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
('870346419', 'W77002175', 'W77002175', 'UT01', NULL, 'Peter', NULL, 'Sundwall', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '4815 Ctr St', 'Murray', 'Salt Lake', 'UT', '84107', '8012622443', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-02', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942200274', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870346694', 'W77002176', 'W77002176', 'UT01', 'Bishop, B Grant', 'B Grant', NULL, 'Bishop', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '425 Medical Dr Ste 110', 'Bountiful', 'Davis', 'UT', '84010', '8012983802', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174693733', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870347187', 'W77002177', 'W77002177', 'UT01', 'Utah Valley Eye Center', 'Loran', 'D', 'Cook', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 204', 'Provo', 'Utah', 'UT', '84604', '8013577373', '8013577217', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-06-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396741948', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870349201', 'W77002178', 'W77002178', 'UT01', 'Gordon, Dennis', 'Dennis', 'H', 'Gordon', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '3336 Pioneer Pkwy Ste 203', 'Salt Lake City', 'Salt Lake', 'UT', '84120', '8019643925', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-01-31', 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1558301366', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870350585', 'W77002179', 'W77002179', 'UT01', NULL, 'Gregory', 'C', 'Tanner', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '9600 S 1300 E Ste 305', 'Sandy', 'Salt Lake', 'UT', '84094', '8015725809', '8015722953', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598875973', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870324719', 'W77002180', 'W77002180', 'UT01', 'Utah Neurological Clinic', 'Howard', 'R', 'Reichman', 'MD', 'Neurosurgery', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 400', 'Provo', 'Utah', 'UT', '84604', '8013577404', '8013577587', NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932123940', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870326862', 'W77002181', 'W77002181', 'UT01', 'Ogden Womens Clinic', 'Steve', 'F', 'Johnson', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 4650', 'Ogden', 'Weber', 'UT', '84403', '8013874400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-10-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831396', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870326862', 'W77002182', 'W77002182', 'UT01', 'Ogden Womens Clinic', 'Steven', 'E', 'Kammeyer', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 4650', 'Ogden', 'Weber', 'UT', '84403', '8013874400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851374920', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870330589', 'W77002183', 'W77002183', 'UT01', 'American Fork Radiology', 'Val', 'D', 'Dunn', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 374', 'American Fork', 'Utah', 'UT', '84003', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215975552', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870330589', 'W77002184', 'W77002184', 'UT01', 'American Fork Radiology', 'Daniel', NULL, 'Hatch', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', '170 N 1100 E', 'American Fork', 'Utah', 'UT', '84003', '8017633300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834455', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870330589', 'W77002185', 'W77002185', 'UT01', 'American Fork Hospital', 'Kimball', 'Bruce', 'Taylor', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', '120 N 1100 E', 'American Fork', 'Utah', 'UT', '84003', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760420996', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870330589', 'W77002186', 'W77002186', 'UT01', 'American Fork Radiology', 'Kimball', 'Bruce', 'Taylor', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 374', 'American Fork', 'Utah', 'UT', '84003', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760420996', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870331163', 'W77002187', 'W77002187', 'UT01', 'Oldroyd, G Scott', 'G Scott', NULL, 'Oldroyd', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '630 Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8018259000', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '43.05', NULL, NULL, 3, '2002-01-01', '2005-01-02', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832227', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870331588', 'W77002188', 'W77002188', 'UT01', 'Hillam, Joseph D', 'Joseph', 'D', 'Hillam', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '990 Medical Dr', 'Brigham City', 'Box Elder', 'UT', '84302', '4357349439', '4357230267', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-11-30', 0, 0, 0, 'Brigham City Community Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1154362747', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870331679', 'W77002189', 'W77002189', 'UT01', 'Northern Utah Surgeons', 'Steven', 'J', 'Carabine', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', '4403 Harrison Blvd Ste 1635', 'Ogden', 'Weber', 'UT', '84403', '8013877450', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-12-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1689761165', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870331679', 'W77002190', 'W77002190', 'UT01', 'Northern Utah Surgeons', 'Steven', 'J', 'Carabine', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '5475 S 500 E', 'Ogden', 'Weber', 