INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('942854057', 'W11021579', 'W11021579', 'UTIHC04', 'Radiology', 'Ryan', 'B', 'Nielsen', 'MD', 'Vascular Surgery', '', '', NULL, 'o', '1485 S Hwy 40', 'Heber City', 'Wasatch', 'UT', '84032', '4356542500', NULL, '1485 S Hwy 40', 'Heber City', 'Wasatch', 'UT', '84032', '4356542500', '', '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2009-09-01', NULL, 0, 0, 0, NULL, '', '', '', 'HCFA|UB|', '1821032863', 0, 'Y', 0, '2011-11-18', NULL, NULL, 40.489, -111.409, NULL, NULL),
('942854057', 'W11021580', 'W11021580', 'UTIHC04', 'Radiology', 'Matthew', 'E', 'Nokes', 'MD', 'Radiology', '', '', NULL, 'o', '126 S White Sage Ave', 'Delta', 'Millard', 'UT', '84624', '4358645591', NULL, '126 S White Sage Ave', 'Delta', 'Millard', 'UT', '84624', '4358645591', '          ', '', '', '', '0.00', '15.00', '0.00', 8, '2008-06-01', NULL, 0, 0, 0, NULL, '', '', '', 'HCFA|UB|', '1528280385', 0, 'N', 0, '2010-12-28', NULL, NULL, 39.3506, -112.56, NULL, NULL),
('942854057', 'W11021581', 'W11021581', 'UTIHC04', 'Radiology', 'Matthew', 'E', 'Nokes', 'MD', 'Radiology', '', '', NULL, 'o', '1485 S Hwy 40', 'Heber City', 'Wasatch', 'UT', '84032', '4356542500', NULL, '1485 S Hwy 40', 'Heber City', 'Wasatch', 'UT', '84032', '4356542500', '          ', '', '', '', '0.00', '15.00', '0.00', 8, '2008-06-01', NULL, 0, 0, 0, NULL, '', '', '', 'HCFA|UB|', '1528280385', 0, 'N', 0, '2010-12-28', NULL, NULL, 40.489, -111.409, NULL, NULL),
('942854057', 'W11021582', 'W11021582', 'UTIHC04', 'Radiology', 'Matthew', 'E', 'Nokes', 'MD', 'Radiology', '', '', NULL, 'o', '1100 S Medical Dr', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, '1100 S Medical Dr', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', '          ', '', '', '', '0.00', '15.00', '0.00', 8, '2008-06-01', NULL, 0, 0, 0, NULL, '', '', '', 'HCFA|UB|', '1528280385', 0, 'N', 0, '2010-12-28', NULL, NULL, 39.5318, -111.461, NULL, NULL),
('942854057', 'W11021583', 'W11021583', 'UTIHC04', 'Radiology', 'Matthew', 'E', 'Nokes', 'MD', 'Radiology', '', '', NULL, 'o', '1000 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, '1000 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', '          ', '', '', '', '0.00', '15.00', '0.00', 8, '2008-06-01', NULL, 0, 0, 0, NULL, '', '', '', 'HCFA|UB|', '1528280385', 0, 'N', 0, '2010-12-28', NULL, NULL, 38.7833, -112.085, NULL, NULL),
('942854057', 'W11021584', 'W11021584', 'UTIHC04', 'Maternal Fetal Medicine', 'Bryan', 'T', 'Oshiro', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'o', '544 S 400 E', 'St George', 'Washington', 'UT', '84770', '4356884770', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2007-07-03', '2009-10-26', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780608489', 0, 'Y', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021585', 'W11021585', 'UTIHC04', 'Radiology', 'Rodney', 'C', 'Petersen', 'MD', 'Radiologist', NULL, NULL, NULL, 'o', '1485 S Hwy 40', 'Heber City', 'Wasatch', 'UT', '84032', '4356542500', NULL, NULL, NULL, 'Wasatch', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2008-06-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548216765', 0, 'Y', 0, '2010-01-12', NULL, NULL, 40.489, -111.409, NULL, NULL),
('942854057', 'W11021586', 'W11021586', 'UTIHC04', 'Anesthesia', 'Jared', 'K', 'Robinson', 'CRNA', 'Anesthesiology', '', '', NULL, 'o', '1100 S Medical Dr', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, '1100 S Medical Dr', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', '', '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2009-10-29', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1457455925', 0, 'N', 0, '2014-01-17', NULL, NULL, 39.5318, -111.461, NULL, NULL),
('942854057', 'W11021587', 'W11021587', 'UTIHC04', 'Consult Liaison', 'Mark', 'G', 'Schwei', 'MD PHD', 'Mental Health', 'Psychiatry', NULL, NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', NULL, NULL, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1639199110', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021588', 'W11021588', 'UTIHC04', 'Consult Liaison', 'Mark', 'G', 'Schwei', 'MD PHD', 'Mental Health', 'Psychiatry', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', '          ', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2009-10-01', '2013-12-31', 0, 0, 0, 'Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1639199110', 0, 'Y', 0, '2014-06-18', NULL, NULL, 40.7663, -111.837, NULL, NULL),
('942854057', 'W11021589', 'W11021589', 'UTIHC04', 'Consult Liaison', 'Kirk', 'A', 'Simon', 'MD', 'Mental Health', 'Psychiatry', NULL, NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043399611', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021590', 'W11021590', 'UTIHC04', 'Consult Liaison', 'Kirk', 'A', 'Simon', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', '', '', '', '', '0.00', '10.00', '0.00', 8, '2009-10-01', '2013-03-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1043399611', 0, 'Y', 0, '2014-06-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021591', 'W11021591', 'UTIHC04', 'Neuropsychology', 'Julien', 'T', 'Smith', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625982', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625982', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-05-01', '2009-10-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326069022', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021592', 'W11021592', 'UTIHC04', 'EKG', 'Mandy', 'L', 'Snyder', 'APRN', 'Cardiovascular Disease', 'Family Practice', '', NULL, 'o', '900 Round Valley Drive', 'Park City', 'Summit', 'UT', '84060', '4356587000', NULL, '900 Round Valley Drive', 'Park City', 'Summit', 'UT', '84060', '4356587000', '', '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2009-09-15', '2009-09-15', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1336394501', 0, 'Y', 0, '2010-06-28', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021593', 'W11021593', 'UTIHC04', 'Spina Bifida Clinic', 'Paul', 'H', 'Swensen', 'MD', 'Pediatrics', '', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2008-06-01', NULL, 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1477676112', 0, 'N', 0, '2013-09-03', NULL, NULL, 40.7663, -111.837, NULL, NULL),
('942854057', 'W11021594', 'W11021594', 'UTIHC04', 'N/A', 'Mehm', 'T', 'Thaung', 'MD', 'General Surgery', NULL, NULL, NULL, 'o', '1100 S Medical Dr', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '4354622441', NULL, NULL, NULL, 'Sanpete', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '15.00', NULL, 8, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669455861', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021595', 'W11021595', 'UTIHC04', 'N/A', 'Mehm', 'T', 'Thaung', 'MD', 'General Surgery', '', '', NULL, 'o', '1000 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358934100', NULL, '1000 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358934100', '', '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2008-04-01', '2009-10-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1669455861', 0, 'N', 0, '2013-08-27', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021596', 'W11021596', 'UTIHC04', 'N/A', 'Joel', 'A', 'Thompson', 'MD', 'Pediatric Neurology', 'Neurology', NULL, NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016623957', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-05-01', '2009-10-26', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912071093', 0, 'Y', 0, '2010-01-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021597', 'W11021597', 'UTIHC04', 'Neurology', 'Joel', 'A', 'Thompson', 'MD', 'Pediatric Neurology', 'Neurology', NULL, NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016623957', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016623957', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2009-10-01', '2012-10-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912071093', 0, 'Y', 0, '2012-10-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021598', 'W11021598', 'UTIHC04', 'N/A', 'Colin', 'B', 'Van Orman', 'MD', 'Pediatric Neurology', 'Neurology', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84143', '8016621000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-05-01', '2009-10-26', NULL, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1225117898', 0, 'Y', 0, '2009-11-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021599', 'W11021599', 'UTIHC04', 'Neurology', 'Colin', 'B', 'Van Orman', 'MD', 'Pediatric Neurology', 'Neurology', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84143', '8016621000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2009-10-01', NULL, NULL, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1225117898', 0, 'Y', 0, '2009-11-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021600', 'W11021600', 'UTIHC04', 'Sleep Medicine Department', 'Kirk', 'G', 'Watkins', 'MD', 'Sleep Medicine', NULL, NULL, NULL, 'o', '652 S Medical Ctr Dr Ste 310', 'St George', 'Washington', 'UT', '84790', '4352513940', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '15.00', NULL, 8, '2000-01-01', '2000-01-01', NULL, NULL, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326220559', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021601', 'W11021601', 'UTIHC04', 'Sleep Medicine Department', 'Kirk', 'G', 'Watkins', 'MD', 'Sleep Medicine', NULL, NULL, NULL, 'o', '652 S Medical Ctr Dr Ste 310', 'St George', 'Washington', 'UT', '84790', '4352513940', NULL, '652 S Medical Center Dr Ste 310', 'St George', 'Washington', 'UT', '84790', '4352513940', '          ', '', '', '', '0.00', '15.00', '0.00', 8, '2008-04-01', NULL, 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326220559', 0, 'Y', 0, '2012-02-07', NULL, NULL, 37.0498, -113.574, NULL, NULL),
('942854057', 'W11021602', 'W11021602', 'UTIHC04', 'Radiology', 'Gary', 'M', 'Watts', 'MD', 'Radiologist', NULL, NULL, NULL, 'o', '1485 S Hwy 40', 'Heber City', 'Wasatch', 'UT', '84032', '4358934100', NULL, NULL, NULL, 'Wasatch', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2008-06-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528014792', 0, 'N', 0, '2010-01-12', NULL, NULL, 40.489, -111.409, NULL, NULL),
('942854057', 'W11021603', 'W11021603', 'UTIHC04', 'Radiology', 'Gary', 'M', 'Watts', 'MD', 'Radiologist', NULL, NULL, NULL, 'o', '1000 N Main', 'Richfield', 'Sevier', 'UT', '84701', '4358934100', NULL, NULL, NULL, 'Sevier', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2008-06-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528014792', 0, 'N', 0, '2010-01-12', NULL, NULL, 38.7833, -112.085, NULL, NULL),
('942854057', 'W11021604', 'W11021604', 'UTIHC01', 'EKG', 'Marvin', 'R', 'Allen', 'MD', 'Cardiovascular Disease', '', '', NULL, 'o', '100 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, '100 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', '          ', '', '', '', '0.00', '15.00', '0.00', 8, '2009-10-01', '2013-06-30', 0, 0, 0, 'Timpanogos Regional Hospital', 'Mountain View Regional Hospital', '', '', 'HCFA|UB|', '1831154566', 0, 'Y', 0, '2013-09-09', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021605', 'W11021605', 'UTIHC01', 'Cardiology', 'Cammon', 'Bart', 'Arrington', 'MD', 'Pediatric Cardiology', 'Pediatrics', NULL, NULL, 'o', '100 Mario Capecchi Way Ste 1500', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625443', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700910114', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W11021607', 'W11021607', 'UTIHC01', 'EKG', 'Rodney', 'Seymour', 'Badger', 'MD', 'Cardiovascular Disease', 'Internal Medicine', '', NULL, 'o', '100 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, '100 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', '          ', '', '', '', '0.00', '15.00', '0.00', 8, '2009-10-01', '2010-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003874439', 0, 'Y', 0, '2010-04-06', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021608', 'W11021608', 'UTIHC01', 'Physician Services', 'Rebecca', 'S', 'Barlow', 'APRN', 'Family Practice', 'Advanced Practice Registered Nurse', NULL, NULL, 'o', '736 S 900 E Ste 107', 'St George', 'Washington', 'UT', '84790', '4352512875', NULL, NULL, NULL, 'Washington', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2009-10-08', NULL, NULL, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1790915924', 0, 'N', 0, '2009-12-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021609', 'W11021609', 'UTIHC01', 'Consult Liaison', 'Deborah', 'A', 'Bilder', 'MD', 'Mental Health', 'Psychiatry', 'Pediatrics', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '10.00', NULL, 8, '2000-01-01', '2000-01-01', NULL, NULL, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1427084615', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021610', 'W11021610', 'UTIHC01', 'Consult Liaison', 'Deborah', 'A', 'Bilder', 'MD', 'Mental Health', 'Psychiatry', 'Pediatrics', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', '          ', '', '', '', '0.00', '10.00', '0.00', 8, '2009-10-01', '2013-04-25', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1427084615', 0, 'Y', 0, '2013-05-17', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021611', 'W11021611', 'UTIHC01', 'EKG', 'Scott', 'Eugene', 'Bingham', 'MD', 'Cardiovascular Disease', '', '', NULL, 'o', '1000 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', NULL, '1000 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358968271', '', '', NULL, NULL, '0.00', '15.00', '0.00', 8, '2009-10-01', NULL, 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1487612214', 0, 'Y', 0, '2011-04-08', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11021612', 'W11021612', 'UTIHC01', 'N/A', 'David', 'W', 'Branch', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621000', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-05-01', '2009-10-26', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1922012830', 0, 'N', 0, '2011-06-23', NULL, NULL, 0, 0, NULL, NULL),
