas M', 'Douglas', 'M', 'Vogeler', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '9600 S 1300 E Ste 303', 'Sandy', 'Salt Lake', 'UT', '84094', '8015720443', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790869550', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870541103', 'W77005742', 'W77005742', 'UT01', 'The Avenues Womens Clinic', 'Cynthia', 'S', 'Cannon', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', NULL, NULL, 'O', '455 E S Temple Ste 202', 'Salt Lake City', 'Salt Lake', 'UT', '84111', '8013559951', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-11-30', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1700894383', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870541480', 'W77005743', 'W77005743', 'UT01', 'Division Pediatric Neurosurgery', 'William', 'T', 'Couldwell', 'MD, PHD', 'Pediatric Neurosurgery', 'Neurosurgery', NULL, NULL, 'O', '100 N Medical Dr Ste 2400', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-01-10', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265522858', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870541480', 'W77005744', 'W77005744', 'UT01', 'Division Pediatric Neurosurgery', 'Sidney', 'L', 'Tanner', 'APRN', NULL, NULL, NULL, NULL, 'O', '100 N Medical Dr Ste 2400', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2005-10-24', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730279365', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870541480', 'W77005745', 'W77005745', 'UT01', 'Division Pediatric Neurosurgery', 'Kenneth', 'S', 'Yonemura', 'MD', 'Neurosurgery', 'Pediatric Neurosurgery', NULL, NULL, 'O', '100 N Medical Dr Ste 2400', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2005-08-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336239920', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542236', 'W77005746', 'W77005746', 'UT01', 'Alpine Plastic & Reconstructive Surgery', 'Clinton', 'B', 'Webster', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 3680', 'Ogden', 'Weber', 'UT', '84403', '8013873900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPLAS', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '929612', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005747', 'W77005747', 'UT01', 'Wasatch Pediatrics', 'Karla', NULL, 'Feindt', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1255313953', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005748', 'W77005748', 'UT01', 'Grow Up Great', 'Claudia', NULL, 'Fruin', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '620 Medical Dr Ste 100', 'Bountiful', 'Davis', 'UT', '84010', '8012952888', '8012950311', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619959319', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005749', 'W77005749', 'UT01', 'Wasatch Pediatrics', 'Claudia', NULL, 'Fruin', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619959319', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005750', 'W77005750', 'UT01', 'Grow Up Great', 'Jacqueline', 'K', 'Giannini', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '620 Medical Dr Ste 100', 'Bountiful', 'Davis', 'UT', '84010', '8012952888', '8012950311', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2006-05-31', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1881676583', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005751', 'W77005751', 'UT01', 'Grow Up Great', 'Allison', 'L', 'Groebs', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '620 Medical Dr Ste 100', 'Bountiful', 'Davis', 'UT', '84010', '8012952888', '8012950311', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-10-03', '2006-05-31', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1235111949', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005752', 'W77005752', 'UT01', 'Willow Creek Pediatrics', 'Kimberly', NULL, 'Hansen', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '114 E 12450 S Ste 100', 'Draper', 'Salt Lake', 'UT', '84020', '8015233001', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1427030030', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005753', 'W77005753', 'UT01', 'Summit Pediatrics', 'David', 'C', 'Larson', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1790 Sun Peak Dr Ste A101', 'Park City', 'Summit', 'UT', '84098', '4356550926', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'Heber Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1356324511', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005754', 'W77005754', 'UT01', 'Wasatch Pediatrics', 'David', 'C', 'Larson', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '380 E 1500 S Ste 210', 'Heber City', 'Wasatch', 'UT', '84032', '4356570101', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'Heber Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1356324511', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005755', 'W77005755', 'UT01', 'Wasatch Pediatrics', 'David', 'C', 'Larson', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'Heber Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1356324511', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005756', 'W77005756', 'UT01', 'Southpoint Pediatrics', 'Kevin', 'B', 'Lash', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '9071 S 1300 W Ste 301', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015651162', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013999630', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005757', 'W77005757', 'UT01', 'Willow Creek at St Marks', 'Jim', 'C', 'Memmott', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1140 E 3900 S Ste 360', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012648686', '8012648962', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-09-15', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1144202771', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005758', 'W77005758', 'UT01', 'Wasatch Pediatrics', 'Kathy', 'M', 'Ostler', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1700869153', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005759', 'W77005759', 'UT01', 'Wasatch Pediatrics', 'Katherine', 'A', 'Price', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-10-03', '2006-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831860', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870286381', 'W77005760', 'W77005760', 'UT01', 'Ogden Clinic', 'Karen', NULL, 'Vastardis', 'FNP', 'Family Practice', NULL, NULL, NULL, 'O', '4650 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8014794621', '8014762670', NULL, NULL, '', NULL, NULL, '', '', 'UOGDCLIN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487643011', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870551044', 'W77005805', 'W77005805', 'UT01', 'Univ Of Utah Radiation Oncology', 'David', 'K', 'Gaffney', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'B', 'PO Box 581300', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367747', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '1999-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932289840', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870551044', 'W77005806', 'W77005806', 'UT01', 'Univ Of Utah Radiation Oncology', 'Cherie', 'J', 'Hayostek', 'MD', 'Radiation Oncology', 'Radiation Oncology', NULL, NULL, 'B', 'PO Box 581300', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-08-24', '2005-07-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834702', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870551044', 'W77005808', 'W77005808', 'UT01', 'Univ Of Utah Radiation Oncology', 'Lisa', 'J', 'Hazard', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'B', 'PO Box 581300', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367747', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-07-01', '2004-07-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477633386', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870551044', 'W77005809', 'W77005809', 'UT01', 'Univ Of Utah Radiation Oncology', 'Dennis', NULL, 'Shrieve', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'O', '1250 E 3900 S Ste 10', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8015853593', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2000-11-27', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275580961', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870292282', 'W77005810', 'W77005810', 'UT01', NULL, 'J Lynn', NULL, 'Smith', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '5911 Fashion Blvd Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012613121', '8012612288', NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548293400', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870293594', 'W77005812', 'W77005812', 'UT01', 'Fit Quest Therapy', 'Ken', NULL, 'Newman', 'SPT', 'Speech Therapy', NULL, NULL, NULL, 'O', '2120 N 400 E', 'North Ogden', 'Weber', 'UT', '84414', '8017823500', '8017861926', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2298', '0.00', '35.00', NULL, 3, '2002-05-15', '2005-10-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832164', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870293594', 'W77005813', 'W77005813', 'UT01', 'Fit Quest Therapy', 'Stephanie', 'Brooke', 'O''Reilly', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '2120 N 400 E', 'North Ogden', 'Weber', 'UT', '84414', '8017823500', '8017861926', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2298', '0.00', '35.00', NULL, 3, '2004-03-17', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832929', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870293594', 'W77005814', 'W77005814', 'UT01', 'Fit Quest Therapy', 'Mike', NULL, 'Smith', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 150173', 'Ogden', 'Weber', 'UT', '84415', '8017823500', '8017861926', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2298', '0.00', '35.00', NULL, 3, '2003-04-02', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832569', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870293873', 'W77005815', 'W77005815', 'UT01', 'Tri City Medical Clinic', 'Steven', 'B', 'Cherrington', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '830 N 2000 W', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017563511', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871608893', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870293873', 'W77005816', 'W77005816', 'UT01', 'Tri City Medical Clinic', 'Glen', 'R', 'Fuller', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '830 N 2000 W', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017563511', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467557330', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870293873', 'W77005817', 'W77005817', 'UT01', 'Tri City Medical Clinic', 'Joseph', 'B', 'Liddle', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '830 N 2000 W', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017563511', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-06-20', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427166701', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870293873', 'W77005818', 'W77005818', 'UT01', 'Tri City Medical Clinic', 'Garrett', 'B', 'Smith', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '830 N 2000 W', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017563511', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-11-19', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669587630', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870293873', 'W77005819', 'W77005819', 'UT01', 'Tri City Medical Clinic', 'Scott', 'Leroy', 'Smith', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '830 N 2000 W', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017563511', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336257617', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870293873', 'W77005820', 'W77005820', 'UT01', 'Tri City Medical Clinic', 'Marshall', 'F', 'Willis', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '830 N 2000 W', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017563511', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1194833475', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870301231', 