'UT', '84405', '8013877450', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-12-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1689761165', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870332915', 'W77002191', 'W77002191', 'UT01', 'Associates In Radiology', 'John', 'V', 'Catasca', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', 'PO Box 470', 'Ogden', 'Weber', 'UT', '84402', '8016216671', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTIMAGE', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-10-01', '2005-05-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1376542548', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870332915', 'W77002192', 'W77002192', 'UT01', 'Associates In Radiology', 'David', 'R', 'Dedrickson', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 470', 'Ogden', 'Weber', 'UT', '84402', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTIMAGE', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-10-01', '2005-05-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1144222779', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870332915', 'W77002193', 'W77002193', 'UT01', 'Associates In Radiology', 'Guillermo', NULL, 'Hess', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', 'PO Box 470', 'Ogden', 'Weber', 'UT', '84402', '8016216671', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTIMAGE', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-10-01', '2004-11-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832131', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870380540', 'W77002194', 'W77002194', 'UT01', 'Western Urological Clinic', 'Scott', 'A', 'Hopkins', 'MD', 'Urology', NULL, NULL, NULL, 'B', '4252 Highland Dr Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8019931800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDURO', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649310681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870380540', 'W77002195', 'W77002195', 'UT01', 'Western Urological Clinic', 'Stephen', 'F', 'Richardson', 'MD', 'Urology', NULL, NULL, NULL, 'O', '4052 Pioneer Pkwy Ste 110', 'West Valley', 'Salt Lake', 'UT', '84120', '8019634001', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDURO', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833237', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870386125', 'W77002196', 'W77002196', 'UT01', NULL, 'Michael', 'S', 'Kottler', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '4568 Highland Dr Ste 160', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8014243090', '8014243091', NULL, NULL, '', NULL, NULL, '', '', 'USTDOPHT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740287705', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870386125', 'W77002197', 'W77002197', 'UT01', NULL, 'Michael', 'S', 'Kottler', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', '8013669883', NULL, NULL, '', NULL, NULL, '', '', 'USTDOPHT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '1999-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740287705', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W77002198', 'W77002198', 'UT01', 'Hand & Orthopedic Rehabilitation', 'habilitation', NULL, 'Hand & Orthopedic Re', 'GROUP', 'Physical Therapy', 'Occupational Therapy', NULL, NULL, 'O', '535 E 500 S Ste 250', 'Bountiful', 'Davis', 'UT', '84010', '8012613321', '8012615942', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832972', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W77002199', 'W77002199', 'UT01', 'Hand & Orthopedic Rehabilitation', 'John', 'Michael', 'Orr', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '5151 S 900 E Ste 100', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', NULL, NULL, '', NULL, NULL, '', '', '1831', NULL, NULL, '0.00', NULL, '42.00', 3, '1999-09-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518942291', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W77002200', 'W77002200', 'UT01', 'Hand & Orthopedic Rehabilitation', 'Seth', 'M', 'Riley', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'B', '5151 S 900 E Ste 100', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2005-10-28', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427033109', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W77002201', 'W77002201', 'UT01', 'Hand & Orthopedic Rehabilitation', 'Seth', 'M', 'Riley', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', '8013641242', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2005-10-28', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427033109', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870391052', 'W77002202', 'W77002202', 'UT01', 'Audiology Associates', 'Associates', NULL, 'Audiology', 'GROUP', 'Audiology', NULL, NULL, NULL, 'O', '1377 E 3900 S Ste 201', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012721232', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834137', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870391052', 'W77002203', 'W77002203', 'UT01', 'Audiology Associates', 'C Brent', NULL, 'Fox', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '1377 E 3900 S Ste 201', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012721232', '8012721238', NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-10-28', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811938939', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870391052', 'W77002205', 'W77002205', 'UT01', 'Kings Peak CU Bldg', 'C Brent', NULL, 'Fox', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '57 N 100 E Ste 3', 'Roosevelt', 'Duchesne', 'UT', '84066', '8002449001', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-10-28', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811938939', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870391052', 