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('800331521', 'W11021760', 'W11021760', 'UT01', 'Wasatch Eye Specialists', 'Matthew', 'D', 'Hammond', 'MD', 'Ophthalmology', '', '', NULL, 'B', 'PO Box 30015 Dept 4', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '4357877200', NULL, 'PO Box 30015 Dept 4', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '4357877200', '          ', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2009-11-15', '2014-01-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1902829799', 0, 'N', 0, '2014-02-13', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'W11021761', 'W11021761', 'UT01', 'Central Utah Clinic', 'Dennis', 'R', 'Allen', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8014290610', NULL, 'PO Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8014290610', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2009-11-15', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407893043', 0, 'Y', 0, '2011-04-12', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'W11021762', 'W11021762', 'UT01', 'Central Utah Clinic', 'Dennis', 'R', 'Allen', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1055 N 500 W Ste 122', 'Provo', 'Utah', 'UT', '84604', '8014290610', NULL, '1055 N 500 W Ste 122', 'Provo', 'Utah', 'UT', '84604', '8014290610', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2009-11-15', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407893043', 0, 'N', 0, '2011-04-12', NULL, NULL, 0, 0, NULL, NULL),
('742743906', 'W11021763', 'W11021763', 'TX01', 'San Antonio Kidney Disease Center', 'Ashutosh', 'K', 'Mahajan', 'MD', 'Nephrology', 'Internal Medicine', '', NULL, 'B', '7142 San Pedro Ave Ste 120', 'San Antonio', 'Bexar', 'TX', '78216', '2104030765', NULL, '7142 San Pedro Ave Ste 120', 'San Antonio', 'Bexar', 'TX', '78216', '2104030765', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-11-15', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1932140183', 0, 'y', 0, '2013-02-01', NULL, NULL, 29.5128, -98.4973, NULL, NULL),
('742743906', 'W11021764', 'W11021764', 'TX01', 'San Antonio Kidney Disease Center', 'Ashutosh', 'K', 'Mahajan', 'MD', 'Nephrology', 'Internal Medicine', '', NULL, 'O', '102 Palo Alto Rd Ste 200', 'San Antonio', 'Bexar', 'TX', '78211', '2104030765', NULL, '102 Palo Alto Rd Ste 200', 'San Antonio', 'Bexar', 'TX', '78211', '2104030765', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-11-15', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1932140183', 0, 'N', 0, '2013-02-01', NULL, NULL, 29.3533, -98.5514, NULL, NULL),
('742743906', 'W11021765', 'W11021765', 'TX01', 'San Antonio Kidney Disease Center', 'Rajeev', '', 'Narayan', 'MD', 'Nephrology', 'Internal Medicine', '', NULL, 'B', '7142 San Pedro Ave Ste 120', 'San Antonio', 'Bexar', 'TX', '78216', '2102280743', NULL, '7142 San Pedro Ave Ste 120', 'San Antonio', 'Bexar', 'TX', '78216', '2102280743', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-11-15', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1093805863', 0, 'y', 0, '2013-08-07', NULL, NULL, 29.5128, -98.4973, NULL, NULL),
('742743906', 'W11021766', 'W11021766', 'TX01', 'San Antonio Kidney Disease Center', 'Rajeev', '', 'Narayan', 'MD', 'Nephrology', 'Internal Medicine', '', NULL, 'O', '102 Palo Alto Rd Ste 200', 'San Antonio', 'Bexar', 'TX', '78211', '2104030765', NULL, '102 Palo Alto Rd Ste 200', 'San Antonio', 'Bexar', 'TX', '78211', '2104030765', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-11-15', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1093805863', 0, 'N', 0, '2013-08-07', NULL, NULL, 29.3533, -98.5514, NULL, NULL),
('742743906', 'W11021767', 'W11021767', 'TX01', 'San Antonio Kidney Disease Center', 'Matthew', 'E', 'Schaefer', 'DO', 'Nephrology', 'Internal Medicine', '', NULL, 'B', '7142 San Pedro Ave Ste 120', 'San Antonio', 'Bexar', 'TX', '78216', '2102280743', NULL, '7142 San Pedro Ave Ste 120', 'San Antonio', 'Bexar', 'TX', '78216', '2102280743', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-11-15', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1346205648', 0, 'y', 0, '2013-08-07', NULL, NULL, 29.5128, -98.4973, 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
('742743906', 'W11021768', 'W11021768', 'TX01', 'San Antonio Kidney Disease Center', 'Matthew', 'E', 'Schaefer', 'DO', 'Nephrology', 'Internal Medicine', '', NULL, 'O', '1008 Brooklyn Ave', 'San Antonio', 'Bexar', 'TX', '78215', '2102280743', NULL, '1008 Brooklyn Ave', 'San Antonio', 'Bexar', 'TX', '78215', '2102280743', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-11-15', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1346205648', 0, 'N', 0, '2013-08-07', NULL, NULL, 29.4382, -98.4887, NULL, NULL),
('481297403', 'W11021769', 'W11021769', 'UT01', 'Mountain West Family Practice', 'Jonathan', 'D', 'Atkin', 'PA-C', 'Family Practice', '', '', NULL, 'O', '2356 N 400 E Ste 201', 'Tooele', 'Tooele', 'UT', '84074', '4358822350', NULL, '2356 N 400 E Ste 201', 'Tooele', 'Tooele', 'UT', '84074', '4358822350', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2009-11-15', NULL, 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1861725889', 0, 'N', 0, '2013-08-07', NULL, NULL, 40.5621, -112.293, NULL, NULL),
('870499346', 'W11021770', 'W11021770', 'UT01', 'Center for Family Evaluation and Treatment', 'Ted', 'A', 'Harris', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'O', '5691 S Redwood Rd Ste 16', 'Taylorsville', 'Salt Lake', 'UT', '84123', '8012653895', NULL, '5691 S Redwood Rd Ste 16', 'Taylorsville', 'Salt Lake', 'UT', '84123', '8012653895', '', 'UTPHD', NULL, NULL, '0.00', '35.00', '0.00', 3, '2009-11-15', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1033186382', 0, 'n', 0, '2013-08-20', NULL, NULL, 0, 0, NULL, NULL),
('061506129', 'W11003989', 'W11003989', 'UT01', 'Wee Care Pediatrics', 'Peter', 'E', 'Silas', 'MD', 'Pediatrics', '', '', NULL, 'O', '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', NULL, '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', '', 'WUSTDPEDE5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-06-01', NULL, 0, 0, 0, 'Davis Hospital', '', '', '', 'HCFA|UB|', '1295733343', 0, 'N', 0, '2014-03-25', NULL, NULL, 41.0891, -112.061, NULL, NULL),
('061506129', 'W11003987', 'W11003987', 'UT01', 'Wee Care Pediatrics', 'Anthony', 'G', 'Pruitt', 'MD', 'Pediatrics', '', '', NULL, 'O', '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', NULL, '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', '', 'WUSTDPEDE5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-06-01', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1700884848', 0, 'N', 0, '2013-04-15', NULL, NULL, 41.0891, -112.061, NULL, NULL),
('061506129', 'W11003985', 'W11003985', 'UT01', 'Wee Care Pediatrics', 'Michael', 'Brian', 'Lloyd', 'MD', 'Pediatric Neurology', 'Pediatrics', '', NULL, 'O', '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', NULL, '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', '', 'WUSTDPEDE5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-06-01', '2012-08-31', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1497753354', 0, 'N', 0, '2012-01-04', NULL, NULL, 0, 0, NULL, NULL),
('061506129', 'W11003983', 'W11003983', 'UT01', 'Wee Care Pediatrics', 'Alvin', 'A', 'Gabrielsen', 'MD', 'Pediatrics', '', '', NULL, 'O', '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8017738644', NULL, '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8017738644', '', 'WUSTDPEDE5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-06-01', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1992703029', 0, 'N', 0, '2012-01-04', NULL, NULL, 41.0891, -112.061, NULL, NULL),
('061506129', 'W11003982', 'W11003982', 'UT01', 'Wee Care Pediatrics', 'John', 'Bryant', 'Freer', 'MD', 'Pediatrics', '', '', NULL, 'O', '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', '8019271591', '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', '8019271591', 'WUSTDPEDE5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-06-01', '2010-05-10', 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1821193947', 0, 'N', 0, '2013-07-10', NULL, NULL, 0, 0, NULL, NULL),
('061506129', 'W11003981', 'W11003981', 'UT01', 'Wee Care Pediatrics', 'Justin', 'C', 'Alvey', 'MD', 'Pediatrics', '', '', NULL, 'O', '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', NULL, '1792 W 1700 S', 'Syracuse', 'Davis', 'UT', '84075', '8019271634', '          ', 'WUSTDPEDE5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-06-01', '2013-01-05', 0, 0, 0, 'Ogden Regional Medical Center', '', '', '', 'HCFA|UB|', '1346248465', 0, 'N', 0, '2013-03-12', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W11021771', 'W11021771', 'WYBILLINGS', 'Billings Clinic - Cancer Center', 'Ella', 'K', 'Dugan-Laemmle', 'LCPC', 'Mental Health', 'Counseling', NULL, NULL, 'O', '2825 8th Ave N', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382469', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', NULL, NULL, '', NULL, NULL, '0.00', '17.00', '0.00', 3, '2009-11-01', '2010-03-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972635506', 0, 'N', 0, '2010-01-15', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W11021772', 'W11021772', 'WYBILLINGS', 'Billings Clinic - Miles City Clinic', 'Reid', 'R', 'Markle', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '620 S Haynes', 'Miles City', 'Custer', 'MT', '59301', '4062337000', '4062337070', 'PO Box 37000', 'Billings', 'Custer', 'MT', '59107', NULL, NULL, '', NULL, NULL, '0.00', '17.00', '0.00', 3, '2009-11-20', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000003036', 0, 'N', 0, '2009-11-19', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11021777', 'W11021777', 'UT01', 'Jordan Valley Hospital', 'Jeffrey', 'S', 'Devaney', 'APRN', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8015618888', NULL, 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8015618888', '          ', 'WUSTDINT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2009-11-15', '2010-10-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1376716399', 0, 'N', 0, '2012-02-29', NULL, NULL, 0, 0, NULL, NULL),
('621600427', 'W11021783', 'W11021783', 'PEHPMTSTAR', 'Wasatch Endoscopy Center', '', '', 'Wasatch Endoscopy Center', 'GROUP', 'Endoscopy Center', '', '', NULL, 'B', 'PO Box 402311', 'Atlanta', 'Fulton', 'GA', '30384', '8012813657', NULL, 'PO Box 402311', 'Atlanta', 'Fulton', 'GA', '30384', '8012813657', '', '', NULL, NULL, '0.00', '31.00', '0.00', 3, '2009-11-12', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1881701290', 0, 'y', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('621600427', 'W11021782', 'W11021782', 'UT01', 'Wasatch Endoscopy Center', '', '', 'Wasatch Endoscopy Center', 'GROUP', 'Endoscopy Center', '', '', NULL, 'B', 'PO Box 402311', 'Atlanta', 'Fulton', 'GA', '30384', '8012813657', NULL, 'PO Box 402311', 'Atlanta', 'Fulton', 'GA', '30384', '8012813657', '', '', NULL, NULL, '0.00', '31.00', '0.00', 3, '2009-11-12', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1881701290', 0, 'n', 0, '2011-07-13', NULL, NULL, 0, 0, NULL, NULL),
('264801620', 'W11021781', 'W11021781', 'ID02', 'Griffin Chiropractic', 'Jared', 'L', 'Jensen', 'DC', 'Chiropractic', '', '', NULL, 'O', '2016 S Eagle Rd', 'Meridian', 'Ada', 'ID', '83642', '2088876810', '          ', '2016 S Eagle Rd', 'Meridian', 'Ada', 'ID', '83642', '2088876810', '          ', 'IDCHIRO1', '', '', '0.00', '35.00', '0.00', 3, '2009-11-10', '2009-12-01', 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1922262336', 0, 'N', 0, '2014-04-02', NULL, NULL, 0, 0, NULL, NULL),
('942938348', 'W11021780', 'W11021780', 'UTMH1', 'Valley Mental Health  Inc', 'Dawn', 'H', 'Watts', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'B', '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', NULL, '5965 S 900 E Ste 430', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012637100', '', 'UTVMHMA', NULL, NULL, '0.00', '35.00', '0.00', 6, '2009-11-12', '2013-02-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952474074', 0, 'Y', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('205934739', 'W11021779', 'W11021779', 'ID02', 'Family Medicine Health Center', 'Anna', 'F', 'Bender', 'PA', 'Family Practice', '', '', NULL, 'O', '121 E Fort St', 'Boise', 'Ada', 'ID', '83712', '2083811775', NULL, '121 E Fort St', 'Boise', 'Ada', 'ID', '83712', '2083811775', '', 'IDPPO', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2009-11-15', NULL, 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1841527264', 0, 'n', 0, '2011-06-29', NULL, NULL, 0, 0, NULL, NULL),