'W77005821', 'W77005821', 'UT01', NULL, 'PC', NULL, 'John G Robinson, MD,', 'GROUP', 'Anesthesiology', NULL, NULL, NULL, 'B', '8184 Highland Dr Ste C7', 'Sandy', 'Salt Lake', 'UT', '84093', '8019441022', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '39.38', NULL, NULL, 3, '2004-05-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833038', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870301231', 'W77005822', 'W77005822', 'UT01', NULL, 'John', 'G', 'Robinson', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '10011 Centennial Pkwy', 'Sandy', 'Salt Lake', 'UT', '84070', '8019441022', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-11-06', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832728', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870301231', 'W77005823', 'W77005823', 'UT01', NULL, 'John', 'G', 'Robinson', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 95642', 'South Jordan', 'Salt Lake', 'UT', '84095', '8019441022', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-11-06', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832728', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870302621', 'W77005824', 'W77005824', 'UT01', 'Rocky Mountain Retina Consultants', 'Douglas', 'S', 'Mehr', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '4400 S 700 E Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8012644444', '8012812383', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-08-26', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1720070899', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77005825', 'W77005825', 'UT01', 'Utah Physicians Care Center', 'Joel', 'D', 'Trachtenberg', 'MD', 'Internal Medicine', 'Infectious Disease', NULL, NULL, 'B', '5630 Waterbury Way Ste B102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012742000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-11-07', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1417972571', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005826', 'W77005826', 'UT01', 'Wasatch Pediatrics', 'R Dennis', NULL, 'Ashton', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '7138 Highland Dr Ste 106', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019421800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760464580', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005827', 'W77005827', 'UT01', 'Cottonwood Pediatrics', 'Mark', 'B', 'Barrett', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '5770 S 250 E Ste 210', 'Murray', 'Salt Lake', 'UT', '84107', '8013144400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710969100', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005828', 'W77005828', 'UT01', 'Southpoint Pediatrics', 'Darin', 'G', 'Bosworth', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '9071 S 1300 W Ste 301', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015651162', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1225010051', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005829', 'W77005829', 'UT01', 'Wasatch Pediatrics', 'Kara', 'F', 'Burnett', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2006-05-31', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1669454401', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005830', 'W77005830', 'UT01', 'Wasatch Pediatrics', 'Jacqueline', 'K', 'Giannini', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2006-05-31', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1881676583', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870550275', 'W77005831', 'W77005831', 'UT01', 'Southpoint Pediatrics', 'Leslie', NULL, 'Goodwin', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '9071 S 1300 W Ste 301', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015651162', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1184606782', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005832', 'W77005832', 'UT01', 'Cottonwood Pediatrics', 'David', 'C', 'Hurley', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '5770 S 250 E Ste 210', 'Murray', 'Salt Lake', 'UT', '84107', '8013144400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396727269', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005833', 'W77005833', 'UT01', 'Wasatch Pediatrics', 'David', 'C', 'Hurley', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396727269', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005834', 'W77005834', 'UT01', 'Willow Creek at St Marks', 'Edward', 'G', 'Jenkins', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1140 E 3900 S Ste 360', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012648686', '8012648962', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265414882', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005835', 'W77005835', 'UT01', 'Wasatch Pediatrics', 'R Joe', NULL, 'Jopling', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1992788152', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005836', 'W77005836', 'UT01', 'Wasatch Pediatrics', 'Kevin', 'B', 'Lash', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013999630', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'W77005837', 'W77005837', 'UT01', 'Wasatch Pediatrics', 'Jim', 'C', 'Memmott', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '7138 Highland Dr Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019470830', '8019470864', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-09-15', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1144202771', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'W77005838', 'W77005838', 'UT01', 'University Of Utah Nephrology Dept', 'Alfred', NULL, 'Cheung', 'MD', 'Internal Medicine', 'Nephrology', NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015816709', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811087406', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'W77005839', 'W77005839', 'UT01', 'University of Utah Nephrology Dept', 'Irel', 'S', 'Eppich', 'MD', 'Internal Medicine', 'Nephrology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-11-03', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1689764276', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'W77005840', 'W77005840', 'UT01', 'University Of Utah Nephrology Dept', 'Alexander', 'S', 'Goldfarb', 'MD', 'Nephrology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015816709', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-08-17', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013007616', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870551044', 'W77005928', 'W77005928', 'UT01', 'Univ Of Utah Radiation Oncology', 'Ying', 'J', 'Hitchcock', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'O', '50 N Medical Dr Ste AB25', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812396', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-07-01', '2004-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386724292', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870551044', 'W77005931', 'W77005931', 'UT01', 'Univ Of Utah Radiation Oncology', 'Gordon', 'A', 'Watson', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'B', 'PO Box 581300', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-11-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834068', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870551290', 'W77005932', 'W77005932', 'UT01', 'Duclos, Lanny F', 'Lanny', 'F', 'Duclos', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '88 E 700 N Ste A', 'Tooele', 'Tooele', 'UT', '84074', '4358826452', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UTALBERT', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508827262', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870551310', 'W77005933', 'W77005933', 'UT01', 'Donaldson, Stephen L', 'Stephen', 'L', 'Donaldson', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1275 N University Ave Ste 10', 'Provo', 'Utah', 'UT', '84604', '8013756565', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578552634', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870552562', 'W77005934', 'W77005934', 'UT01', NULL, 'Mark', 'G', 'Flammer', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1551 Renaissance Towne Dr Ste 400', 'Bountiful', 'Davis', 'UT', '84010', '8012957200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UMTNORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833301', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870553496', 'W77005935', 'W77005935', 'UT01', 'Riverton Family Health Center', 'Daniel', 'Owen', 'Thompson', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1756 Park Ave', 'Riverton', 'Salt Lake', 'UT', '84065', '8012540309', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1831186717', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870554446', 'W77005936', 'W77005936', 'UT01', 'Therapy West', 'Dallas', 'Clayton', 'Overly', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '59 W 700 S', 'Ephraim', 'Sanpete', 'UT', '84627', '4352836334', '4355287000', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2005-12-29', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558317743', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870555521', 'W77005937', 'W77005937', 'UT01', 'Terry, Larry D', 'Larry', 'D', 'Terry', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '34 S Main St', 'Brigham City', 'Box Elder', 'UT', '84302', '4357232485', NULL, NULL, NULL, '', NULL, NULL, '', '', 'ULOGBMC', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437137379', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543342', 'W77005938', 'W77005938', 'UT01', 'Allen Memorial Physician Services', 'Kevin', 'M', 'Matteson', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', '233 W 1st St', 'Waconia', 'Carver', 'MN', '55387', '8004331439', '8003311579', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2006-10-31', 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1407853013', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543342', 'W77005939', 'W77005939', 'UT01', 'Moab Regional Medical Clinic', 'Kevin', 'M', 'Matteson', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '380 N 500 W Ste 2', 'Moab', 'Grand', 'UT', '84532', '4352597425', NULL, NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2006-10-31', 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1407853013', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543444', 'W77005940', 'W77005940', 'UT01', 'Berg, Tod L', 'Tod', 'L', 'Berg', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1467 S Highway 40', 'Heber City', 'Wasatch', 'UT', '84032', '4356546321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-11-30', 0, 0, 0, 'Heber Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1497713648', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W77005941', 'W77005941', 'UT01', 'Spine Orthopedics & Sports Physical Therapy', 'Sports Physical', ' Therapy', 'Spine Orthopedics &', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8013709981', '8012946917', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-05-01', '2004-05-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833005', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W77005942', 'W77005942', 'UT01', 'Spine Orthopedics & Sports Physical Therapy', 'David', 'B', 'Archibald', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '3303 N University Ave', 'Provo', 'Utah', 'UT', '84604', '8013737438', '8013754382', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2005-12-16', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '948425', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870543678', 'W77005943', 'W77005943', 'UT01', 'Spine Orthopedics & Sports Physical Therapy', 'David', 'B', 'Archibald', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '8012946917', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2005-12-16', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '948425', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W77005944', 'W77005944', 'UT01', 'Spine Orthopedics & Sports Physical Therapy', 'Ned', NULL, 'Bushnell', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '8012946917', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '1999-09-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834807', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W77005945', 'W77005945', 'UT01', 'Spine Orthopedics & Sports Physical Therapy', 'David', NULL, 'Hume', 'MPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '3303 N University Ave', 'Provo', 'Utah', 'UT', '84604', '8013737438', '8013754382', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2002-08-01', '2005-10-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184686404', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W77005946', 'W77005946', 'UT01', 'Spine Orthopedics & Sports Physical Therapy', 'Richard', 'W', 'Lemon', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '8012946917', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2005-11-18', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487646733', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W77005947', 'W77005947', 'UT01', 'Spine Orthopedics & Sports Physical Therapy', 'Mark', 'H', 'Peterson', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '3303 N University Ave', 'Provo', 'Utah', 'UT', '84604', '8013737438', '8013754382', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-10-27', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528089224', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870544230', 'W77005948', 'W77005948', 'UT01', 'Rocky Mountain Eye Care', 'E Leigh', NULL, 'Wilkinson', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '4400 S 700 E Ste 100', 'Murray', 'Salt Lake', 'UT', '84107', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOPHT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-11-30', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1962512855', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W77005949', 'W77005949', 'UT01', 'Montezuma Creek Community Clinic', 'Brooks', 'D', 'Thompson', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', 'E Highway 262', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', '4356513642', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2006-11-30', 0, 0, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1487657763', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W77005950', 'W77005950', 'UT01', 'Utah Navajo Health System', 'Brooks', 'D', 'Thompson', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 130', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', '4356513642', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2006-11-30', 0, 0, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1487657763', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W77005951', 'W77005951', 'UT01', 'Utah Navajo Health System', 'Richard', 'T', 'Ward', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 130', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', '4356513642', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-07-29', '2006-11-30', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '929895', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870560776', 'W77005952', 'W77005952', 'UT01', 'Jackson, Jeffrey B', 'Jeffrey', 'B', 'Jackson', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1995 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015669888', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952363285', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870563571', 'W77005953', 'W77005953', 'UT01', 'Mountain View Family Care Center', 'Nelson', 'L', 'Astle', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '124 S Fairfield Rd', 'Layton', 'Davis', 'UT', '84041', '8015469441', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1548366552', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870563571', 'W77005954', 'W77005954', 'UT01', 'Mountain View Family Care Center', 'Paul', 'R', 'Taylor', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '124 S Fairfield Rd', 'Layton', 'Davis', 'UT', '84041', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2003-04-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831021', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870563571', 'W77005955', 'W77005955', 'UT01', 'Mountain View Family Care Center', 'Paul', 'R', 'Taylor', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1792 W 1800 N', 'Clinton', 'Davis', 'UT', '84015', '8017748888', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2003-04-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831021', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77005956', 'W77005956', 'UT01', 'University Dept Of Family Medicine', 'Katherine', NULL, 'Beals', 'RD', 'Registered Dietician', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-11-18', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497845028', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77005957', 'W77005957', 'UT01', 'University Dept Of Family Medicine', 'Jennifer', 'L', 'Bell', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942390570', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77005958', 'W77005958', 'UT01', 'University Dept Of Family Medicine', 'Jennifer', 'L', 'Bell', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942390570', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870326862', 'W77005959', 'W77005959', 'UT01', 'Ogden Womens Clinic', 'LeAnne', 'P', 'Gundy', 'NP', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 4650', 'Ogden', 'Weber', 'UT', '84403', '8013874400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-01-13', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932109261', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870330589', 'W77005960', 'W77005960', 'UT01', 'American Fork Radiology', 'Daniel', NULL, 'Hatch', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 374', 'American Fork', 'Utah', 'UT', '84003', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834455', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870332618', 'W77005961', 'W77005961', 'UT01', 'Clayton, Keith J', 'Keith', 'J', 'Clayton', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1675 N Freedom Blvd Ste 9C', 'Provo', 'Utah', 'UT', '84604', '8013774800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730185224', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870332915', 'W77005962', 'W77005962', 'UT01', 'Associates In Radiology', 'Hannah', 'L', 'Chung', 'MD', 'Diagnostic Radiology', 'Radiologist', NULL, NULL, 'O', '2910 Washington Blvd Ste 310', 'Ogden', 'Weber', 'UT', '84401', '8016216671', '8016276679', NULL, NULL, '', NULL, NULL, '', '', 'UUTIMAGE', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-10-01', '2005-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780683508', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870332915', 'W77005963', 'W77005963', 'UT01', 'Associates In Radiology', 'Hannah', 'L', 'Chung', 'MD', 'Diagnostic Radiology', 'Radiologist', NULL, NULL, 'B', 'PO Box 470', 'Ogden', 'Weber', 'UT', '84402', '8016216671', '8016276679', NULL, NULL, '', NULL, NULL, '', '', 'UUTIMAGE', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-10-01', '2005-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780683508', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870332915', 'W77005964', 'W77005964', 'UT01', 'Associates In Radiology', 'Neal', NULL, 'Clinger', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', '5475 S 500 E', 'Ogden', 'Weber', 'UT', '84405', '8016216671', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTIMAGE', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-10-01', '2004-11-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833112', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870332915', 'W77005965', 'W77005965', 'UT01', 'Associates In Radiology', 'Neal', NULL, 'Clinger', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 470', 'Ogden', 'Weber', 'UT', '84402', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTIMAGE', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-10-01', '2004-11-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833112', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'W77006055', 'W77006055', 'UT01', 'University Dept Of Family Medicine', 'Claudia', 'F', 'Wilson', 'RD', 'Registered Dietician', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-09-09', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073603668', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870564308', 'W77006056', 'W77006056', 'UT01', 'Urry, Larry E', 'Larry', 'E', 'Urry', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 2635', 'Ogden', 'Weber', 'UT', '84403', '8013873515', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, 'Brigham City Community Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1083716955', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'W77006057', 'W77006057', 'UT01', 'Mountain Medical Physician Specialists', 'sician Speciali', 'sts', 'Mountain Medical Phy', 'GROUP', 'Vascular Surgery', NULL, NULL, NULL, 'B', 'PO Box 29684', 'Phoenix', 'Maricopa', 'AZ', '85038', '8017134402', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-06-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833693', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'W77006058', 'W77006058', 'UT01', 'Mountain Medical Vascular Specialists', 'David', 'S', 'Feuer', 'MD', 'Vascular Surgery', 'Vascular Surgery', NULL, NULL, 'O', '5323 WooDrow St Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8017131010', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-08-06', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447251894', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'W77006059', 'W77006059', 'UT01', 'Mountain Medical Physician Specialists', 'Margaret', 'G', 'Moses', 'NP', NULL, NULL, NULL, NULL, 'B', 'PO Box 29684', 'Phoenix', 'Maricopa', 'AZ', '85038', '8017134402', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386691434', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'W77006060', 'W77006060', 'UT01', 'Mountain Medical Vascular Specialists', 'Margaret', 'G', 'Moses', 'NP', NULL, NULL, NULL, NULL, 'O', '5323 WooDrow St Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8017131010', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386691434', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870351757', 'W77006061', 'W77006061', 'UT01', 'Westwood Physical Therapy', 'Lloyd', NULL, 'Mayer', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5547 S 4015 W Ste 7', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019676055', '8019676934', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2002-02-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730279340', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870351757', 'W77006062', 'W77006062', 'UT01', 'Westwood Physical Therapy', 'Rodney', 'A', 'Miyasaki', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5547 S 4015 W Ste 7', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019676055', '8019676934', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2001-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833748', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870353003', 'W77006063', 'W77006063', 'UT01', 'Beck, Stephen A', 'Stephen', 'A', 'Beck', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '415 Medical Dr Ste B-200', 'Bountiful', 'Davis', 'UT', '84010', '8012927254', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083724975', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870353003', 'W77006064', 'W77006064', 'UT01', 'Beck, Stephen A', 'Stephen', 'A', 'Beck', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '415 Medical Dr Ste B200', 'Bountiful', 'Davis', 'UT', '84010', '8012927254', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083724975', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870353501', 'W77006065', 'W77006065', 'UT01', 'Blackburn, Dennis', 'Dennis', NULL, 'Blackburn', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '250 N Fairgrounds Rd Ste 3', 'Price', 