'W77002206', 'W77002206', 'UT01', 'Sanpete Valley Hospital', 'C Brent', NULL, 'Fox', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '1100 S Medical Dr', 'Mount Pleasant', 'Sanpete', 'UT', '84647', '8002449001', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-10-28', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811938939', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870392925', 'W77002207', 'W77002207', 'UT01', 'Okubo, David H', 'David', 'H', 'Okubo', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1995 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015669888', '8015669899', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1881656106', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870351757', 'W77002208', 'W77002208', 'UT01', 'Westwood Physical Therapy', 'Gregory', 'G', 'Nelson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5547 S 4015 W Ste 7', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019676055', '8019676934', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-01-17', '2005-05-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832417', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870351941', 'W77002209', 'W77002209', 'UT01', 'Horsley, Rolfe', 'Rolfe', 'P', 'Horsley', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6040 Fashion Blvd Ste 203', 'Murray', 'Salt Lake', 'UT', '84107', '8012662353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518949411', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354382', 'W77002210', 'W77002210', 'UT01', 'Bermen, John F', 'John', 'F', 'Bermen', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '3465 Pioneer Pkwy Ste 5', 'West Valley', 'Salt Lake', 'UT', '84120', '8019670282', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548351364', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77002211', 'W77002211', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'Gretchen', 'Thorn', 'Faucett', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1580 W Antelope Dr Ste 290', 'Layton', 'Davis', 'UT', '84041', '8017760880', '8017737399', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477647741', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77002212', 'W77002212', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'William', 'G', 'Hughes', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1580 W Antelope Dr Ste 290', 'Layton', 'Davis', 'UT', '84041', '8017760880', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1881787885', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354540', 'W77002214', 'W77002214', 'UT01', 'ENT Specialists', 'Jerry', 'W', 'Sonkens', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'O', '4000 S 700 E Ste 10', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012684141', '8012618609', NULL, NULL, '', NULL, NULL, '', '', 'USTDENT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699734079', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870354960', 'W77002216', 'W77002216', 'UT01', 'Shakula, John R', 'John', 'R', 'Shakula', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '9720 S 1300 E Ste W-120', 'Sandy', 'Salt Lake', 'UT', '84094', '8015710423', '8015710081', NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1235179375', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870343122', 'W77002257', 'W77002257', 'UT01', 'Allen, D Edgar', 'David', 'Edgar', 'Allen', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '3860 Jackson Ave Ste 2', 'Ogden', 'Weber', 'UT', '84403', '8016270515', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-08-01', '2006-11-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1487672986', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870343231', 'W77002258', 'W77002258', 'UT01', 'Soulier, Scott M', 'Scott', 'M', 'Soulier', 'DPM', 'Podiatry', 'Foot and Ankle', 'Diabetis', NULL, 'B', '4578 Highland Dr Ste 380', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012749060', '8012749064', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2002-04-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043213168', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870344399', 'W77002259', 'W77002259', 'UT01', 'Walters, Perry T', 'Perry', 'T', 'Walters', 'MD', 'Urology', NULL, NULL, NULL, 'O', '425 Medical Dr Ste 112', 'Bountiful', 'Davis', 'UT', '84010', '8012927249', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDURO', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790844165', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870344927', 'W77002261', 'W77002261', 'UT01', 'Arbon, Robert A', 'Robert', 'A', 'Arbon', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'O', '730 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8017146400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-08-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833397', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870345762', 'W77002262', 'W77002262', 'UT01', 'Smith, Terry P', 'Terry', 'P', 'Smith', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '1060 E 100 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013632543', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-02', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '3075', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870346419', 'W77002263', 'W77002263', 'UT01', NULL, 'David', 'S', 'Anderson', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '4815 Ctr St', 'Murray', 'Salt Lake', 'UT', '84107', '8012622443', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356342539', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870346446', 'W77002264', 'W77002264', 'UT01', NULL, 'Dan', 'L', 'Chichester', 