('205934739', 'W11021778', 'W11021778', 'ID02', 'Family Medicine Health Center', 'Anna', 'F', 'Bender', 'PA', 'Family Practice', '', '', NULL, 'O', '777 N Raymond St', 'Boise', 'Ada', 'ID', '83704', '2083676042', NULL, '777 N Raymond St', 'Boise', 'Ada', 'ID', '83704', '2083676042', '', 'IDPPO', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2009-11-15', NULL, 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1841527264', 0, 'n', 0, '2011-06-29', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11021775', 'W11021775', 'UT01', 'Davis Hospital & Medical Canter', 'Wesley', 'B', 'Jones', 'PA', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8018077009', NULL, 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8018077009', '          ', 'WUSTDINT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2009-11-15', '2010-10-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1548282908', 0, 'N', 0, '2011-09-20', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11021774', 'W11021774', 'UT01', 'Davis Hospital & Medical Canter', 'Wesley', 'B', 'Jones', 'PA', 'Internal Medicine', '', '', NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018077009', NULL, '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018077009', '          ', 'WUSTDINT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2009-11-15', '2010-10-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1548282908', 0, 'N', 0, '2011-09-20', NULL, NULL, 0, 0, NULL, NULL),
('412057748', 'W11021773', 'W11021773', 'UT01', 'Utah Pain and Rehab', 'Craig', 'P', 'Bailey', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1276 S Wall Ave', 'Ogden', 'Weber', 'UT', '84404', '8013374000', NULL, '1276 S Wall Ave', 'Ogden', 'Weber', 'UT', '84404', '8013374000', '          ', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2009-11-15', '2013-08-07', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1588667661', 0, 'N', 0, '2013-08-14', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W11021788', 'W11021788', 'WY01', 'Billings Clinic - Dietary', 'Althea', NULL, 'Brese', 'RD', 'Dietician', NULL, NULL, NULL, 'B', '2800 10th Ave N', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4066574349', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', NULL, NULL, '', NULL, NULL, '0.00', '17.00', '0.00', 3, '2009-12-01', '2009-04-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497904395', 0, 'Y', 0, '2009-11-20', NULL, NULL, 0, 0, NULL, NULL),
('870617733', 'W11021787', 'W11021787', 'UT01', 'Mt Ogden Eye Center', 'Jed', 'T', 'Poll', 'MD', 'Ophthalmology', '', '', NULL, 'O', '520 Medical Dr Ste 201', 'Bountiful', 'Davis', 'UT', '84010', '8012928878', NULL, '4360 Washington Bvld', 'Ogden', 'Davis', 'UT', '84403', NULL, NULL, 'WUTALBERT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2009-11-17', '2009-11-17', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1376656124', 0, 'N', 0, '2009-11-19', NULL, NULL, 0, 0, NULL, NULL),
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('711052367', 'W11021854', 'W11021854', 'UT01', 'Myeloma Care Department of U of U', 'Schickwann', NULL, 'Tsai', 'MD, PHD', 'Internal Medicine', 'Hematolgy and Oncology', '', NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUMYLO', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2009-01-01', '2012-08-23', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649220948', 0, 'Y', 0, '2012-08-24', NULL, NULL, 0, 0, NULL, NULL),
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('711052367', 'W11021847', 'W11021847', 'UT01', 'University Health Care', 'Charlotte', 'E', 'Schafer', 'APRN', 'Internal Medicine', NULL, NULL, NULL, 'O', '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUMYLO', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2009-01-01', '2009-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841459666', 0, 'N', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('263749619', 'W11021862', 'W11021862', 'TX01', 'Texas Medical and Sleep Specialists', 'Joshua', 'S', 'Rotenberg', 'MD', 'Pediatric Neurology', NULL, NULL, NULL, 'O', '5282 Medical Dr Ste 120', 'San Antonio', 'Bexar', 'TX', '78229', '2102495020', NULL, '5282 Medical Dr Ste 120', 'San Antonio', 'Bexar', 'TX', '78229', '2102495020', '          ', 'TXSURGC', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2009-12-01', '2010-11-30', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1437149333', 0, 'N', 0, '2012-08-29', NULL, NULL, 29.5087, -98.5879, NULL, NULL),
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('263749619', 'W11021871', 'W11021871', 'TX01', 'Texas Medical and Sleep Specialists', 'Tarak', 'J', 'Patel', 'MD', 'Sleep Medicine', 'Pediatric Pulmonology', 'Pediatric Pulmonology', NULL, 'O', '5307 Broadway Ste 200', 'San Antonio', 'Bexar', 'TX', '78209', '2102495020', NULL, '5307 Broadway Ste 200', 'San Antonio', 'Bexar', 'TX', '78209', '2102495020', '', 'TXSURGC', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-12-01', NULL, 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013954221', 0, 'N', 0, '2012-08-16', NULL, NULL, 29.4762, -98.4629, NULL, NULL),
('263749619', 'W11021870', 'W11021870', 'TX01', 'Texas Medical and Sleep Specialists', 'Tarak', 'J', 'Patel', 'MD', 'Sleep Medicine', 'Pediatric Pulmonology', 'Pediatric Pulmonology', NULL, 'O', '414 Navarro Ste 520', 'San Antonio', 'Bexar', 'TX', '78205', '2102495020', NULL, '414 Navarro Ste 520', 'San Antonio', 'Bexar', 'TX', '78205', '2102495020', '', 'TXSURGC', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-12-01', NULL, 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013954221', 0, 'N', 0, '2012-08-16', NULL, NULL, 29.4254, -98.4897, NULL, NULL),
('263749619', 'W11021869', 'W11021869', 'TX01', 'Texas Medical and Sleep Specialists', 'Tarak', 'J', 'Patel', 'MD', 'Sleep Medicine', 'Pediatric Pulmonology', 'Pediatric Pulmonology', NULL, 'O', '1339 E Court Ste 230', 'Seguin', 'Guadalupe', 'TX', '78155', '2102495020', NULL, '1339 E Court Ste 230', 'Seguin', 'Guadalupe', 'TX', '78155', '2102495020', '', 'TXSURGC', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-12-01', NULL, 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013954221', 0, 'N', 0, '2012-08-16', NULL, NULL, 29.5691, -97.9453, NULL, NULL),
('263749619', 'W11021868', 'W11021868', 'TX01', 'Texas Medical and Sleep Specialists', 'Tarak', 'J', 'Patel', 'MD', 'Sleep Medicine', 'Pediatric Pulmonology', 'Pediatric Pulmonology', NULL, 'O', '525 Oak Ctr Dr Ste 440', 'San Antonio', 'Bexar', 'TX', '78258', '2102495020', NULL, '525 Oak Centre Dr Ste 440', 'San Antonio', 'Bexar', 'TX', '78258', '2102495020', '', 'TXSURGC', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-12-01', NULL, 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013954221', 0, 'N', 0, '2012-08-16', NULL, NULL, 29.6189, -98.4917, NULL, NULL),
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('263749619', 'W11021866', 'W11021866', 'TX01', 'Texas Medical and Sleep Specialists', 'Tarak', 'J', 'Patel', 'MD', 'Sleep Medicine', 'Pediatric Pulmonology', 'Pediatric Pulmonology', NULL, 'B', 'PO Box 230', 'San Antonio', 'Bexar', 'TX', '78291', '2102495020', NULL, 'PO Box 230', 'San Antonio', 'Bexar', 'TX', '78291', '2102495020', '', 'TXSURGC', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-12-01', NULL, 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013954221', 0, 'Y', 0, '2012-08-16', NULL, NULL, 0, 0, NULL, NULL),
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('263749619', 'W11021861', 'W11021861', 'TX01', 'Texas Medical and Sleep Specialists PLLC', 'Joshua', 'S', 'Rotenberg', 'MD', 'Pediatric Neurology', NULL, NULL, NULL, 'B', 'PO Box 230', 'San Antonio', 'Bexar', 'TX', '78291', '2102495020', NULL, 'PO Box 230', 'San Antonio', 'Bexar', 'TX', '78291', '2102495020', '', 'TXSURGC', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2009-12-01', NULL, 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1437149333', 0, 'Y', 0, '2012-08-29', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021969', 'W11021969', 'UT01', 'Mountain Land Pinnacle Tooele', 'Debra', 'G', 'Marton', 'PT', 'Physical Therapy', '', '', NULL, 'O', '29 S Main St', 'Tooele', 'Tooele', 'UT', '84074', '4358437466', '4358439568', '29 S Main St', 'Tooele', 'Tooele', 'UT', '84074', '4358437466', '4358439568', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1154588143', 0, 'N', 0, '2013-07-08', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021968', 'W11021968', 'UT01', 'Mountain Land Pinnacle Tooele', 'Paisley', 'A', 'Hardman', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '29 S Main St', 'Tooele', 'Tooele', 'UT', '84074', '4358437466', '4358439568', '29 S Main St', 'Tooele', 'Tooele', 'UT', '84074', '4358437466', '4358439568', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487811196', 0, 'N', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11021951', 'W11021951', 'UT01', 'Mountain Land Medical Park', 'Quinn', NULL, 'Christensen', 'OT', 'Physical Therapy', NULL, NULL, NULL, 'O', '736 S 900 E Ste B101', 'St George', 'Washington', 'UT', '84790', '4356732781', '4356528555', 'PO Box 711185', 'SaltLakeCity', 'Washington', 'UT', '84171', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972691749', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11021949', 'W11021949', 'ID02', 'Mountain Land Maple Grove', 'Jeffrey', '', 'Box', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1435 Maple Grove Rd', 'Boise', 'Ada', 'ID', '83709', '2083226200', '2083226233', '1435 Maple Grove Rd', 'Boise', 'Ada', 'ID', '83709', '2083226200', '2083226233', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1104928258', 0, 'N', 0, '2011-10-25', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11021947', 'W11021947', 'UT01', 'Mountain Land Layton', 'Jenny', NULL, 'Elton', 'PT', 'Physical Therapy', '', '', NULL, 'O', '124 S Fairfield Rd Ste Lower A', 'Layton', 'Davis', 'UT', '84041', '8015479462', '8045479116', '124 S Fairfield Rd Ste Lower A', 'Layton', 'Davis', 'UT', '84041', '8015479462', '8045479116', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-11-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1871583161', 0, 'N', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021946', 'W11021946', 'ID02', 'Mountain Land Kuna', 'Tristan', '', 'Thorne', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1447286125', 0, 'N', 0, '2012-07-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021945', 'W11021945', 'ID02', 'Mountain Land Kuna', 'Kimberly', '', 'Peterson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1992807036', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11021943', 'W11021943', 'UT01', 'Mountain Land Kaysville', 'Rebekah', 'E', 'Lund', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '1188 Sportsplex Dr Ste 101', 'Kaysville', '', 'UT', '84037', '8015471155', '8015471173', '1188 Sportsplex Dr Ste 101', 'Kaysville', '', 'UT', '84037', '8015471155', '8015471173', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1699900654', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021942', 'W11021942', 'UT01', 'Mountain Land Kaysville', 'Nylin', 'J', 'Johnson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1188 Sportsplex Dr Ste 101', 'Kaysville', 'Davis', 'UT', '84037', '8015471155', '8015471173', '1188 Sportsplex Dr Ste 101', 'Kaysville', 'Davis', 'UT', '84037', '8015471155', '8015471173', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1013010727', 0, 'N', 0, '2013-12-06', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021941', 'W11021941', 'UT01', 'Mountain Land Kanab', 'Brandon', '', 'Stubbs', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '355 N Main St', 'Kanab', 'Kane', 'UT', '84741', '4356444199', '4356444141', '355 N Main St', 'Kanab', 'Kane', 'UT', '84741', '4356444199', '4356444141', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1508949165', 0, 'N', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021940', 'W11021940', 'UT01', 'Mountain Land Kanab', 'Shaun', 'B', 'Adams', 'PT', 'Physical Therapy', '', '', NULL, 'O', '355 N Main St', 'Kanab', 'Kane', 'UT', '84741', '4356444199', '4356444141', '355 N Main St', 'Kanab', 'Kane', 'UT', '84741', '4356444199', '4356444141', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1699879106', 0, 'N', 0, '2013-12-30', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11021936', 'W11021936', 'ID02', 'Mountain Land Emmett', 'David', '', 'Murri', 'PT', 'Physical Therapy', '', '', NULL, 'O', '912 S Washington Ave', 'Emmett', 'Gem', 'ID', '83617', '2083654400', '2083654384', '912 S Washington Ave', 'Emmett', 'Gem', 'ID', '83617', '2083654400', '2083654384', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1497797054', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11021934', 'W11021934', 'ID02', 'Mountain Land Caldwell', 'Jeff', '', 'Thomason', 'PT', 'Physical Therapy', '', '', NULL, 'O', '4623 Enterprise Way', 'Caldwell', 'Canyon', 'ID', '83605', '2084554231', '2084591626', '4623 Enterprise Way', 'Caldwell', 'Canyon', 'ID', '83605', '2084554231', '2084591626', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1538253752', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021933', 'W11021933', 'ID02', 'Mountain Land Caldwell', 'Faith', 'Virginia', 'Morton', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '4623 Enterprise Way', 'Caldwell', '', 'ID', '83605', '2084554231', '2084591626', '4623 Enterprise Way', 'Caldwell', '', 'ID', '83605', '2084554231', '2084591626', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-10-01', 0, 0, 1, NULL, NULL, NULL, NULL, 'HCFA|', '1407025158', 0, 'N', 0, '2010-03-12', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021932', 'W11021932', 'ID02', 'Mountain Land Boise', 'Aaron', '', 'Knox', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1907 S BRdway Ave Ste 203', 'Boise', 'Ada', 'ID', '83706', '2084229826', '2084229855', '1907 S BRdway Ave Ste 203', 'Boise', 'Ada', 'ID', '83706', '2084229826', '2084229855', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1487888798', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021931', 'W11021931', 'ID02', 'Mountain Land Boise', 'Monica', '', 'Gerhart', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1907 S BRdway Ave Ste 203', 'Boise', 'Ada', 'ID', '83706', '2084229826', '2084229855', '1907 S BRdway Ave Ste 203', 'Boise', 'Ada', 'ID', '83706', '2084229826', '2084229855', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1326140468', 0, 'N', 0, '2014-07-18', NULL, NULL, 0, 0, NULL, NULL),