'Carbon', 'UT', '84501', '4356376797', '4356376799', NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306852249', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77006066', 'W77006066', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'Teresa', 'V', 'Durbin', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '1580 W Antelope Dr Ste 280', 'Layton', 'Davis', 'UT', '84041', '8017730925', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1609987791', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77006067', 'W77006067', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'Gretchen', 'Thorn', 'Faucett', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '1580 W Antelope Dr Ste 280', 'Layton', 'Davis', 'UT', '84041', '8017730925', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477647741', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77006068', 'W77006068', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'William', 'G', 'Hughes', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '1580 W Antelope Dr Ste 280', 'Layton', 'Davis', 'UT', '84041', '8017730925', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1881787885', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77006069', 'W77006069', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'Charles', 'W', 'Joseph', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '124 S Fairfield Rd', 'Layton', 'Davis', 'UT', '84041', '8015469441', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2007-01-01', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1609978238', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77006070', 'W77006070', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'Tracy', 'R', 'Stevens', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '1580 W Antelope Dr Ste 280', 'Layton', 'Davis', 'UT', '84041', '8017730925', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831653', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77006071', 'W77006071', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'Kristine', 'M', 'Zelenkov', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1580 W Antelope Dr Ste 290', 'Layton', 'Davis', 'UT', '84041', '8017760880', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326159427', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870357016', 'W77006074', 'W77006074', 'UT01', 'Hughes, Dennis C', 'Dennis', 'C', 'Hughes', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '3970 S 700 E Ste 14', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012613605', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG2', 'USTDHCPC', NULL, '0.00', '0.01', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427027051', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006075', 'W77006075', 'UT01', 'University Dept Of Family Medicine', 'Theodore', 'S', 'Paisley', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-08-01', '2002-08-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952415556', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006076', 'W77006076', 'UT01', 'University Dept Of Family Medicine', 'Trisha', 'L', 'Palmer', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833843', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006077', 'W77006077', 'UT01', 'University Dept Of Family Medicine', 'Richard', 'J', 'Price', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-10-18', '2005-01-28', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831782', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006078', 'W77006078', 'UT01', 'University Dept Of Family Medicine', 'Robert', 'L', 'Speakman', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015812000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2005-02-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417047044', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006079', 'W77006079', 'UT01', 'University Dept Of Family Medicine', 'Kirsten', 'L', 'Stoesser', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8017418800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-04-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831289461', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006080', 'W77006080', 'UT01', 'University Dept Of Family Medicine', 'Kirsten', 'L', 'Stoesser', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-04-01', '2003-04-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831289461', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006081', 'W77006081', 'UT01', 'University Dept Of Family Medicine', 'Peter', 'T', 'Weir', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003906694', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006082', 'W77006082', 'UT01', 'University Dept Of Family Medicine', 'Claudia', 'F', 'Wilson', 'RD', 'Registered Dietician', NULL, NULL, NULL, 'O', '555 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-09-09', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073603668', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'W77006083', 'W77006083', 'UT01', 'Mountain Medical Physician Specialists', 'sician Speciali', 'sts', 'Mountain Medical Phy', 'GROUP', 'Vascular Surgery', NULL, NULL, NULL, 'O', '296 E 3900 S', 'Murray', 'Salt Lake', 'UT', '84107', '8012622647', '8012628118', NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-06-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833693', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'W77006084', 'W77006084', 'UT01', 'Mountain Medical Physician Specialists', 'Greg', 'R', 'Goodman', 'MD', 'Vascular Surgery', NULL, NULL, NULL, 'B', 'PO Box 29684', 'Phoenix', 'Maricopa', 'AZ', '85038', '8017134402', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1998-01-01', '2006-12-31', 0, 0, 0, 'Cassia Regional Medical Center', 'St Marks Hospital', NULL, NULL, 'HCFA|UB|', '1023019346', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'W77006085', 'W77006085', 'UT01', 'Mountain Medical Vascular Specialists', 'Kristine', 'A', 'Miller', 'PA', 'Vascular Surgery', NULL, NULL, NULL, 'O', '5323 WooDrow St Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8017131010', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-08-06', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '905453', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870566422', 'W77006086', 'W77006086', 'UT01', 'Osborne, Christine S', 'ne S', NULL, 'Osborne LLC, Christi', 'GROUP', 'Audiology', NULL, NULL, NULL, 'O', '2545 N Canyon Rd Ste 100', 'Provo', 'Utah', 'UT', '84604', '8013731108', '8013734008', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834810', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870566422', 'W77006087', 'W77006087', 'UT01', 'Osborne, Christine S', 'G Chad', NULL, 'Daniels', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '2545 N Canyon Rd Ste 100', 'Provo', 'Utah', 'UT', '84604', '8013731108', '8013734008', NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-06-20', '2006-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832579', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77006088', 'W77006088', 'UT01', 'Utah Valley Pediatrics', 'Thales', 'H', 'Smith', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013738930', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2004-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831361', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77006089', 'W77006089', 'UT01', 'Utah Valley Pediatrics', 'Gregory', 'S', 'Wynn', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '716 W 800 N Ste 300', 'Orem', 'Utah', 'UT', '84057', '8012240421', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1376550855', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77006090', 'W77006090', 'UT01', 'Utah Valley Pediatrics', 'John', 'R', 'Wynn', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '171 N 400 W Ste C12', 'Orem', 'Utah', 'UT', '84057', '8012244550', '8012254197', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255308102', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549673', 'W77006091', 'W77006091', 'UT01', NULL, 'C', NULL, 'Mark S Naisbitt MD P', 'GROUP', 'Anesthesiology', NULL, NULL, NULL, 'O', '3460 Baker Dr', 'Ogden', 'Weber', 'UT', '84403', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '39.38', NULL, NULL, 3, '2004-05-01', '2006-11-30', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833039', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77006092', 'W77006092', 'UT01', 'Utah Physicians Care Center', 'Stephen', 'S', 'Aslami', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1160 E 3900 S Ste 1200', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012619651', '8012619656', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1134151558', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77006093', 'W77006093', 'UT01', 'Utah Physicians Care Center', 'Richard', 'W', 'Bennett', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '5630 Waterbury Way Ste B102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012742000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1407871510', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77006094', 'W77006094', 'UT01', 'Utah Physicians Care Center', 'David', 'B', 'Gubler', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '5630 Waterbury Way Ste B102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012742000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-12-15', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1295797595', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77006095', 'W77006095', 'UT01', 'Utah Physicians Care Center', 'Mark', NULL, 'Oliver', 'MD', 'Internal Medicine', 'Infectious Disease', NULL, NULL, 'B', '5630 Waterbury Way Ste B102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012742000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1760400865', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77006096', 'W77006096', 'UT01', 'Utah Physicians Care Center', 'Mark', 'A', 'Rada', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '5630 Waterbury Way Ste B102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012742000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, 'Health South Rehabilitation Hospital of Utah (inpatient services only)', NULL, NULL, NULL, 'HCFA|UB|', '1770515140', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870565773', 'W77006102', 'W77006102', 'UT01', 'Mountain Medical Physician Specialists', 'Douglas', 'J', 'Wirthlin', 'MD', 'Vascular Surgery', NULL, NULL, NULL, 'B', 'PO Box 29684', 'Phoenix', 'Maricopa', 'AZ', '85038', '8017134402', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-11-18', '2006-12-31', 0, 0, 0, 'Cassia Regional Medical Center', 'St Marks Hospital', NULL, NULL, 'HCFA|UB|', '1609816602', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870566422', 'W77006104', 'W77006104', 'UT01', 'Osborne, Christine S', 'Christine', 'S', 'Osborne', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '182 Barnes Dr', 'Kaysville', 'Davis', 'UT', '84037', '8015478719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '      1759', '0.00', NULL, NULL, 3, '1999-09-01', '2006-09-30', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093880312', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870567427', 'W77006107', 'W77006107', 'UT01', 'U Of U Emergency Physicians', 'Todd', 'L', 'Allen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-07-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834637', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870360395', 'W77006121', 'W77006121', 'UT01', 'Snihurowych, Walter M', 'Walter', 'M', 'Snihurowych', 'MD', 'Urology', NULL, NULL, NULL, 'O', '250 N Fairgrounds Rd Ste 2', 'Price', 'Carbon', 'UT', '84501', '4356374048', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-09-30', 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital-Pro Fees', 'Uintah Basin Medical Center', NULL, 'HCFA|UB|', '1669428736', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870363828', 'W77006125', 'W77006125', 'UT01', 'Bountiful Radiology', 'Richard', 'J', 'Pope', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', '630 Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012992150', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2004-11-01', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1053392613', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870566422', 'W77006129', 'W77006129', 'UT01', 'Osborne, Christine S', 'Christine', 'S', 'Osborne', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '2545 N Canyon Rd Ste 100', 'Provo', 'Utah', 'UT', '84604', '8013731108', '8013734008', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '1759', '0.00', NULL, NULL, 3, '1999-09-01', '2006-09-30', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093880312', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870566422', 'W77006130', 'W77006130', 'UT01', 'Osborne, Christine S', 'Christine', 'S', 'Osborne', 'AUD', 'Audiology', NULL, NULL, NULL, 'B', 'PO Box 971', 'Kaysville', 'Davis', 'UT', '84037', '8013731108', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '      1759', '0.00', NULL, NULL, 3, '1999-09-01', '2006-09-30', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093880312', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006131', 'W77006131', 'UT01', 'University Of Utah Emergency Physicians', 'Todd', 'L', 'Allen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-07-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834637', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006132', 'W77006132', 'UT01', 'U Of U Emergency Physicians', 'Kurt', 'T', 'Bernhisel', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205926839', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006133', 'W77006133', 'UT01', 'U Of U Emergency Physicians', 'Joseph', NULL, 'Borshanian', 'NP', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3460 Pioneer Pkwy', 'West Valley', 'Salt Lake', 'UT', '84120', '8019643100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-10-29', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417917501', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006135', 'W77006135', 'UT01', 'U Of U Emergency Physicians', 'Edwin', 'Martin', 'Caravati', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833289', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006136', 'W77006136', 'UT01', 'University Of Utah Emergency Physicians', 'Kent', 'S', 'Chapman', 'PA', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-03-09', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833834', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006137', 'W77006137', 'UT01', 'U Of U Emergency Physicians', 'Kevin', 'M', 'Coonan', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-01-09', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832896', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006138', 'W77006138', 'UT01', 'U Of U Emergency Physicians', 'David', 'E', 'Fosnocht', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124118724', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006139', 'W77006139', 'UT01', 'U Of U Emergency Physicians', 'Parvin', 'C', 'Lee', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-10-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832806', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006140', 'W77006140', 'UT01', 'U Of U Emergency Physicians', 'Parvin', 'C', 'Lee', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-10-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832806', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006141', 'W77006141', 'UT01', 'U Of U Emergency Physicians', 'Wally', NULL, 'Lee', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833293', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006142', 'W77006142', 'UT01', 'U Of U Emergency Physicians', 'M Scott', NULL, 'Linscott', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679663280', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870567427', 'W77006159', 'W77006159', 'UT01', 'U Of U Emergency Physicians', 'Stephen', NULL, 'Hartsell', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811087414', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870567427', 'W77006161', 'W77006161', 'UT01', 'U Of U Emergency Physicians', 'Steven', 'M', 'Joyce', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023193711', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870567427', 'W77006163', 'W77006163', 'UT01', 'U Of U Emergency Physicians', 'Christy', 'L', 'McCowan', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-06-19', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558451161', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006164', 'W77006164', 'UT01', 'University Of Utah Emergency Physicians', 'Scott', 'E', 'McIntosh', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-08-01', '2006-07-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1255427738', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006165', 'W77006165', 'UT01', 'U Of U Emergency Physicians', 'Eileen', NULL, 'Scanlon', 'PA', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-09-20', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104888601', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870567427', 'W77006166', 'W77006166', 'UT01', 'U Of U Emergency Physicians', 'Eileen', NULL, 'Scanlon', 'PA', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-09-20', '2003-09-20', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104888601', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006168', 'W77006168', 'UT01', 'U Of U Emergency Physicians', 'Christopher', NULL, 'Singer', 'NP', NULL, NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-05-16', '2006-01-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073517991', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006169', 'W77006169', 'UT01', 'U Of U Emergency Physicians', 'Susan', 'K', 'Stroud', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295810984', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006170', 'W77006170', 'UT01', 'U Of U Emergency Physicians', 'Susan', 'K', 'Stroud', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295810984', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870364077', 'W77006171', 'W77006171', 'UT01', 'Wasatch Neurological Clinic', 'Thomas', 'D', 'Houts', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '6040 Fashion Blvd Ste 201', 'Murray', 'Salt Lake', 'UT', '84107', '8012681888', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNRLG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1467434803', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870364311', 'W77006172', 'W77006172', 'UT01', 'Cook, Barry P', 'Barry', 'P', 'Cook', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '92 N 400 E', 'Price', 'Carbon', 'UT', '84501', '4356376290', '4356376291', NULL, NULL, '', NULL, NULL, '', '', 'UTALBERT', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-09-27', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215031372', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870364697', 'W77006174', 'W77006174', 'UT01', 'Mountain View Womens Care', 'W Lawrence', NULL, 'Warner', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '777 N 500 W Ste 203', 'Provo', 'Utah', 'UT', '84601', '8013561113', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-07-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508954348', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870365762', 'W77006175', 'W77006175', 'UT01', 'Crestwood Medical Group', 'John', 'B', 'Taylor', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '47 Crestwood Rd', 'Kaysville', 'Davis', 'UT', '84037', '8015461273', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830940', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870366939', 'W77006176', 'W77006176', 'UT01', 'Broadbent, Lee S', 'Lee', 'S', 'Broadbent', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '550 E 1400 N Ste D', 'Logan', 'Cache', 'UT', '84341', '4357527122', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265467567', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870370541', 'W77006177', 'W77006177', 'UT01', 'Ogden Speech  & Hearing Center', 'Tel', 'S', 'Boman', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '978 Chambers St Ste 1', 'Ogden', 'Weber', 'UT', '84403', '8013995601', '8013942230', NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1998-01-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972531028', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870371439', 'W77006178', 'W77006178', 'UT01', NULL, 'James', 'E', 'Pearl', 'MD', 'Internal Medicine', 'Pulmonary', 'Emergency Medicine', NULL, 'O', '324 10th Ave Ste 170', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8013221000', '8014085556', NULL, NULL, '', NULL, NULL, '', '', 'USTDPULM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-02-25', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417959206', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870371792', 'W77006179', 'W77006179', 'UT01', 'Duerksen, Ronald G', 'Ronald', 'G', 'Duerksen', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 416', 'Provo', 'Utah', 'UT', '84604', '8013577770', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPHMR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164503900', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870569543', 'W77006215', 'W77006215', 'UT01', 'Basin Clinic', 'Kirk', 'J', 'Woodward', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '379 N 500 W Ste 1A', 'Vernal', 'Uintah', 'UT', '84078', '4357891165', '4357891169', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, 'Uintah Basin Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1811083348', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870569774', 'W77006217', 'W77006217', 'UT01', 'Welling, Blake G', 'Blake', NULL, 'Welling', 'MD', 'Neurosurgery', NULL, NULL, NULL, 'O', '425 E 5350 S Ste 315', 'Ogden', 'Weber', 'UT', '84405', '8014799119', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UOGDEN', NULL, NULL, '0.00', '35.00', NULL, 3, '2000-04-15', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770627234', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870570172', 'W77006218', 'W77006218', 'UT01', 'Bear River Medical Arts', 'Jan-Erik', NULL, 'Schow', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '300 W 1400 S', 'Garland', 'Box Elder', 'UT', '84312', '4352572469', '4352572434', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215922919', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870571510', 'W77006219', 'W77006219', 'UT01', 'Layton Ambulatory Anesthesia', 'Earl', 'K', 'Leeman', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 160354', 'Clearfield', 'Davis', 'UT', '84016', '8017748992', '8015250347', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-04-01', '2006-05-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831174333', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W77006267', 'W77006267', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '1153 E 3900 S Ste 105', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006268', 'W77006268', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '25 E 100 N', 'Price', 'Carbon', 'UT', '84501', '4356376852', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2004-05-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006269', 'W77006269', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '2731 N 1600 W', 'Pleasant View', 'Weber', 'UT', '84404', '8017820300', '8017820305', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006270', 'W77006270', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '355 N Main St', 'Kanab', 'Kane', 'UT', '84741', '4356444199', '4356444141', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006271', 'W77006271', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '401 S 400 E', 'Bountiful', 'Davis', 'UT', '84010', '8013978151', '8013978051', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006272', 'W77006272', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '620 W 400 N', 'Moab', 'Grand', 