'MD', 'Gynecology', NULL, NULL, NULL, 'O', '1140 E 3900 S Ste 300', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012688222', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-09-19', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1194781633', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870347187', 'W77002265', 'W77002265', 'UT01', 'Utah Valley Eye Center', 'Paul', 'F', 'Olson', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 204', 'Provo', 'Utah', 'UT', '84604', '8013577373', '8013577217', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-07-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851397491', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870351757', 'W77002266', 'W77002266', 'UT01', 'Westwood Physical Therapy', 'Jared', 'F', 'Esplin', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5547 S 4015 W Ste 7', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019676055', '8019676934', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2001-05-11', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1316037914', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870351757', 'W77002267', 'W77002267', 'UT01', 'Westwood Physical Therapy', 'Tyler', 'Marvin', 'Hanson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5547 S 4015 W Ste 7', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019676055', '8019676934', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2002-11-22', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834600', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870353757', 'W77002268', 'W77002268', 'UT01', 'Holdaway, Don R', 'Don', 'R', 'Holdaway', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', '2380 N 400 E Ste B', 'Logan', 'Cache', 'UT', '84341', '8017525741', '4357525746', NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-11-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790824100', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870353757', 'W77002269', 'W77002269', 'UT01', 'Holdaway, Don R', 'Don', 'R', 'Holdaway', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '2380 N 400 E Ste B', 'North Ogden', 'Cache', 'UT', '84341', '4357525741', '4357525746', NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-11-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790824100', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77002270', 'W77002270', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'Charles', 'W', 'Joseph', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1580 W Antelope Dr Ste 290', 'Layton', 'Davis', 'UT', '84041', '8017760880', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1609978238', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W77002271', 'W77002271', 'UT01', 'Rocky Mountain Ob-Gyn Associates', 'Tracy', 'R', 'Stevens', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1580 W Antelope Dr Ste 290', 'Layton', 'Davis', 'UT', '84041', '8017760880', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831653', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002272', 'W77002272', 'UT01', 'Chiropractic Health Plan', 'Marc', 'V', 'Bowers', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2000-07-14', '2005-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851480362', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002273', 'W77002273', 'UT01', 'Chiropractic Health Plan', 'James', 'A', 'Brown', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '7211 Plaza Ctr Dr Ste 120', 'West Jordan', 'Salt Lake', 'UT', '84084', '8012804629', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-04-30', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043300106', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002274', 'W77002274', 'UT01', 'Chiropractic Health Plan', 'James', 'A', 'Brown', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-04-30', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043300106', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002275', 'W77002275', 'UT01', 'Chiropractic Health Plan', 'Joshua', 'W', 'Bryan', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-06-24', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124196167', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002276', 'W77002276', 'UT01', 'Chiropractic Health Plan', 'Donald', 'R', 'Canova', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '610 N Main St', 'Clearfield', 'Davis', 'UT', '84015', '8017763389', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-10-28', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770526394', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002277', 'W77002277', 'UT01', 'Chiropractic Health Plan', 'Morgan', NULL, 'Carlson', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '3935 N 75 W', 'Hyde Park', 'Cache', 'UT', '84318', '4355634141', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2000-01-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780757526', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002278', 'W77002278', 'UT01', 'Chiropractic Health Plan', 'Alan', 'C', 'Casey', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '903 N Washington Blvd', 'Ogden', 'Weber', 'UT', '84404', '8017821430', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639277163', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002279', 'W77002279', 'UT01', 'Chiropractic Health Plan', 'Donald', 'A', 'Cofer', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215979133', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002280', 'W77002280', 'UT01', 'Collard Chiropractic', 'Chad', 'L', 'Collard', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '9103 S 1300 W Ste 101', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015691141', '8015691171', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-06-24', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184707036', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002281', 'W77002281', 'UT02', 'Chiropractic Health Plan', 'Terrance', 'M', 'Cooper', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, NULL, '0.00', NULL, NULL, 3, '2001-06-12', '2006-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1720183288', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002282', 'W77002282', 'UT01', 'Chiropractic Health Plan', 'Todd', 'T', 'Doxey', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '4013 Pacific Ave', 'Riverdale', 'Weber', 'UT', '84405', '8013949450', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386714459', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002283', 'W77002283', 'UT01', 'Doxey Family Chiropractic', 'Tom', NULL, 'Doxey', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '876 12th St', 'Ogden', 'Weber', 'UT', '84404', '8013999802', '8013999804', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833529', 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
('870395551', 'W77002284', 'W77002284', 'UT01', 'Chiropractic Health Plan', 'Elizabeth', 'C', 'Draney', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-01-19', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1063512580', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002285', 'W77002285', 'UT01', 'Chiropractic Health Plan', 'Mark', NULL, 'Dudley', 'APRN', 'Mental Health', 'Chiropractic', NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-01-28', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689784019', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870358327', 'W77002286', 'W77002286', 'UT01', 'Olympus Clinic', 'Jon', 'T', 'Wall', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '4624 Holladay Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012772682', '8012772980', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528006491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870358830', 'W77002287', 'W77002287', 'UT01', 'Keiter, John E', 'John', 'E', 'Keiter', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'O', '6040 Fashion Blvd Ste 101', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012649595', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPLAS', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833093', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870359334', 'W77002288', 'W77002288', 'UT01', 'Rose, A Patrick', 'A Patrick', NULL, 'Rose', 'MD', 'Pediatric Cardiology', 'Pediatrics', NULL, NULL, 'B', '5495 S 500 E Ste -330', 'Ogden', 'Weber', 'UT', '84405', '8014762717', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326002973', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870362232', 'W77002289', 'W77002289', 'UT01', 'Granger Clinic', 'David', 'J', 'Howe', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 70658', 'Salt Lake City', 'Salt Lake', 'UT', '84170', '8019653720', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-11-30', 0, 0, 0, 'Salt Lake Regional Medical Center', 'St Marks Hospital', NULL, NULL, 'HCFA|UB|', '1578667226', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870362232', 'W77002290', 'W77002290', 'UT01', NULL, 'David', 'J', 'Howe', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '3725 W 4100 S', 'West Valley', 'Salt Lake', 'UT', '84120', '8019653424', '8019653468', NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-11-30', 0, 0, 0, 'Salt Lake Regional Medical Center', 'St Marks Hospital', NULL, NULL, 'HCFA|UB|', '1578667226', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870362338', 'W77002291', 'W77002291', 'UT01', NULL, 'Dwight', 'H', 'Inouye', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 849', 'Gunnison', 'Sanpete', 'UT', '84634', '4355287202', '4355283624', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-11-18', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497871099', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870362387', 'W77002292', 'W77002292', 'UT01', 'Kelson, Ross J', 'Ross', 'J', 'Kelson', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '6028 S Ridgeline Dr Ste 201A', 'South Ogden', 'Weber', 'UT', '84405', '8014756520', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447280169', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870372827', 'W77002380', 'W77002380', 'UT01', 'Diehl, Paul J', 'Lorrie', NULL, 'Belcher', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 107', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019939506', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '43.05', NULL, NULL, 3, '2002-11-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609981869', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870372827', 'W77002383', 'W77002383', 'UT01', 'Diehl, Paul J', 'John', 'G', 'Robinson', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '10011 Centennial Pkwy', 'Sandy', 'Salt Lake', 'UT', '84070', '8019939527', '8017335872', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-11-06', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832728', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870372827', 'W77002384', 'W77002384', 'UT01', 'Diehl, Paul J', 'Trevor', 'K', 'Tomlinson', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'O', '10011 Centennial Pkwy', 'Sandy', 'Salt Lake', 'UT', '84070', '8019939506', '8017335872', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '43.05', NULL, NULL, 3, '2003-11-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832847', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77002386', 'W77002386', 'UT01', 'Heart And Lung Institute', 'Terrence', 'S', 