('200405981', 'W11021930', 'W11021930', 'UT01', 'Morgan Valley Physical Therapy', 'Alan', 'John', 'Kerbs', 'PT', 'Physical Therapy', '', '', NULL, 'O', '103 N Commercial St', 'Morgan', 'Morgan', 'UT', '84050', '8018451403', '8018451404', '103 N Commercial St', 'Morgan', 'Morgan', 'UT', '84050', '8018451403', '8018451404', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-02-24', 0, 0, 0, '', '', '', '', 'HCFA|', '1952485625', 0, 'N', 0, '2012-02-08', NULL, NULL, 0, 0, NULL, NULL),
('870631060', 'W11021929', 'W11021929', 'UT01', 'Meier & Marsh Professional Therapies', 'Charles', 'Wade', 'Meier', 'PT', 'Physical Therapy', '', '', NULL, 'O', '2356 N 400 E Ste 101', 'Tooele', 'Tooele', 'UT', '84074', '4358823157', '4358439846', '2356 N 400 E Ste 101', 'Tooele', 'Tooele', 'UT', '84074', '4358823157', '4358439846', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1699767954', 0, 'N', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
('522130943', 'W11021928', 'W11021928', 'UT01', 'McKell Therapy Group, PC', 'John', '', 'McKell', 'MS PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '504 E 770 N', 'Orem', 'Utah', 'UT', '84097', '8012242177', '8012242195', '504 E 770 N', 'Orem', 'Utah', 'UT', '84097', '8012242177', '8012242195', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1629005301', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870659452', 'W11021927', 'W11021927', 'UT01', 'Logan Physical Therapy PC', 'Susan', 'A', 'Doucette', 'PT', 'Physical Therapy', '', '', NULL, 'O', '2310 N 400 E Ste C', 'North Logan', 'Cache', 'UT', '84341', '4357525200', '4357525228', '2310 N 400 E Ste C', 'North Logan', 'Cache', 'UT', '84341', '4357525200', '4357525228', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1972613099', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870375865', 'W11021926', 'W11021926', 'UT01', 'KFDD Physical Therapy & Sports Medicine Inc', 'Chris', 'H', 'Dahlberg', 'PT', 'Physical Therapy', '', '', NULL, 'O', '2261 Kiesel Ave Ste 320', 'Ogden', 'Weber', 'UT', '84401', '8016218835', '8015285357', '2261 Kiesel Ave Ste 320', 'Ogden', 'Weber', 'UT', '84401', '8016218835', '8015285357', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1366553208', 0, 'N', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870622425', 'W11021925', 'W11021925', 'UT01', 'Human Performance Institute', 'John', 'Robert', 'Sumsion', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1184 E 80 N', 'American Fork', 'Utah', 'UT', '84003', '8017567777', '8017633890', '1184 E 80 N', 'American Fork', 'Utah', 'UT', '84003', '8017567777', '8017633890', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1598887069', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870622425', 'W11021924', 'W11021924', 'UT01', 'Human Performance Institute', 'Russell', 'Jack', 'Gatenby', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1184 E 80 N', 'American Fork', 'Utah', 'UT', '84003', '8017567777', '8017633890', '1184 E 80 N', 'American Fork', 'Utah', 'UT', '84003', '8017567777', '8017633890', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1134241904', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870626129', 'W11021923', 'W11021923', 'UT01', 'Horizon Balance & Dizziness Centers', 'Brent', 'A', 'Webb', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1452 E Ridgeline Dr Ste 51', 'South Ogden', 'Weber', 'UT', '84405', '8014795777', '8014797005', NULL, NULL, 'Weber', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154376838', 0, 'N', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
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('870388269', 'W11021907', 'W11021907', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Susan', 'S', 'Ozaki', 'OT', 'Occupational Therapy', 'Physical Therapy', '', NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1386645075', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W11021906', 'W11021906', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'John', 'Michael', 'Orr', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1518942291', 0, 'N', 0, '2013-08-26', NULL, NULL, 0, 0, NULL, NULL),
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('870388269', 'W11021902', 'W11021902', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Ryan', 'Russell', 'Fuhriman', 'PT', 'Physical Therapy', '', '', NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1609877372', 0, 'N', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W11021901', 'W11021901', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Steven', '', 'Crandall', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1154322816', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W11021900', 'W11021900', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Margo', 'Jones', 'Brady', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104827849', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870662291', 'W11021898', 'W11021898', 'UT01', 'Gublers Physical Therapy', 'Troy', 'Cal', 'Gubler', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '68 S 700 W', 'Hurricane', 'Washington', 'UT', '84737', '4356359333', '4356353026', '68 S 700 W', 'Hurricane', 'Washington', 'UT', '84737', '4356359333', '4356353026', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1033210067', 0, 'N', 0, '2013-11-13', NULL, NULL, 0, 0, NULL, NULL),
('550799909', 'W11021897', 'W11021897', 'UT01', 'Frandsen Physical Therapy', 'David', '', 'Frandsen', 'PT', 'Physical Therapy', '', '', NULL, 'O', '115 N Main Ste B', 'Panguitch', '', 'UT', '84759', '4356768840', '4356768801', '115 N Main Ste B', 'Panguitch', '', 'UT', '84759', '4356768840', '4356768801', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1720091473', 0, 'N', 0, '2012-02-08', NULL, NULL, 0, 0, NULL, NULL),
('262478465', 'W11021896', 'W11021896', 'UT01', 'Fast Track Physical Therapy & Sports Medicine', 'George', 'A', 'Shirley', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '6717 S 900 E Ste 201', 'Midvale', 'Salt Lake', 'UT', '84047', '8016494690', '8019844011', '6717 S 900 E Ste 201', 'Midvale', 'Salt Lake', 'UT', '84047', '8016494690', '8019844011', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1942287040', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('770650279', 'W11021895', 'W11021895', 'UT01', 'Farmington Physical Therapy', 'Brandon', 'Irby', 'Arrington', 'PT', 'Physical Therapy', '', '', NULL, 'O', '47 S 100 E', 'Farmington', 'Davis', 'UT', '84025', '8014515985', '8014515986', '47 S 100 E', 'Farmington', 'Davis', 'UT', '84025', '8014515985', '8014515986', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1992893747', 0, 'N', 0, '2011-07-18', NULL, NULL, 0, 0, NULL, NULL),
('711048468', 'W11021894', 'W11021894', 'UT01', 'Cheryl Farnsworth Physical Therapy', 'Cheryl', 'Ann', 'Farnsworth', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1151 E 3900 S Ste B199', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8016859212', '8016859195', '1151 E 3900 S Ste B199', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8016859212', '8016859195', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1720089485', 0, 'N', 0, '2011-09-08', NULL, NULL, 0, 0, NULL, NULL),
('841375365', 'W11021893', 'W11021893', 'UT01', 'Canyon Rim Physical Therapy', 'Stephen', 'M', 'Shupe', 'PT', 'Physical Therapy', '', '', NULL, 'O', '6360 S 3000 E Ste 125', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019478449', '8019478512', '6360 S 3000 E Ste 125', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019478449', '8019478512', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-09-25', 0, 0, 0, '', '', '', '', 'HCFA|', '1689789281', 0, 'N', 0, '2011-01-11', NULL, NULL, 0, 0, NULL, NULL),
('841375365', 'W11021892', 'W11021892', 'UT01', 'Canyon Rim Physical Therapy', 'Matthew', '', 'Nelson', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '6360 S 3000 E Ste 125', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019478449', '8019478512', '6360 S 3000 E Ste 125', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019478449', '8019478512', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 8, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1477578441', 0, 'N', 0, '2014-07-15', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11021986', 'W11021986', 'UT01', 'Mountain Land Rehabilitation Home', 'Quinn', '', 'Christensen', 'OT', 'Physical Therapy', '', '', NULL, 'O', '736 S 900 E Ste B101', 'St George', 'Washington', 'UT', '84790', '4356732781', '4356528555', '736 S 900 E Ste B101', 'St George', 'Washington', 'UT', '84790', '4356732781', '4356528555', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-01-14', 0, 0, 0, '', '', '', '', 'HCFA|', '1972691749', 0, 'N', 0, '2012-04-18', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021987', 'W11021987', 'UT01', 'Mountain Land Rehabilitation Home', 'Steve', 'Eugene', 'Swinson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '736 S 900 E Ste B101', 'St George', 'Washington', 'UT', '84790', '4356732781', '4356528555', '736 S 900 E Ste B101', 'St George', 'Washington', 'UT', '84790', '4356732781', '4356528555', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-11-16', 0, 0, 0, '', '', '', '', 'HCFA|', '1144281866', 0, 'N', 0, '2011-05-31', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11021989', 'W11021989', 'UT01', 'Mountain Land Rehabilitation West Layton', 'Megan', '', 'Goff', 'PT', 'Physical Therapy', '', '', NULL, 'O', '3225 W Gordon Ave Ste 3', 'Layton', 'Davis', 'UT', '84041', '8014970800', '8014970807', '3225 W Gordon Ave Ste 3', 'Layton', 'Davis', 'UT', '84041', '8014970800', '8014970807', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1386805836', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11021991', 'W11021991', 'UT01', 'Mountain Land Rehabilitation West Layton', 'Susan', '', 'Miller', 'PT', 'Physical Therapy', '', '', NULL, 'O', '3225 W Gordon Ave Ste 3', 'Layton', 'Davis', 'UT', '84041', '8014970800', '8014970807', '3225 W Gordon Ave Ste 3', 'Layton', 'Davis', 'UT', '84041', '8014970800', '8014970807', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1760586283', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021992', 'W11021992', 'UT01', 'Mountain Land Rehabilitation West Layton', 'Chad', '', 'Tenney', 'MPT', 'Physical Therapy', '', '', NULL, 'O', '3225 W Gordon Ave Ste 3', 'Layton', 'Davis', 'UT', '84041', '8014970800', '8014970807', '3225 W Gordon Ave Ste 3', 'Layton', 'Davis', 'UT', '84041', '8014970800', '8014970807', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1215910161', 0, 'N', 0, '2013-08-15', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021993', 'W11021993', 'UT01', 'Mountain Land Sandy', 'David', 'D', 'Butler', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '50 E 9000 S', 'Sandy', 'Salt Lake', 'UT', '84070', '8015620066', '8015622124', '50 E 9000 S', 'Sandy', 'Salt Lake', 'UT', '84070', '8015620066', '8015622124', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-05-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1477752152', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11021994', 'W11021994', 'UT01', 'Mountain Land Santaquin', 'Bradley', 'D', 'Horrocks', 'PT', 'Physical Therapy', '', '', NULL, 'O', '94 W Main Ste 1', 'Santaquin', 'Utah', 'UT', '84655', '8017545700', '8017545701', '94 W Main Ste 1', 'Santaquin', 'Utah', 'UT', '84655', '8017545700', '8017545701', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1679685432', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11022001', 'W11022001', 'UT01', 'Mountain Land West Jordan', 'Christopher', 'W', 'Harper', 'PT', 'Physical Therapy', '', '', NULL, 'O', '9301 S Wights Fort Rd Ste 215', 'West Jordan', 'Salt Lake', 'UT', '84088', '8012822200', '8012822220', '9301 S Wights Fort Rd Ste 215', 'West Jordan', 'Salt Lake', 'UT', '84088', '8012822200', '8012822220', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1902900426', 0, 'N', 0, '2013-05-06', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11022004', 'W11022004', 'UT01', 'Mountain Land West Point', 'Trenton', '', 'Handley', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '3072 W 300 N Ste A', 'West Point', '', 'UT', '84015', '8018257500', '8018257511', '3072 W 300 N Ste A', 'West Point', '', 'UT', '84015', '8018257500', '8018257511', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1083849426', 0, 'N', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