'UT', '84532', '4352593600', '4352597715', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006273', 'W77006273', 'UT01', 'Mountain Land Rehab', 'and Rehab', NULL, 'Mountain L', 'GROUP', 'Physical Therapy', 'Occupational Therapy', 'Speech Therapy', NULL, 'O', '69 E 200 N', 'Kaysville', 'Davis', 'UT', '84037', '8015471155', '8015471173', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77006277', 'W77006277', 'UT01', 'Heart And Lung Institute', 'Mark', 'H', 'Keep', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012632370', '8012651200', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609859297', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77006278', 'W77006278', 'UT01', 'Heart And Lung Institute', 'Patricia', 'L', 'Nelson', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012632370', '8012651200', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629051206', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77006279', 'W77006279', 'UT01', 'Heart And Lung Institute', 'J', 'Joseph', 'Perry', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '1160 E 3900 S Ste G300', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012630140', '8012633887', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-06-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833349', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870373083', 'W77006280', 'W77006280', 'UT01', 'Heart And Lung Institute', 'J', 'Joseph', 'Perry', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012632370', '8012648407', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-06-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833349', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77006282', 'W77006282', 'UT01', 'Heart And Lung Institute', 'George', 'K', 'Wong', 'MD', NULL, NULL, NULL, NULL, 'B', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012630140', '8012633887', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-10-28', '2005-10-28', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1316920903', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77006283', 'W77006283', 'UT01', 'Heart And Lung Institute', 'George', 'K', 'Wong', 'MD', NULL, NULL, NULL, NULL, 'O', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012632370', '8012651200', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-10-28', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1316920903', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77006284', 'W77006284', 'UT01', 'Heart And Lung Institute', 'Lara', NULL, 'Zuberi', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012632370', '8012651200', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-09-30', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '932607', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373084', 'W77006285', 'W77006285', 'UT01', 'Henderson, David J', 'David', 'J', 'Henderson', 'MD', 'Urology', NULL, NULL, NULL, 'O', '415 Medical Dr Ste A202', 'Bountiful', 'Davis', 'UT', '84010', '8012983247', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UTANNER', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-09-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1417933284', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373377', 'W77006286', 'W77006286', 'UT01', NULL, 'Jay', 'D', 'Clark', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '175 N 400 W Ste C-10', 'Orem', 'Utah', 'UT', '84057', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOPHT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833658', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870375015', 'W77006287', 'W77006287', 'UT01', 'Burton, Neal J', 'Neal', 'J', 'Burton', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 247', 'Heber City', 'Wasatch', 'UT', '84032', '4356541501', '4356542030', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033141924', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870375459', 'W77006288', 'W77006288', 'UT01', 'Reiser III, A Hamer', 'A Hamer', NULL, 'Reiser', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '324 10th Ave Ste 172', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8014085155', '8014085156', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833947', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006290', 'W77006290', 'UT01', 'Mountain Land Rehabilitation', 'Shaun', 'B', 'Adams', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699879106', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006291', 'W77006291', 'UT01', 'Mountain Land Rehabilitation', 'Damon', 'L', 'Aguirre', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '50 E 9000 S', 'Sandy', 'Salt Lake', 'UT', '84070', '8015620066', '8015622124', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2000-05-05', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588730220', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006292', 'W77006292', 'UT01', 'Mountain Land Rehabilitation', 'Damon', 'L', 'Aguirre', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2000-05-05', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588730220', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006293', 'W77006293', 'UT01', 'Mountain Land Rehabilitation', 'Brett', 'H', 'Cook', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949406', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006294', 'W77006294', 'UT01', 'Mountain Land Rehabilitation', 'Jed', 'L', 'Crowton', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '29 S Main St', 'Tooele', 'Tooele', 'UT', '84074', '4358437466', '4358439568', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1285736041', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006295', 'W77006295', 'UT01', 'Mountain Land Rehabilitation', 'Christopher', NULL, 'Harper', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2000-06-09', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '911871', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006296', 'W77006296', 'UT01', 'Mountain Land Rehabilitation', 'Nylin', 'J', 'Johnson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2731 N 1600 W', 'Ogden', 'Weber', 'UT', '84404', '8017820300', '8017820305', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-29', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013010727', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006297', 'W77006297', 'UT01', 'Mountain Land Rehabilitation', 'Nylin', 'J', 'Johnson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-29', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013010727', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006298', 'W77006298', 'UT01', 'Mountainland Rehabilitation', 'Jason', 'D', 'Lobb', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1153 E 3900 S Ste 105', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-12-16', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949421', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006299', 'W77006299', 'UT01', 'Mountain Land Rehabilitation', 'Rick', NULL, 'Lybbert', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2004-01-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '911911', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006300', 'W77006300', 'UT01', 'Mountain Land Rehabilitation', 'Brian', NULL, 'Pennock', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2000-06-09', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '911861', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W77006301', 'W77006301', 'UT01', 'Mountain Land Rehabilitation', 'Richard', 'T', 'Ward', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '7140', '0.00', NULL, NULL, 3, '2005-07-29', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '929895', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870559208', 'W77006302', 'W77006302', 'UT01', 'Regional Pathology', 'Thomas', 'D', 'Coppin', 'MD', 'Pathology', NULL, NULL, NULL, 'O', '630 Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012926231', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, NULL, '0.00', '35.00', NULL, 3, '2000-05-01', '2007-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833720', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870559522', 'W77006303', 'W77006303', 'UT01', 'Lihai Medical Clinic', 'Kingi', 'M', 'Langi', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', '6778 S 1300 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830965', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W77006304', 'W77006304', 'UT01', 'Blanding Family Practice', 'Terry', 'R', 'Cook', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '799 S 200 W', 'Blanding', 'San Juan', 'UT', '84511', '4356783601', NULL, NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2006-11-30', 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1285636449', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W77006305', 'W77006305', 'UT01', 'Utah Navajo Health System', 'Terry', 'R', 'Cook', 'DPM', 'Podiatry', NULL, NULL, NULL, 'B', 'PO Box 130', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', '4356513642', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2005-06-24', 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1285636449', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W77006306', 'W77006306', 'UT01', 'Montezuma Creek Community Clinic', 'Lloyd', 'V', 'Jones', 'MD', 'Family Practice', 'Emergency Medicine', NULL, NULL, 'O', 'E Highway 262', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', '4356513642', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-04-29', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932102514', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W77006308', 'W77006308', 'UT01', 'Blanding Family Practice', 'Michele', 'M', 'Lyman', 'PA', NULL, NULL, NULL, NULL, 'O', '799 S 200 W', 'Blanding', 'San Juan', 'UT', '84511', '4356783601', NULL, NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447253091', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W77006309', 'W77006309', 'UT01', 'Montezuma Creek Community Clinic', 'Michele', 'M', 'Lyman', 'PA', NULL, NULL, NULL, NULL, 'O', 'E Highway 262', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', '4356513642', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447253091', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870581462', 'W77006392', 'W77006392', 'UT01', 'Freeman Physical Therapy', 'rapy', NULL, 'Freeman Physical The', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'O', '2332 W 12600 S Ste 2B', 'Riverton', 'Salt Lake', 'UT', '84065', '8014467171', '8014467373', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-05-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832970', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870581700', 'W77006393', 'W77006393', 'UT01', 'Southwest Family Medicine', 'Chuck', 'Hung', 'Gee', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', '1561 Fort Union Blvd Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8013522700', '8013520400', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-06-30', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1972620417', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870581700', 'W77006394', 'W77006394', 'UT01', 'Southwest Family Medicine', 'Barbara', 'P', 'Reineke', 'FNP', 'Family Practice', NULL, NULL, NULL, 'B', '1561 Fort Union Blvd Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8013522700', '8013520400', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-06-30', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1073652145', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870581700', 'W77006395', 'W77006395', 'UT01', 'Southwest Family Medicine', 'Randall', 'L', 'Watson', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1575 W 7000 S', 'West Jordan', 'Salt Lake', 'UT', '84084', '8015699133', '8015699103', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-06-30', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1952341000', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870583479', 'W77006396', 'W77006396', 'UT01', 'Phase II Center For Womens Health', 'Elizabeth', 'S', 'Graul', 'MD', 'Gynecology', NULL, NULL, NULL, 