'Bjordahl', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012630140', '8012633887', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-06-04', '2004-06-04', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710006408', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77002387', 'W77002387', 'UT01', 'Heart And Lung Institute', 'Musaret', NULL, 'Jabeen', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012632370', '8012651200', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-09-27', '2005-11-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832327', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77002388', 'W77002388', 'UT01', 'Heart And Lung Institute', 'John', 'A', 'McHenry', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012632370', '8012648407', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750365193', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002389', 'W77002389', 'UT01', 'Sports & Family Medical Group', 'Mark', 'A', 'Jolley', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '990 Medical Dr Ste UL-1', 'Brigham City', 'Box Elder', 'UT', '84302', '4357232311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2002-12-11', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801986310', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002390', 'W77002390', 'UT01', 'Chiropractic Health Plan', 'Scott', 'S', 'Jones', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '8045 S 700 E Ste 1', 'Sandy', 'Salt Lake', 'UT', '84070', '8015665428', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508864141', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002391', 'W77002391', 'UT01', 'Chiropractic Health Plan', 'Scott', 'S', 'Jones', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508864141', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002392', 'W77002392', 'UT01', 'Chiropractic Health Plan', 'Theodore', 'Allan', 'Kyle', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '5204 S Redwood Rd', 'Salt Lake City', 'Salt Lake', 'UT', '84123', '8019671400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-01-24', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833502', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002393', 'W77002393', 'UT01', 'Chiropractic Health Plan', 'Theodore', 'Allan', 'Kyle', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-01-24', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833502', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870395551', 'W77002394', 'W77002394', 'UT01', 'Chiropractic Health Plan', 'Evan', 'J', 'LeFevre', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386725190', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002395', 'W77002395', 'UT01', 'Chiropractic Health Plan', 'Nathan', 'E', 'Leavitt', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-02-25', '2005-04-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '916938', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002396', 'W77002396', 'UT01', 'Leishman & Nelson Chiropractic', 'Robb', 'L', 'Leishman', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '12176 S 1000 E', 'Draper', 'Salt Lake', 'UT', '84020', '8015233040', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-10-03', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033151576', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002397', 'W77002397', 'UT01', 'Chiropractic Health Plan', 'James', NULL, 'Liebelt', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '659 N Main St', 'Brigham City', 'Box Elder', 'UT', '84302', '4357236033', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821042102', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002398', 'W77002398', 'UT01', 'Chiropractic Health Plan', 'Robert', NULL, 'Lindberg', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-04-15', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326142530', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002399', 'W77002399', 'UT01', 'Center for TEAM Healthcare', 'Chad', 'A', 'Lundstrom', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1255 Iron Horse Dr', 'Park City', 'Summit', 'UT', '84060', '4356491542', '4356584909', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-05-18', '2005-08-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275621922', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002400', 'W77002400', 'UT01', 'Chiropractic Health Plan', 'Douglas', 'R', 'Madsen', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '435 S Main St', 'Ephraim', 'Sanpete', 'UT', '84627', '4352834069', NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, NULL, '0.00', NULL, NULL, 3, '1999-09-01', '2004-09-04', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834051', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002401', 'W77002401', 'UT01', 'Chiropractic Health Plan', 'Randall', NULL, 'Malin', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '291 E 4500 S Ste B', 'Murray', 'Salt Lake', 'UT', '84107', '8012612829', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833510', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870387679', 'W77002402', 'W77002402', 'UT01', 'Lind, Lamoreaux, Melendez, And Aagard', 'Robert', NULL, 'Aagard', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '120 N 1220 E Ste 7', 'American Fork', 'Utah', 'UT', '84003', '8017569635', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477661379', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W77002403', 'W77002403', 'UT01', 'Hand & Orthopedic Rehabilitation', 'habilitation', NULL, 'Hand & Orthopedic Re', 'GROUP', 'Physical Therapy', 'Occupational Therapy', NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832972', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W77002404', 'W77002404', 