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('364288180', 'W11022006', 'W11022006', 'UT01', 'Cache Valley Specialty Hospital', 'Ryan', '', 'Godfrey', 'OT CHT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2380 N 400 E Ste B', 'North Logan', 'Cache', 'UT', '84341', '4357879030', '4357879033', '2380 N 400 E Ste B', 'North Logan', 'Cache', 'UT', '84341', '4357879030', '4357879033', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 8, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1942348875', 0, 'N', 0, '2011-10-25', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W11022007', 'W11022007', 'UT01', 'Cache Valley Specialty Hospital', 'Larry', 'D', 'Hunter', 'PT', 'Physical Therapy', '', '', NULL, 'O', '2380 N 400 E', 'North Logan', 'Cache', 'UT', '84341', '4357879030', '4357879033', '2380 N 400 E', 'North Logan', 'Cache', 'UT', '84341', '4357879030', '4357879033', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 8, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1689712598', 0, 'N', 0, '2011-12-19', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W11022008', 'W11022008', 'UT01', 'Cache Valley Specialty Hospital', 'Perry', 'Raymond', 'Crawford', 'PT', 'Physical Therapy', '', '', NULL, 'O', '451 W 600 N', 'Tremonton', 'Box Elder', 'UT', '84337', '4352573809', '4352576347', '451 W 600 N', 'Tremonton', 'Box Elder', 'UT', '84337', '4352573809', '4352576347', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 8, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1740328798', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('061655757', 'W11022009', 'W11022009', 'UT01', 'MountainTop Physical Therapy', 'Preston', 'B', 'Hall', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '2080 Gold Dust Ln', 'Park City', 'Summit', 'UT', '84098', '4356479355', '4356470464', '2080 Gold Dust Ln', 'Park City', 'Summit', 'UT', '84098', '4356479355', '4356470464', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1386747707', 0, 'N', 0, '2012-08-03', NULL, NULL, 0, 0, NULL, NULL),
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('870399810', 'W11022012', 'W11022012', 'UT01', '', 'Noall', 'H', 'Latimer', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '3441 S 8400 W Ste E', 'Magna', 'Salt Lake', 'UT', '84044', '8012509107', '8012507840', '3441 S 8400 W Ste E', 'Magna', 'Salt Lake', 'UT', '84044', '8012509107', '8012507840', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1932167665', 0, 'N', 0, '2012-06-21', NULL, NULL, 0, 0, NULL, NULL),
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('870578539', 'W11022018', 'W11022018', 'UT01', 'Professional Therapy and Rehabilitation', 'Jason', 'S', 'Littledike', 'PT', 'Physical Therapy', '', '', NULL, 'O', '77 S 400 W', 'Spanish Fork', 'Utah', 'UT', '84660', '8017981626', '8017981236', '77 S 400 W', 'Spanish Fork', 'Utah', 'UT', '84660', '8017981626', '8017981236', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1386644524', 0, 'N', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
('870578539', 'W11022019', 'W11022019', 'UT01', 'Professional Therapy and Rehabilitation', 'Edward', 'H', 'Budge', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '12198 S Factory Outlet Dr Ste 3', 'Draper', 'Salt Lake', 'UT', '84020', '8015716600', '8015717646', '12198 S Factory Outlet Dr Ste 3', 'Draper', 'Salt Lake', 'UT', '84020', '8015716600', '8015717646', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1417957291', 0, 'N', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
('870578539', 'W11022020', 'W11022020', 'UT01', 'Professional Therapy and Rehabilitation', 'Von', 'O', 'Hill', 'PT', 'Physical Therapy', '', '', NULL, 'O', '12198 S Factory Outlet Dr Ste 3', 'Draper', 'Salt Lake', 'UT', '84020', '8015716600', '8015717646', '12198 S Factory Outlet Dr Ste 3', 'Draper', 'Salt Lake', 'UT', '84020', '8015716600', '8015717646', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1669472684', 0, 'N', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
('870578539', 'W11022021', 'W11022021', 'UT01', 'Professional Therapy and Rehabilitation', 'Steven', 'Edward', 'Robbins', 'PT', 'Physical Therapy', '', '', NULL, 'O', '12198 S Factory Outlet Dr Ste 3', 'Draper', 'Salt Lake', 'UT', '84020', '8015716600', '8015717646', '12198 S Factory Outlet Dr Ste 3', 'Draper', 'Salt Lake', 'UT', '84020', '8015716600', '8015717646', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1225038474', 0, 'N', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
('870510192', 'W11022022', 'W11022022', 'UT01', 'Performance West Physical Therapy', 'Deven', 'M', 'Bawden', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '1551 Renaissance Town Dr Ste 350', 'Bountiful', '', 'UT', '84010', '8012953553', '8012953599', '1551 Renaissance Town Dr Ste 350', 'Bountiful', '', 'UT', '84010', '8012953553', '8012953599', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-15', 0, 0, 0, '', '', '', '', 'HCFA|', '1316019037', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('870510192', 'W11022023', 'W11022023', 'UT01', 'Performance West Physical Therapy', 'Klementina', '', 'Buchheister', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1551 Renaissance Town Dr Ste 350', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', '1551 Renaissance Town Dr Ste 350', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1447242847', 0, 'N', 0, '2012-11-01', NULL, NULL, 0, 0, NULL, NULL),
('870510192', 'W11022024', 'W11022024', 'UT01', 'Performance West Physical Therapy', 'Curtis', 'B', 'Jolley', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1551 Renaissance Town Dr Ste 350', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', '1551 Renaissance Town Dr Ste 350', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1548261431', 0, 'N', 0, '2011-11-01', NULL, NULL, 0, 0, NULL, NULL),
('870510192', 'W11022025', 'W11022025', 'UT01', 'Performance West Physical Therapy', 'Kim', 'W', 'Reid', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1551 Renaissance Town Dr Ste 350', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', '1551 Renaissance Town Dr Ste 350', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1558362434', 0, 'N', 0, '2011-11-01', NULL, NULL, 0, 0, NULL, NULL),
('870510192', 'W11022026', 'W11022026', 'UT01', 'Performance West Physical Therapy', 'Amanda', '', 'Thompson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1551 Renaissance Town Dr Ste 350', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', '1551 Renaissance Town Dr Ste 350', 'Bountiful', 'Davis', 'UT', '84010', '8012953553', '8012953599', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1588650196', 0, 'N', 0, '2011-11-01', NULL, NULL, 0, 0, NULL, NULL),
('870510192', 'W11022027', 'W11022027', 'UT01', 'Performance West Physical Therapy', 'Stephen', 'Reese', 'Spencer', 'PT', 'Physical Therapy', '', '', NULL, 'O', '4920 E 2550 N Ste C', 'Eden', 'Weber', 'UT', '84310', '8017453200', '8017453311', '4920 E 2550 N Ste C', 'Eden', 'Weber', 'UT', '84310', '8017453200', '8017453311', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-10-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1003894379', 0, 'N', 0, '2010-11-11', NULL, NULL, 0, 0, NULL, NULL),
('870518224', 'W11022028', 'W11022028', 'UT01', 'Physical & Sports Therapy Services', 'Darren', '', 'Averett', 'PT', 'Physical Therapy', '', '', NULL, 'O', '15 S 1000 E Ste 25', 'Payson', 'Utah', 'UT', '84651', '8014655610', '8014655615', '15 S 1000 E Ste 25', 'Payson', 'Utah', 'UT', '84651', '8014655610', '8014655615', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1548232549', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('870518224', 'W11022029', 'W11022029', 'UT01', 'Physical & Sports Therapy Services', 'Kurt', 'Russell', 'Boucher', 'MS, CCC,SLP', 'Physical Therapy', '', '', NULL, 'O', '15 S 1000 E Ste 25', 'Payson', 'Utah', 'UT', '84651', '8014655610', '8014655615', '15 S 1000 E Ste 25', 'Payson', 'Utah', 'UT', '84651', '8014655610', '8014655615', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1871750059', 0, 'N', 0, '2011-12-19', NULL, NULL, 0, 0, NULL, NULL),
('870518224', 'W11022030', 'W11022030', 'UT01', 'Physical & Sports Therapy Services', 'Brad', 'A', 'Mangum', 'PT', 'Physical Therapy', '', '', NULL, 'O', '15 S 1000 E Ste 25', 'Payson', 'Utah', 'UT', '84651', '8014655610', '8014655615', '15 S 1000 E Ste 25', 'Payson', 'Utah', 'UT', '84651', '8014655610', '8014655615', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1316992548', 0, 'N', 0, '2013-04-16', NULL, NULL, 0, 0, NULL, NULL),
('870518224', 'W11022031', 'W11022031', 'UT01', 'Physical & Sports Therapy Services', 'Brian', 'B', 'Lambert', 'PT', 'Physical Therapy', '', '', NULL, 'O', '380 E 400 S', 'Springville', 'Utah', 'UT', '84663', '8014895669', '8014895783', '380 E 400 S', 'Springville', 'Utah', 'UT', '84663', '8014895669', '8014895783', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1639165707', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('870518224', 'W11022032', 'W11022032', 'UT01', 'Physical & Sports Therapy Services', 'Greg', 'R', 'Thorpe', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '380 E 400 S', 'Springville', 'Utah', 'UT', '84663', '8014895669', '8014895783', '380 E 400 S', 'Springville', 'Utah', 'UT', '84663', '8014895669', '8014895783', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1316933500', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('870518224', 'W11022033', 'W11022033', 'UT01', 'Physical & Sports Therapy Services', 'Douglas', 'K', 'Bagley', 'PT', 'Physical Therapy', '', '', NULL, 'O', '684 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8012242250', '8012242655', '684 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8012242250', '8012242655', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-12-07', 0, 0, 0, '', '', '', '', 'HCFA|', '1538155411', 0, 'N', 0, '2013-08-20', NULL, NULL, 0, 0, NULL, NULL),
('870518224', 'W11022034', 'W11022034', 'UT01', 'Physical & Sports Therapy Services', 'Craig', 'Alan', 'Schultz', 'PT', 'Physical Therapy', '', '', NULL, 'O', '684 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8012242250', '8012242655', '684 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8012242250', '8012242655', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1508852484', 0, 'N', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870518224', 'W11022035', 'W11022035', 'UT01', 'Physical & Sports Therapy Services', 'William', '', 'Sumsion', 'PT', 'Physical Therapy', '', '', NULL, 'O', '684 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8012242250', '8012242655', '684 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8012242250', '8012242655', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1659367845', 0, 'N', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('020622106', 'W11022036', 'W11022036', 'UT01', 'Physical Therapy & Sports Medicine @ Kimball Junction', 'Dan', 'S', 'Ivie', 'PT', 'Physical Therapy', '', '', NULL, 'O', '6531 N Landmark Dr Ste E', 'Kimball Junction', 'Summit', 'UT', '84098', '4356497335', '4356497568', '6531 N Landmark Dr Ste E', 'Kimball Junction', 'Summit', 'UT', '84098', '4356497335', '4356497568', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1861484131', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('020622106', 'W11022037', 'W11022037', 'UT01', 'Physical Therapy & Sports Medicine @ Kimball Junction', 'Brandon', '', 'Judd', 'PT', 'Physical Therapy', '', '', NULL, 'O', '6531 N Landmark Dr Ste E', 'Kimball Junction', 'Summit', 'UT', '84098', '4356497335', '4356497568', '6531 N Landmark Dr Ste E', 'Kimball Junction', 'Summit', 'UT', '84098', '4356497335', '4356497568', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1407876667', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('208984522', 'W11022038', 'W11022038', 'UT01', 'Precision Rehabilitation Monticello', 'Kathleen', '', 'Aldous', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1366630774', 0, 'N', 0, '2011-11-29', NULL, NULL, 0, 0, NULL, NULL),
('208984522', 'W11022039', 'W11022039', 'UT01', 'Precision Rehabilitation Monticello', 'Alan', 'Kenneth', 'Ward', 'PT', 'Physical Therapy', 'Occupational Therapy', NULL, NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1811965817', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('208984522', 'W11022040', 'W11022040', 'UT01', 'Precision Rehabilitation Monticello', 'Richard', 'T', 'Ward', 'PT', 'Physical Therapy', '', '', NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1144223413', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('208984522', 'W11022041', 'W11022041', 'UT01', 'Precision Rehabiltiation Blanding', 'Kathleen', '', 'Aldous', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '802 S 200 W', 'Blanding', 'San Juan', 'UT', '84511', '4356783869', '4356783769', '802 S 200 W', 'Blanding', 'San Juan', 'UT', '84511', '4356783869', '4356783769', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1366630774', 0, 'N', 0, '2011-11-29', NULL, NULL, 0, 0, NULL, NULL),