'O', '348 E 4500 S Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012629800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1417074865', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870603341', 'W77006397', 'W77006397', 'UT01', 'Flint, Ivan Dean', 'Christopher', 'A', 'Neville', 'PA', 'Dermatology', NULL, NULL, NULL, 'O', '1250 E 3900 S Ste 450', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012623600', '8012622555', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-02-21', '2006-11-30', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1689617714', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870607715', 'W77006398', 'W77006398', 'UT01', 'Springcreek Family Practice', 'Cynthia', NULL, 'Campbell', 'FNP', NULL, NULL, NULL, NULL, 'O', '728 W 100 S Ste 1', 'Heber City', 'Wasatch', 'UT', '84032', '4356544192', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134112998', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'W77006399', 'W77006399', 'UT01', 'Utah County Medical Associates', 'Robert', 'B', 'Clark', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '97 Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654896', '8014653267', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, 'Mountain View Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1689692071', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'W77006400', 'W77006400', 'UT01', 'Utah County Medical Associates', 'Elizabeth', 'A', 'Dayton', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '97 Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654896', '8014653267', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-10-27', '2006-05-31', 0, 0, 0, 'Mountain View Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1598799421', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'W77006401', 'W77006401', 'UT01', 'Utah County Medical Associates', 'Steven', 'J', 'Dewey', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '97 Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654899', '8014653267', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-06-16', '2004-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831271', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006402', 'W77006402', 'UT01', 'University Dept Of Family Medicine', 'Chris', 'R', 'Johnson', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-03-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831913', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006403', 'W77006403', 'UT01', 'University Dept Of Family Medicine', 'Elizabeth', 'A', 'Joy', 'MD', 'Sports Medicine', 'Family Practice', NULL, NULL, 'O', '555 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487768131', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006404', 'W77006404', 'UT01', 'University Dept Of Family Medicine', 'Elizabeth', 'A', 'Joy', 'MD', 'Sports Medicine', 'Family Practice', NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487768131', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006405', 'W77006405', 'UT01', 'University Dept Of Family Medicine', 'Michael', 'W', 'Kalsman', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-08-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831829', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006406', 'W77006406', 'UT01', 'University Dept Of Family Medicine', 'Bernadette', 'O', 'Kiraly', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015812000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-12-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508956111', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006407', 'W77006407', 'UT01', 'University Dept Of Family Medicine', 'Jennifer', NULL, 'Leiser', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-01-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851481469', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006408', 'W77006408', 'UT01', 'University Dept Of Family Medicine', 'Michael', 'K', 'Magill', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215976386', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006409', 'W77006409', 'UT01', 'University Dept Of Family Medicine', 'Carol', NULL, 'Osborn', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-01-01', '2005-08-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568464030', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006410', 'W77006410', 'UT01', 'University Dept Of Family Medicine', 'Trisha', 'L', 'Palmer', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015812000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833843', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006411', 'W77006411', 'UT01', 'University Dept Of Family Medicine', 'Donald', NULL, 'Pedersen', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-01-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962592584', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006412', 'W77006412', 'UT01', 'University Dept Of Family Medicine', 'Tricia', NULL, 'Petzold', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015812000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-09-09', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043300668', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006413', 'W77006413', 'UT01', 'University Dept Of Family Medicine', 'Richard', 'J', 'Price', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-10-18', '2005-01-28', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831782', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006414', 'W77006414', 'UT01', 'University Dept Of Family Medicine', 'Susan', NULL, 'Saffel-Shrier', 'RD', 'Registered Dietician', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015812000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-10-19', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '911485', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W77006415', 'W77006415', 'UT01', 'University Dept Of Family Medicine', 'Osman', 'N', 'Sanyer', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558451179', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870578539', 'W77006416', 'W77006416', 'UT01', 'Prof Therapy and Rehab', 'ab', NULL, 'Prof Therapy and Reh', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'O', '12198 Factory Outlet Dr Ste 3', 'Draper', 'Salt Lake', 'UT', '84020', '8015716600', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-05-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834341', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870578539', 'W77006417', 'W77006417', 'UT01', 'Prof Therapy And Rehab', 'Von', 'O', 'Hill', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '77 S 400 W', 'Spanish Fork', 'Utah', 'UT', '84660', '8017981626', '8017981236', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '1998-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669472684', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870578539', 'W77006418', 'W77006418', 'UT01', 'Prof Therapy And Rehab', 'Von', 'O', 'Hill', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '77 S 400 W', 'Spanish Fork', 'Utah', 'UT', '84660', '8017981626', '8017981236', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '1998-01-01', '1998-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669472684', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870578539', 'W77006419', 'W77006419', 'UT01', 'Prof Therapy And Rehab', 'Jason', NULL, 'Littledike', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '77 S 400 W', 'Spanish Fork', 'Utah', 'UT', '84660', '8017981626', '8017981236', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2001-07-25', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834656', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870578539', 'W77006420', 'W77006420', 'UT01', 'Prof Therapy And Rehab', 'Steven', 'E', 'Robbins', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '77 S 400 W', 'Spanish Fork', 'Utah', 'UT', '84660', '8017981626', '8017981236', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-01-06', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832850', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870579572', 'W77006421', 'W77006421', 'UT01', 'Jordan Vision Clinic', 'Lynn', 'D', 'Stromness', 'OD', 'Optometry', NULL, NULL, NULL, 'B', '9237 Redwood Rd Ste 5-A', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015612020', '8012553617', NULL, NULL, '', NULL, NULL, '', '', 'UTALBERT', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-04-15', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073694212', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870579572', 'W77006422', 'W77006422', 'UT01', 'Jordan Vision Clinic', 'Lynn', 'D', 'Stromness', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '9237 Redwood Rd Ste 5A', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015612020', '8012553617', NULL, NULL, '', NULL, NULL, '', '', 'UTALBERT', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-04-15', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073694212', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870583479', 'W77006423', 'W77006423', 'UT01', 'Phase II Center For Womens Health', 'Barbara', NULL, 'Hurst', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '348 E 4500 S Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012629800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1205973070', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870584427', 'W77006424', 'W77006424', 'UT01', 'University Of Utah Vascular Surgeons', 'Denise', 'L', 'Jost', 'APRN', 'Vascular Surgery', 'General Surgery', NULL, NULL, 'B', 'PO Box 58163', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2000-02-04', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336239938', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870584427', 'W77006425', 'W77006425', 'UT01', 'University Of Utah Vascular Surgeons', 'Larry', 'W', 'Kraiss', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Vascular Surgery', NULL, 'B', 'PO Box 58163', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962592576', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870584427', 'W77006426', 'W77006426', 'UT01', 'University Of Utah Vascular Surgeons', 'Joanna', NULL, 'Masi-Lynch', 'PA', NULL, NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818301', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-06-24', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '925126', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870584427', 'W77006427', 'W77006427', 'UT01', 'University Of Utah Vascular Surgeons', 'Joanna', NULL, 'Masi-Lynch', 'PA', NULL, NULL, NULL, NULL, 'B', 'PO Box 58163', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-06-24', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '925126', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006428', 'W77006428', 'UT01', 'Chiropractic Health Plan', 'Travis', 'R', 'Allan', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-05-20', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225082118', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006429', 'W77006429', 'UT01', 'Chiropractic Health Plan', 'Von', 'W', 'Alleman', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '147 W 400 N', 'Orem', 'Utah', 'UT', '84057', '8012219060', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467472985', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006430', 'W77006430', 'UT01', 'Chiropractic Health Plan', 'Ronald', 'D', 'Andersen', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '98 N W State Rd', 'American Fork', 'Utah', 'UT', '84003', '8017560111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-04-15', '2006-01-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841356235', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006431', 'W77006431', 'UT01', 'Chiropractic Health & Rehab', 'Shane', 'L', 'Arnold', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1264 Village Main Dr Ste A', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8019720393', '8019725707', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-01-28', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '913318', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006432', 