'UT01', 'Hand & Orthopedic Rehabilitation', 'habilitation', NULL, 'Hand & Orthopedic Re', 'GROUP', 'Physical Therapy', 'Occupational Therapy', NULL, NULL, 'O', '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', '8013641242', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832972', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W77002405', 'W77002405', 'UT01', 'Hand & Orthopedic Rehabilitation', 'John', 'Michael', 'Orr', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', NULL, NULL, '', NULL, NULL, '', '', '1831', NULL, NULL, '0.00', NULL, '42.00', 3, '1999-09-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518942291', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W77002406', 'W77002406', 'UT01', 'Hand & Orthopedic Rehabilitation', 'Seth', 'M', 'Riley', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2005-10-28', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427033109', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870391052', 'W77002408', 'W77002408', 'UT01', 'Audiology Associates', 'Associates', NULL, 'Audiology', 'GROUP', 'Audiology', NULL, NULL, NULL, 'O', '10441 S Redwood Rd', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013028022', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834137', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870391052', 'W77002409', 'W77002409', 'UT01', 'Audiology Associates', 'Associates', NULL, 'Audiology', 'GROUP', 'Audiology', NULL, NULL, NULL, 'O', '508 E S Temple Ste 203', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013648692', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834137', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870392925', 'W77002410', 'W77002410', 'UT01', 'Okubo, David H', 'David', 'H', 'Okubo', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '8925 S 2700 W', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015669888', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-08-25', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1881656106', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870393111', 'W77002411', 'W77002411', 'UT01', 'Ogden Audiology Services', 'ices', NULL, 'Ogden Audiology Serv', 'GROUP', 'Audiology', NULL, NULL, NULL, 'O', '425 E 5350 S Ste 120', 'Ogden', 'Weber', 'UT', '84405', '8014793346', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834784', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395129', 'W77002412', 'W77002412', 'UT01', 'Harbrecht, David J', 'David', NULL, 'Harbrecht', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'O', '425 Medical Dr Ste 107', 'Bountiful', 'Davis', 'UT', '84010', '8012928303', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-02-04', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833725', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002413', 'W77002413', 'UT01', 'Chiropractic Health Plan', 'Alan', 'J', 'Adams', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-09-30', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598894685', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002414', 'W77002414', 'UT01', 'Chiropractic Health Plan', 'Brandon', 'K', 'Allred', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-03-22', '2006-01-22', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834578', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W77002415', 'W77002415', 'UT01', 'Heart And Lung Institute', 'Sunny', NULL, 'Pandita', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '1160 E 3900 S Ste G300', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012630140', '8012633887', NULL, NULL, '', NULL, NULL, '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-07-26', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023095809', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870391052', 'W77002501', 'W77002501', 'UT01', 'Audiology Associates', 'C Rex', NULL, 'Scott', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '508 E S Temple Ste 203', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013648692', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-05-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912044082', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870392925', 'W77002502', 'W77002502', 'UT01', 'Okubo, David H', 'David', 'H', 'Okubo', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '1995 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015669888', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-08-25', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1881656106', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870393111', 'W77002503', 'W77002503', 'UT01', 'Ogden Audiology Services', 'Stephen', NULL, 'Harward', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '425 E 5350 S Ste 120', 'Ogden', 'Weber', 'UT', '84405', '8014793346', '8014790725', NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1998-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609899459', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002504', 'W77002504', 'UT01', 'Chiropractic Health Plan', 'Rodney', 'R', 'Scuderi', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2000-11-10', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548271950', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870395551', 'W77002505', 'W77002505', 'UT01', 'Chiropractic Health Plan', 'David', NULL, 'Sessions', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '2530 W 4700 S Ste B4', 'Taylorsville', 'Salt Lake', 'UT', '84118', '8019685533', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-02', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144334707', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002506', 'W77002506', 'UT01', 'Chiropractic Health Plan', 'Edward', 