('208984522', 'W11022042', 'W11022042', 'UT01', 'Precision Rehabiltiation Blanding', 'Alan', 'Kenneth', 'Ward', 'PT', 'Physical Therapy', 'Occupational Therapy', NULL, NULL, 'O', '802 S 200 W', 'Blanding', 'San Juan', 'UT', '84511', '4356783869', '4356783769', '802 S 200 W', 'Blanding', 'San Juan', 'UT', '84511', '4356783869', '4356783769', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1811965817', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('208984522', 'W11022043', 'W11022043', 'UT01', 'Precision Rehabiltiation Blanding', 'Richard', 'T', 'Ward', 'PT', 'Physical Therapy', '', '', NULL, 'O', '802 S 200 W', 'Blanding', 'San Juan', 'UT', '84511', '4356783869', '4356783769', '802 S 200 W', 'Blanding', 'San Juan', 'UT', '84511', '4356783869', '4356783769', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1144223413', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('870546052', 'W11022044', 'W11022044', 'UT01', 'Professional Physical Therapy & Sports Medicine', 'Steven', 'J', 'Orrock', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1325 S 800 E Ste 215', 'Orem', 'Utah', 'UT', '84097', '8013731053', '8013754644', '1325 S 800 E Ste 215', 'Orem', 'Utah', 'UT', '84097', '8013731053', '8013754644', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1629125174', 0, 'N', 0, '2013-06-26', NULL, NULL, 0, 0, NULL, NULL),
('870546052', 'W11022045', 'W11022045', 'UT01', 'Professional Physical Therapy & Sports Medicine', 'Wendell', 'Buck', 'Mendenhall', 'PT', 'Physical Therapy', '', '', NULL, 'O', '155 W Canyon Crest Rd Ste 100', 'Alpine', 'Utah', 'UT', '84004', '8017567061', '8017567043', '155 W Canyon Crest Rd Ste 100', 'Alpine', 'Utah', 'UT', '84004', '8017567061', '8017567043', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1275682262', 0, 'N', 0, '2011-12-19', NULL, NULL, 0, 0, NULL, NULL),
('870546052', 'W11022046', 'W11022046', 'UT01', 'Professional Physical Therapy & Sports Medicine', 'Jonathan', 'V', 'Jacobsen', 'PT', 'Physical Therapy', '', '', NULL, 'O', '680 E Main St', 'Lehi', 'Utah', 'UT', '84043', '8017682723', '8017682725', '680 E Main St', 'Lehi', 'Utah', 'UT', '84043', '8017682723', '8017682725', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1619027836', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('870546052', 'W11022047', 'W11022047', 'UT01', 'Professional Physical Therapy & Sports Medicine', 'Wendell', 'Buck', 'Mendenhall', 'PT', 'Physical Therapy', '', '', NULL, 'O', '680 E Main St', 'Lehi', '', 'UT', '84043', '8017682723', '8017682725', '680 E Main St', 'Lehi', '', 'UT', '84043', '8017682723', '8017682725', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1275682262', 0, 'N', 0, '2011-12-19', NULL, NULL, 0, 0, NULL, NULL),
('870546052', 'W11022048', 'W11022048', 'UT01', 'Professional Physical Therapy & Sports Medicine', 'Steven', 'J', 'Orrock', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '680 E Main St', 'Lehi', 'Utah', 'UT', '84043', '8017682723', '8017682725', '680 E Main St', 'Lehi', 'Utah', 'UT', '84043', '8017682723', '8017682725', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1629125174', 0, 'N', 0, '2013-06-26', NULL, NULL, 0, 0, NULL, NULL),
('870656811', 'W11022049', 'W11022049', 'UT01', 'ProRehab Castledale', 'Scott', 'Ross', 'Labrum', 'PT', 'Physical Therapy', '', '', NULL, 'O', '150 E Main', 'Castle Dale', 'Emery', 'UT', '84513', '4353815100', '4353815099', '150 E Main', 'Castle Dale', 'Emery', 'UT', '84513', '4353815100', '4353815099', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 6, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1457343725', 0, 'N', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
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('261852184', 'W11022122', 'W11022122', 'UT01', 'Toole & Associates', 'Douglas', 'B', 'Toole', 'PT', 'Physical Therapy', '', '', NULL, 'O', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1962617290', 0, 'N', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('261852184', 'W11022123', 'W11022123', 'UT01', 'Toole & Associates', 'Rodney', 'Edward (Ed)', 'Wade', 'PT', 'Physical Therapy', '', '', NULL, 'O', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1164448080', 0, 'N', 0, '2011-10-19', NULL, NULL, 0, 0, NULL, NULL),
('261211429', 'W11022124', 'W11022124', 'UT01', 'Utah Physical Therapy Specialists', 'Erinlee', NULL, 'Boden', 'MPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '8969 S 2700 W', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015611061', '8015611570', NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932182243', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('261211429', 'W11022125', 'W11022125', 'UT01', 'Utah Physical Therapy Specialists', 'Brian', NULL, 'Rodriguez', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '8969 S 2700 W', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015611061', '8015611570', NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1336223007', 0, 'N', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('680562507', 'W11022126', 'W11022126', 'UT01', 'Wasatch Peak Physical Therapy', 'Carlyle (Kim)', 'A', 'Brown', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1492 W Antelope Dr Ste 100', 'Layton', 'Davis', 'UT', '84041', '8018258091', '8018258142', NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 6, '2010-01-01', '2010-01-01', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1962526293', 0, 'N', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('680562507', 'W11022127', 'W11022127', 'UT01', 'Wasatch Peak Physical Therapy', 'Sheldon', NULL, 'Cox', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '8025 S 2500 E', 'South Weber', 'Weber', 'UT', '84405', '8014790162', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 6, '2010-01-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1780709022', 0, 'N', 0, '2009-11-30', NULL, NULL, 41.1211, -111.914, NULL, NULL),
('680562507', 'W11022128', 'W11022128', 'UT01', 'Wasatch Peak Physical Therapy', 'Janae', NULL, 'Easthope', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '754 Wind Mill Ln', 'Kaysville', 'Davis', 'UT', '84037', '8019319481', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 6, '2010-01-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124274345', 0, 'N', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('680562507', 'W11022129', 'W11022129', 'UT01', 'Wasatch Peak Physical Therapy', 'Randall', 'W', 'Erickson', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2983 S 4300 W', 'Ogden', 'Weber', 'UT', '84401', '8017732872', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 6, '2010-01-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366602484', 0, 'N', 0, '2009-11-30', 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
('680562507', 'W11022130', 'W11022130', 'UT01', 'Wasatch Peak Physical Therapy', 'Hugh', 'J', 'Hansen', 'MA SLP', 'Physical Therapy', 'Speech Therapy', NULL, NULL, 'O', '4253 S 950 W', 'Riverdale', 'Weber', 'UT', '84405', '8017553334', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 6, '2010-01-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|', '1275565830', 0, 'N', 0, '2011-10-10', NULL, NULL, 0, 0, NULL, NULL),
('680562507', 'W11022131', 'W11022131', 'UT01', 'Wasatch Peak Physical Therapy', 'Angela', 'Marie', 'Hubble', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1492 W Antelope Dr Ste 100', 'Layton', 'Davis', 'UT', '84041', '8018258091', '8018258142', NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 6, '2010-01-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932399912', 0, 'N', 0, '2009-11-30', NULL, NULL, 41.0893, -111.993, NULL, NULL),
('680562507', 'W11022132', 'W11022132', 'UT01', 'Wasatch Peak Physical Therapy', 'Royce', '', 'Larsen', 'PT', 'Physical Therapy', '', '', NULL, 'O', '285 W 800 S', 'Layton', 'Davis', 'UT', '84041', '8014440250', NULL, '285 W 800 S', 'Layton', 'Davis', 'UT', '84041', '8014440250', '          ', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 6, '2010-01-01', '2012-01-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1790800431', 0, 'N', 0, '2012-01-05', NULL, NULL, 0, 0, NULL, NULL),
('680562507', 'W11022133', 'W11022133', 'UT01', 'Wasatch Peak Physical Therapy', 'Kent', 'C', 'Logan', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1627 E Hidden Springs Pkwy', 'Fruit Height', 'Davis', 'UT', '84037', '8014440911', NULL, '1627 E Hidden Springs Pkwy', 'Fruit Height', 'Davis', 'UT', '84037', '8014440911', '          ', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 6, '2010-01-01', '2010-01-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1467577718', 0, 'N', 0, '2011-09-13', NULL, NULL, 0, 0, NULL, NULL),
('680562507', 'W11022134', 'W11022134', 'UT01', 'Wasatch Peak Physical Therapy', 'Kristen', 'Mischelle', 'Treanor', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1542 E 3150 S', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014850684', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 6, '2010-01-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1053436303', 0, 'N', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('680562507', 'W11022135', 'W11022135', 'UT01', 'Wasatch Peak Physical Therapy', 'Mathew', 'D', 'Larsen', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1052 E 3250 N', 'Layton', 'Davis', 'UT', '84040', '8017713615', NULL, '1052 E 3250 N', 'Layton', 'Davis', 'UT', '84040', '8017713615', '          ', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 6, '2010-01-01', '2012-01-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1528183878', 0, 'N', 0, '2012-01-05', NULL, NULL, 0, 0, NULL, NULL),
('870502207', 'W11022136', 'W11022136', 'UT01', 'Wasatch Therapy', 'Ernest', 'Casias', 'Chavez', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1967 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017748600', '8017748681', '1967 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017748600', '8017748681', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2011-01-01', '2011-03-03', 0, 0, 0, '', '', '', '', 'HCFA|', '1013016559', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('870502207', 'W11022137', 'W11022137', 'UT01', 'Wasatch Therapy', 'Pamela', '', 'Frinkman', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1967 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017748600', '8017748681', '1967 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017748600', '8017748681', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1699873364', 0, 'N', 0, '2013-12-04', NULL, NULL, 0, 0, NULL, NULL),
('870502207', 'W11022138', 'W11022138', 'UT01', 'Wasatch Therapy', 'Melissa', 'A', 'Ita aehau', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '1967 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017748600', '8017748681', '1967 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017748600', '8017748681', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1043319528', 0, 'N', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
('870502207', 'W11022139', 'W11022139', 'UT01', 'Wasatch Therapy', 'Ryan', 'Scott', 'Webb', 'MPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '1967 W 5700 S', 'Roy', 'Weber', 'UT', '84067', '8017748600', '8017748681', NULL, NULL, 'Weber', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', NULL, 0, 0, '', '', '', '', 'HCFA|', '1780755025', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('870502207', 'W11022140', 'W11022140', 'UT01', 'Wasatch Therapy Inc', 'Ernest', 'Casias', 'Chavez', 'PT', 'Physical Therapy', '', '', NULL, 'B', '5349 S Adams Ave Ste A', 'Ogden', 'Weber', 'UT', '84405', '8014799865', '8014795846', '5349 S Adams Ave Ste A', 'Ogden', 'Weber', 'UT', '84405', '8014799865', '8014795846', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-03', 0, 0, 0, '', '', '', '', 'HCFA|', '1013016559', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('870502207', 'W11022141', 'W11022141', 'UT01', 'Wasatch Therapy', 'Pamela', '', 'Frinkman', 'PT', 'Physical Therapy', '', '', NULL, 'O', '5349 S Adams Ave Ste A', 'Ogden', 'Weber', 'UT', '84405', '8014799865', '8014795846', '5349 S Adams Ave Ste A', 'Ogden', 'Weber', 'UT', '84405', '8014799865', '8014795846', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1699873364', 0, 'N', 0, '2013-12-04', NULL, NULL, 0, 0, NULL, NULL),
('870502207', 'W11022142', 'W11022142', 'UT01', 'Wasatch Therapy Inc', 'Melissa', 'A', 'Ita aehau', 'DPT', 'Physical Therapy', '', '', NULL, 'B', '5349 S Adams Ave Ste A', 'Ogden', 'Weber', 'UT', '84405', '8014799865', '8014795846', '5349 S Adams Ave Ste A', 'Ogden', 'Weber', 'UT', '84405', '8014799865', '8014795846', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1043319528', 0, 'N', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
('870502207', 'W11022143', 'W11022143', 'UT01', 'Wasatch Therapy', 'Robyn', 'M', 'Judd', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '5349 S Adams Ave Ste A', 'Ogden', 'Weber', 'UT', '84405', '8014799865', '8014795846', '5349 S Adams Ave Ste A', 'Ogden', 'Weber', 'UT', '84405', '8014799865', '8014795846', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1295834679', 0, 'N', 0, '2011-11-01', NULL, NULL, 0, 0, NULL, NULL),