'W77006432', 'UT01', 'Chiropractic Health Plan', 'Todd', 'J', 'Askeroth', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '112 E 100 N Ste 2', 'Logan', 'Cache', 'UT', '84321', '4357534744', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710026802', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006433', 'W77006433', 'UT01', 'Aznar Chiropractic', 'John', 'G', 'Aznar', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '555 S State St Ste 203', 'Orem', 'Utah', 'UT', '84058', '8012217012', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2002-01-18', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832061', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870609595', 'W77006474', 'W77006474', 'UT01', 'Utah County Medical Associates', 'Steven', 'J', 'Dewey', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '39 Professional Way Ste 4', 'Payson', 'Utah', 'UT', '84651', '8014653201', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-06-16', '2004-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831271', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'W77006475', 'W77006475', 'UT01', 'Utah County Medical Associates', 'Mark', 'A', 'Frazier', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '269 E 400 S', 'Springville', 'Utah', 'UT', '84663', '8014919883', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-06-01', '2006-05-31', 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital-Pro Fees', NULL, NULL, 'HCFA|UB|', '1326066572', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'W77006476', 'W77006476', 'UT01', 'Utah County Medical Associates', 'Mark', 'A', 'Frazier', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '97 Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654896', '8014653267', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-06-01', '2006-05-31', 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital-Pro Fees', NULL, NULL, 'HCFA|UB|', '1326066572', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'W77006477', 'W77006477', 'UT01', 'Utah County Medical Associates', 'Mary', 'Jayne', 'Johnson', 'NP', 'Family Practice', NULL, NULL, NULL, 'O', '97 Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654896', '8014653267', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-10-27', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '908492', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'W77006478', 'W77006478', 'UT01', 'Utah County Medical Associates', 'George', 'H', 'Michalek', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '97 Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654899', '8014653267', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225062904', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006479', 'W77006479', 'UT01', 'Chiropractic Health Plan', 'Donald', 'R', 'Canova', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-10-28', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770526394', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006480', 'W77006480', 'UT01', 'Chiropractic Health Plan', 'Milton', 'L', 'Carroll', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '57 E 800 N', 'Spanish Fork', 'Utah', 'UT', '84660', '8017986558', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-12-05', '2004-11-04', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982704177', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006481', 'W77006481', 'UT01', 'Chiropractic Health Plan', 'Milton', 'L', 'Carroll', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-12-05', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982704177', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006482', 'W77006482', 'UT01', 'Chiropractic Health Plan', 'Milton', 'L', 'Carroll', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-12-05', '2004-11-04', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982704177', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006483', 'W77006483', 'UT01', 'Chiropractic Health Plan', 'John', 'C', 'Christiansen', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '4059 S 4000 W', 'West Valley', 'Salt Lake', 'UT', '84120', '8019637711', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-02-27', '2004-07-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295764710', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006484', 'W77006484', 'UT01', 'Chiropractic Health Plan', 'Chad', 'L', 'Collard', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-06-24', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184707036', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006485', 'W77006485', 'UT01', 'Chiropractic Health Plan', 'Curtis', 'E', 'Cook', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-05-20', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972640555', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006486', 'W77006486', 'UT01', 'Chiropractic Health Plan', 'Veloy', NULL, 'Cook', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '57 E 800 N', 'Spanish Fork', 'Utah', 'UT', '84660', '8017986558', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-07-25', '2005-08-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832349', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006487', 'W77006487', 'UT01', 'Chiropractic Health Plan', 'Veloy', NULL, 'Cook', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-07-25', '2005-08-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832349', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006488', 'W77006488', 'UT01', 'Smithfield Chiropractic', 'Ira', 'Jeremy', 'Crawford', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '892 S Main St', 'Smithfield', 'Cache', 'UT', '84335', '4355636887', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2000-11-03', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225119837', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006489', 'W77006489', 'UT01', 'Chiropractic Health Plan', 'Adam', 'T', 'Doxey', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-03-28', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740357409', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006490', 'W77006490', 'UT01', 'Dudley Chiropractic & Wellness Center', 'Mark', NULL, 'Dudley', 'APRN', 'Mental Health', 'Chiropractic', NULL, NULL, 'O', '77 S 700 E Ste 230', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013593995', '8013598489', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-01-28', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689784019', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006491', 'W77006491', 'UT01', 'Chiropractic Health Plan', 'Daniel', 'E', 'Egbert', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1273 W 12600 S Ste 401', 'Riverton', 'Salt Lake', 'UT', '84065', '8014460383', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-03-02', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003831223', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77006492', 'W77006492', 'UT01', 'Chiropractic Health Plan', 'Mike', NULL, 'Egbert', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833532', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006493', 'W77006493', 'UT01', 'UUHC Billing Office', 'Greta', NULL, 'Branford', 'MD', 'Internal Medicine', 'Pediatrics', NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2005-07-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831471', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006494', 'W77006494', 'UT01', 'UUHC Redwood Center', 'Greta', NULL, 'Branford', 'MD', 'Internal Medicine', 'Pediatrics', NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2005-07-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831471', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006495', 'W77006495', 'UT01', 'UUHC Greenwood Center', 'Ellie', NULL, 'Brownstein', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '7495 S State St', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760572341', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006496', 'W77006496', 'UT01', 'UUHC Parkway Center', 'Brett', 'L', 'Clayson', 'PA', 'Internal Medicine', NULL, NULL, NULL, 'O', '145 W University Pkwy', 'Orem', 'Utah', 'UT', '84058', '8012348600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-07-19', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457441040', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006497', 'W77006497', 'UT01', 'UUHC Greenwood Center', 'Jeffrey', 'W', 'Cline', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '7495 S State St', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-08-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184714776', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006498', 'W77006498', 'UT01', 'UUHC Billing Office', 'William', 'W', 'Crenshaw', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-08-19', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891885489', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870616107', 'W77006499', 'W77006499', 'UT01', 'UUHC Redwood Center', 'Anne', 'M', 'Daly', 'NP', NULL, NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2005-12-08', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457452765', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006500', 'W77006500', 'UT01', 'UUHC Westridge Center', 'Daniel', 'G', 'Davie', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3730 W 4700 S', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-07-08', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '936978', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006501', 'W77006501', 'UT01', 'UUHC Billing Office', 'Julie', 'S', 'Day', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831274521', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006502', 'W77006502', 'UT01', 'UUHC Billing Office', 'Julie', 'S', 'Day', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2001-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831274521', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006503', 'W77006503', 'UT01', 'UUHC Redwood Center', 'Julie', 'S', 'Day', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831274521', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006504', 'W77006504', 'UT01', 'UUHC Billing Office', 'Eileen', 'R', 'Deleeuw', 'RD', 'Registered Dietician', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-09-26', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832802', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006505', 'W77006505', 'UT01', 'UUHC Billing Office', 'An', 'Tuong', 'Dinh', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2006-04-28', '2006-04-28', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144319997', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W77006506', 'W77006506', 'UT01', 'UUHC Billing Office', 'John', NULL, 'Doane', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2004-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871683466', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006507', 'W77006507', 'UT01', 'U Of U Emergency Physicians', 'Eileen', NULL, 'Scanlon', 'PA', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1050 E S Temple', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013504111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-09-20', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104888601', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006508', 'W77006508', 'UT01', 'U Of U Emergency Physicians', 'Eileen', NULL, 'Scanlon', 'PA', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015624242', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-09-20', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104888601', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W77006511', 'W77006511', 'UT01', 'U Of U Emergency Physicians', 'Robert', NULL, 'Stephen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780774315', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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