('870502207', 'W11022144', 'W11022144', 'UT01', 'Wasatch Therapy', 'Ryan', 'Scott', 'Webb', 'MPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5349 S Adams Ave Ste A', 'Ogden', 'Weber', 'UT', '84405', '8014799865', '8014795846', NULL, NULL, 'Weber', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', NULL, 0, 0, '', '', '', '', 'HCFA|', '1780755025', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('202906249', 'W11022145', 'W11022145', 'UT01', 'Advanced Motion Physical Therapy', 'Robert', 'Lance', 'Dougher', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '5138 W Woodsmere Ln', 'Herriman', 'Salt Lake', 'UT', '84096', '8012506733', '8012505038', '5138 W Woodsmere Ln', 'Herriman', 'Salt Lake', 'UT', '84096', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-03-01', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669458220', 0, 'Y', 0, '2010-03-12', NULL, NULL, 0, 0, NULL, NULL),
('202906249', 'W11022146', 'W11022146', 'UT01', 'Advanced Motion Physical Therapy', 'Daniel', '', 'Mcatee', 'DPT', 'Physical Therapy', '', '', NULL, 'B', '5138 W Woodsmere Ln', 'Herriman', 'Salt Lake', 'UT', '84096', '8012506733', '8012505038', '5138 W Woodsmere Ln', 'Herriman', 'Salt Lake', 'UT', '84096', '8012506733', '8012505038', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-03-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1215057617', 0, 'Y', 0, '2013-09-30', NULL, NULL, 0, 0, NULL, NULL),
('870638453', 'W11022147', 'W11022147', 'UT01', 'Alpine Sports Medicine', 'Thomas', 'Edward', 'Bezemer', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-06-01', '2011-12-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1679628002', 0, 'Y', 0, '2011-12-16', NULL, NULL, 0, 0, NULL, NULL),
('870638453', 'W11022148', 'W11022148', 'UT01', 'Alpine Sports Medicine', 'Robert', 'D', 'Cervantez', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-06-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1205981628', 0, 'Y', 0, '2014-01-15', NULL, NULL, 0, 0, NULL, NULL),
('870638453', 'W11022149', 'W11022149', 'UT01', 'Alpine Sports Medicine', 'Janna', '', 'Mann', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-06-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1972763282', 0, 'Y', 0, '2011-06-13', NULL, NULL, 0, 0, NULL, NULL),
('870638453', 'W11022150', 'W11022150', 'UT01', 'Alpine Sports Medicine', 'Mark', 'R', 'Moeller', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-06-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1194870592', 0, 'Y', 0, '2011-06-13', NULL, NULL, 0, 0, NULL, NULL),
('870638453', 'W11022151', 'W11022151', 'UT01', 'Alpine Sports Medicine', 'Karen', 'Joan', 'Young-Porcino', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'PO Box 682226', 'Park City', 'Summit', 'UT', '84068', '4356459095', '4356459092', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 8, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1447305875', 0, 'Y', 0, '2011-04-27', NULL, NULL, 0, 0, NULL, NULL),
('870623831', 'W11022152', 'W11022152', 'UT01', 'Ashley Creek Physical Therapy', 'Jerry', 'D', 'Kulland', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 1875', 'Vernal', 'Uintah', 'UT', '84078', '4357223177', '4357892955', 'PO Box 1875', 'Vernal', 'Uintah', 'UT', '84078', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194721704', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870623831', 'W11022153', 'W11022153', 'UT01', 'Ashley Creek Physical Therapy', 'Jerry', 'D', 'Kulland', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 1875', 'Vernal', 'Uintah', 'UT', '84078', '4357890022', '4357892955', 'PO Box 1875', 'Vernal', 'Uintah', 'UT', '84078', '4357890022', '4357892955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1194721704', 0, 'Y', 0, '2012-06-21', NULL, NULL, 0, 0, NULL, NULL),
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('870632150', 'W11022193', 'W11022193', 'UT01', 'Heber Valley Physical Therapy', 'Willis', '', 'Clyde', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 13', 'Heber City', 'Wasatch', 'UT', '84032', '4356540410', '4356540440', 'PO Box 13', 'Heber City', 'Wasatch', 'UT', '84032', '4356540410', '4356540440', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1033293865', 0, 'Y', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
('841625538', 'W11022194', 'W11022194', 'UT01', 'Beyond Limits Phyiscal Therapy', 'Shaun', 'S', 'Schultz', 'PT', 'Physical Therapy', '', '', NULL, 'O', '5734 W 13400 S Ste 300', 'Herriman', 'Salt Lake', 'UT', '84096', '8013027232', '8013027237', '5734 W 13400 S Ste 300', 'Herriman', 'Salt Lake', 'UT', '84096', '8013027232', '8013027237', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1295783702', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('841625538', 'W11022195', 'W11022195', 'UT01', 'Herriman Physical Therapy', 'Matthew', 'Philip', 'Sudweeks', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'B', '5734 W 13400 S Ste 300', 'Herriman', 'Salt Lake', 'UT', '84096', '8013027232', '8013027237', NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1861627937', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870626129', 'W11022196', 'W11022196', 'UT01', 'Horizon Balance & Dizziness Centers', 'Brent', 'A', 'Webb', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '1452 E Ridgeline Dr Ste 51', 'South Ogden', 'Weber', 'UT', '84405', '8014795777', '8014797005', NULL, NULL, 'Weber', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154376838', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870622425', 'W11022197', 'W11022197', 'UT01', 'Human Performance Institute', 'Russell', 'Jack', 'Gatenby', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '1184 E 80 N', 'American Fork', 'Utah', 'UT', '84003', '8017567777', '8017633890', NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1134241904', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870622425', 'W11022198', 'W11022198', 'UT01', 'Human Performance Institute', 'John', 'Robert', 'Sumsion', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '1184 E 80 N', 'American Fork', 'Utah', 'UT', '84003', '8017567777', '8017633890', NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1598887069', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870375865', 'W11022199', 'W11022199', 'UT01', 'KFDD Physical Therapy & Sports Medicine Inc', 'Chris', 'H', 'Dahlberg', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 150173', 'Ogden', 'Weber', 'UT', '84415', '8016218835', '8015285357', NULL, NULL, 'Weber', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366553208', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659452', 'W11022200', 'W11022200', 'UT01', 'Logan Physical Therapy PC', 'Susan', 'A', 'Doucette', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 6518', 'North Logan', 'Cache', 'UT', '84341', '4357525200', '4357525228', 'PO Box 6518', 'North Logan', 'Cache', 'UT', '84341', '4357525200', '4357525228', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1972613099', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522130943', 'W11022201', 'W11022201', 'UT01', 'McKell Therapy Group, PC', 'John', NULL, 'McKell', 'MS PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '504 E 770 N', 'Orem', 'Utah', 'UT', '84097', '8012242177', '8012242195', NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629005301', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870631060', 'W11022202', 'W11022202', 'UT01', 'Meier & Marsh Professional Therapies', 'Charles', 'Wade', 'Meier', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '4358823157', '4358439846', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '4358823157', '4358439846', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2002-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1699767954', 0, 'Y', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
('200405981', 'W11022203', 'W11022203', 'UT01', 'Morgan Valley Physical Therapy', 'Alan', 'John', 'Kerbs', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 13', 'Heber City', 'Wasatch', 'UT', '84032', '8018451403', '8018451404', 'PO Box 13', 'Heber City', 'Wasatch', 'UT', '84032', '8018451403', '8018451404', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-02-24', 0, 0, 0, '', '', '', '', 'HCFA|', '1952485625', 0, 'Y', 0, '2012-02-08', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022204', 'W11022204', 'UT01', 'Mountain Land Boise', 'Monica', '', 'Gerhart', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084229826', '2084229855', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084229826', '2084229855', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1326140468', 0, 'Y', 0, '2014-07-18', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022205', 'W11022205', 'UT01', 'Mountain Land Boise', 'Aaron', '', 'Knox', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084229826', '2084229855', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084229826', '2084229855', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1487888798', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022206', 'W11022206', 'UT01', 'Mountain Land Caldwell', 'Faith', 'Virginia', 'Morton', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', '', 'UT', '84171', '2084554231', '2084591626', 'PO Box 711185', 'Salt Lake City', '', 'UT', '84171', '2084554231', '2084591626', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-10-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1407025158', 0, 'Y', 0, '2010-03-12', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022207', 'W11022207', 'UT01', 'Mountain Land Caldwell', 'Jeff', '', 'Thomason', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084554231', '2084591626', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084554231', '2084591626', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1538253752', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022208', 'W11022208', 'UT01', 'Mountain Land Clinton', 'Mark', 'Alan', 'Flinders', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017734191', '8017734197', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017734191', '8017734197', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1184736951', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022209', 'W11022209', 'UT01', 'Mountain Land Emmett', 'David', '', 'Murri', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083654400', '2083654384', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083654400', '2083654384', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1497797054', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022210', 'W11022210', 'UT01', 'Mountain Land Holladay', 'Josh', 'David', 'Fuhriman', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012771028', '8012775987', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012771028', '8012775987', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1376649400', 0, 'Y', 0, '2011-06-13', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022211', 'W11022211', 'UT01', 'Mountain Land Holladay', 'Cherianne', '', 'Mecham', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012771028', '8012775987', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012771028', '8012775987', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-02-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1548437726', 0, 'Y', 0, '2014-04-29', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022212', 'W11022212', 'UT01', 'Mountain Land Ivins', 'Adam', 'Boyd', 'Webb', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356742115', '4356741783', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356742115', '4356741783', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1720180599', 0, 'Y', 0, '2013-10-16', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022213', 'W11022213', 'UT01', 'Mountain Land Kanab', 'Shaun', 'B', 'Adams', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356444199', '4356444141', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356444199', '4356444141', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1699879106', 0, 'Y', 0, '2013-12-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022214', 'W11022214', 'UT01', 'Mountain Land Kanab', 'Brandon', '', 'Stubbs', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356444199', '4356444141', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356444199', '4356444141', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1508949165', 0, 'Y', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022215', 'W11022215', 'UT01', 'Mountain Land Kaysville', 'Nylin', 'J', 'Johnson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8015471155', '8015471173', 'PO Box 711185', 'SaltLakeCity', 'Salt Lake', 'UT', '84171', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013010727', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022216', 'W11022216', 'UT01', 'Mountain Land Kaysville', 'Rebekah', 'E', 'Lund', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', '', 'UT', '84171', '8015471155', '8015471173', 'PO Box 711185', 'Salt Lake City', '', 'UT', '84171', '8015471155', '8015471173', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1699900654', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022217', 'W11022217', 'UT01', 'Mountain Land Kaysville', 'Trisha', '', 'McArthur', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8015471155', '8015471173', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8015471155', '8015471173', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1215121728', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022218', 'W11022218', 'UT01', 'Mountain Land Kuna', 'Kimberly', '', 'Peterson', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1992807036', 0, 'Y', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022219', 'W11022219', 'UT01', 'Mountain Land Kuna', 'Tristan', '', 'Thorne', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1447286125', 0, 'Y', 0, '2012-07-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022220', 'W11022220', 'UT01', 'Mountain Land Layton', 'Jenny', NULL, 'Elton', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8015479462', '8045479116', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8015479462', '8045479116', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-11-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1871583161', 0, 'Y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022221', 'W11022221', 'UT01', 'Mountain Land Layton', 'Kurt', 'Aaron', 'Leschke', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', '', 'UT', '84171', '8015479462', '8045479116', 'PO Box 711185', 'Salt Lake City', '', 'UT', '84171', '8015479462', '8045479116', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1235321647', 0, 'Y', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022222', 'W11022222', 'UT01', 'Mountain Land Maple Grove', 'Jeffrey', '', 'Box', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083226200', '2083226233', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083226200', '2083226233', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1104928258', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022223', 'W11022223', 'UT01', 'Mountain Land Medical Park', 'Steven', 'Clark', 'Bennett', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356732781', '4356528555', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356732781', '4356528555', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1205911872', 0, 'Y', 0, '2013-10-16', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022224', 'W11022224', 'UT01', 'Mountain Land Medical Park', 'Quinn', '', 'Christensen', 'OT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356732781', '4356528555', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356732781', '4356528555', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1972691749', 0, 'Y', 0, '2012-04-18', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022225', 'W11022225', 'UT01', 'Mountain Land Medical Park', 'Kirk', 'L', 'Terry', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356732781', '4356528555', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356732781', '4356528555', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1013011261', 0, 'Y', 0, '2012-04-18', 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
('870574059', 'W11022226', 'W11022226', 'UT01', 'Mountain Land Mendenhall', 'Ronnie', 'L', 'Mendenhall', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356730191', '4356730192', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356730191', '4356730192', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1346310661', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022227', 'W11022227', 'UT01', 'Mountain Land Meridian', 'Jon', 'Patrick', 'Lausen', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', '', 'UT', '84171', '2088876757', '2088876551', 'PO Box 711185', 'Salt Lake City', '', 'UT', '84171', '2088876757', '2088876551', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1922235936', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022228', 'W11022228', 'UT01', 'Mountain Land Meridian', 'Michael', '', 'Schow', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2088876757', '2088876551', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2088876757', '2088876551', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1154424752', 0, 'Y', 0, '2013-07-02', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022229', 'W11022229', 'UT01', 'Mountain Land Moab', 'Cynthia', 'J', 'Indergard', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4352593600', '4352597718', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4352593600', '4352597718', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1972606572', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022230', 'W11022230', 'UT01', 'Mountain Land Moab', 'James', 'A', 'Lewis', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4352593600', '4352597718', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4352593600', '4352597718', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1992899116', 0, 'Y', 0, '2011-06-03', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022231', 'W11022231', 'UT01', 'Mountain Land Moab', 'Benjamin', 'L', 'Stone', 'MPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4352593600', '4352597718', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4352593600', '4352597718', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1871617431', 0, 'Y', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022232', 'W11022232', 'UT01', 'Mountain Land Movement Specialists Downtown ', 'Mark', 'D', 'Anderson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', 'PO Box 711185', 'SaltLakeCity', 'Salt Lake', 'UT', '84171', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1790889889', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022233', 'W11022233', 'UT01', 'Mountain Land Movement Specialists Downtown    ', 'Paisley', 'A', 'Hardman', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'B', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', 'PO Box 711185', 'SaltLakeCity', 'Salt Lake', 'UT', '84171', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487811196', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022234', 'W11022234', 'UT01', 'Mountain Land Movement Specialists Downtown    ', 'Oryslava', NULL, 'Sorensen', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', 'PO Box 711185', 'SaltLakeCity', 'Salt Lake', 'UT', '84171', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1881859767', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022235', 'W11022235', 'UT01', 'Mountain Land Movement Specialists Murray', 'Steve', 'H', 'Harkness', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1518069384', 0, 'Y', 0, '2012-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022236', 'W11022236', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Jason', 'David', 'Lobb', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1982706750', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022237', 'W11022237', 'UT01', 'Mountain Land Movement Specialists Salt Lake    ', 'Eric', 'D', 'Lybbert', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'PO Box 711185', 'SaltLakeCity', 'Salt Lake', 'UT', '84171', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-02-01', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285728402', 0, 'Y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022238', 'W11022238', 'UT01', 'Mountain Land Movement Specialists Salt Lake    ', 'Beth', 'Marie', 'Rossow', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', NULL, 'UT', '84171', '8012626331', '8012623372', 'PO Box 711185', 'SaltLakeCity', 'Salt Lake', 'UT', '84171', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-01-01', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649393273', 0, 'Y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022239', 'W11022239', 'UT01', 'Mountain Land Nampa', 'Ryan', '', 'Myhre', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084669642', '2084669104', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084669642', '2084669104', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1851494637', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022240', 'W11022240', 'UT01', 'Mountain Land North Ogden', 'John', 'Benson', 'Egan', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017820300', '8017820305', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017820300', '8017820305', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-07-12', 0, 0, 0, '', '', '', '', 'HCFA|', '1821109026', 0, 'Y', 1, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022241', 'W11022241', 'UT01', 'Mountain Land Pinnacle Tooele', 'Paisley', 'A', 'Hardman', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358437466', '4358439568', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358437466', '4358439568', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487811196', 0, 'Y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022242', 'W11022242', 'UT01', 'Mountain Land Pinnacle Tooele', 'Debra', 'G', 'Marton', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358437466', '4358439568', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358437466', '4358439568', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1154588143', 0, 'Y', 0, '2013-07-08', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022243', 'W11022243', 'UT01', 'Mountain Land Pinnacle Tooele', 'Robert', 'Oliver', 'Pagani', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358437466', '4358439568', 'PO Box 711185', 'SaltLakeCity', 'Salt Lake', 'UT', '84171', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1790977692', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022244', 'W11022244', 'UT01', 'Mountain Land Rehabilitation Home', 'Alan', 'Jeffrey', 'Acord', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1184728511', 0, 'Y', 0, '2012-08-03', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022245', 'W11022245', 'UT01', 'Mountain Land Rehabilitation Home', 'Tiana', 'Nicole', 'Cook', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1376502674', 0, 'Y', 0, '2012-04-16', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022246', 'W11022246', 'UT01', 'Mountain Land Rehabilitation Home', 'Suzanne', '', 'Critchley', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1487758637', 0, 'Y', 0, '2013-09-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022247', 'W11022247', 'UT01', 'Mountain Land Rehabilitation Home', 'Darlene', 'J', 'Crosby', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-11-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659475804', 0, 'Y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022248', 'W11022248', 'UT01', 'Mountain Land Rehabilitation Home', 'Richard', NULL, 'Edge', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-11-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912028366', 0, 'Y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022249', 'W11022249', 'UT01', 'Mountain Land Rehabilitation Home', 'Douglas', NULL, 'Flint', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2010-10-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588794374', 0, 'Y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022250', 'W11022250', 'UT01', 'Mountain Land Rehabilitation Home', 'Karen', 'Ann', 'Huff', 'OT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1912079922', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022251', 'W11022251', 'UT01', 'Mountain Land Rehabilitation Home', 'Lori', 'Ann', 'Johnson', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1528133741', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022252', 'W11022252', 'UT01', 'Mountain Land Rehabilitation Home', 'Jill', 'E', 'Linford-Williams', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1578667721', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022253', 'W11022253', 'UT01', 'Mountain Land Rehabilitation Home', 'Robert', 'Craig', 'Lloyd', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1922102177', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022254', 'W11022254', 'UT01', 'Mountain Land Rehabilitation Home', 'Curt', 'D', 'Myrick', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1548364979', 0, 'Y', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022255', 'W11022255', 'UT01', 'Mountain Land Rehabilitation Home', 'Jerri', '', 'Price-Adams', 'SLP', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1992809321', 0, 'Y', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022256', 'W11022256', 'UT01', 'Mountain Land Rehabilitation Home', 'David', 'D', 'Woodbury', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1407942253', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W11022257', 'W11022257', 'UT01', 'Mountain Land Rehabilitation Home', 'Kimberly', 'Ann', 'Hoth', 'MPT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358433737', '4358438917', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358433737', '4358438917', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '68.00', 3, '2010-01-01', '2011-03-04', 0, 0, 0, '', '', '', '', 'HCFA|', '1790888394', 0, 'Y', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W11022259', 'W11022259', 'UT01', 'Mountain Land Rehabilitation Home', 'Quinn', NULL, 'Christensen', 'OT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4356732781', '4356528555', 'PO Box 711185', 'SaltLakeCity', 'Salt Lake', 'UT', '84171', NULL, NULL, 'WESTREHAB', 'WUSTDHCPC5', NULL, '0.00', NULL, '68.00', 3, '2000-01-01', '2000-01-01', NULL, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972691749', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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