'F', 'Smith', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-03-28', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578615761', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002507', 'W77002507', 'UT01', 'Chiropractic Health Plan', 'Edward', 'F', 'Smith', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-03-28', '2004-06-30', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578615761', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002508', 'W77002508', 'UT01', 'Maple Ridge Chiropractic', 'Matthew', 'D', 'Smith', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '11483 S State St Ste F', 'Draper', 'Salt Lake', 'UT', '84020', '8015717670', '8015717674', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '      2303', '0.00', NULL, NULL, 3, '2005-05-20', '2006-09-22', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770757569', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002509', 'W77002509', 'UT01', 'Chiropractic Health Plan', 'Bryan', 'D', 'Smuin', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '319 W 100 S Ste B', 'Vernal', 'Uintah', 'UT', '84078', '4357897290', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2000-08-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467589069', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002510', 'W77002510', 'UT01', 'Chiropractic Health Plan', 'Bryan', 'D', 'Smuin', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2000-08-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467589069', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002511', 'W77002511', 'UT01', 'Chiropractic Health Plan', 'Corey', 'J', 'Sondrup', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-12-29', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447381223', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002512', 'W77002512', 'UT01', 'Optimal Health Dynamics', 'Corey', 'J', 'Sondrup', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1117 Country Hills Dr Ste 2', 'Ogden', 'Weber', 'UT', '84403', '8014761752', '8014763075', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-12-29', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447381223', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002513', 'W77002513', 'UT01', 'Chiropractic Health Plan', 'Randy', 'L', 'Stauffer', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-03-25', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '920827', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002514', 'W77002514', 'UT01', 'Chiropractic Health Plan', 'Dee', 'Scott', 'Stevens', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-03-25', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962456681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002515', 'W77002515', 'UT01', 'Chiropractic Health Plan', 'Joseph', 'W', 'Swenson', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '3564 S 7200 W Ste D', 'Magna', 'Salt Lake', 'UT', '84044', '8015087246', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-04-02', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1194843698', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002516', 'W77002516', 'UT01', 'Chiropractic Health Plan', 'Kelly', 'D', 'Terry', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-01-19', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834535', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002517', 'W77002517', 'UT01', 'Chiropractic Health Plan', 'Glenn', 'H', 'Thompson', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407830953', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002518', 'W77002518', 'UT01', 'Chiropractic Health Plan', 'Neil', 'L', 'Erickson', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801832241', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002519', 'W77002519', 'UT01', 'Chiropractic Health Plan', 'Randall', 'B', 'Forbes', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-07-06', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833959', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002520', 'W77002520', 'UT01', 'Chiropractic Health Plan', 'James', 'I', 'Grant', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-04-20', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1316057466', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002521', 'W77002521', 'UT01', 'Chiropractic Health Plan', 'Todd', 'N', 'Grant', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '66 S Main St Ste 7', 'Kaysville', 'Davis', 'UT', '84037', '8015462273', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-02-02', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265516165', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002522', 'W77002522', 'UT01', 'Chiropractic Health Plan', 'Jeff', NULL, 'Gray', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '      2303', '0.00', NULL, NULL, 3, '2002-02-01', '2006-09-28', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832053', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002523', 'W77002523', 'UT01', 'Chiropractic Health Plan', 'Harold', NULL, 'Gunn', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497744692', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002524', 'W77002524', 'UT01', 'Aspen Chiropractic Office', 'Paul', NULL, 'Gurney', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '502 S State St', 'Orem', 'Utah', 'UT', '84058', '8012346325', '8012211655', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-01-24', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649328170', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002525', 'W77002525', 'UT01', 'Chiropractic Health Plan', 'Daryl', NULL, 'Hales', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '360 S State St Ste A', 'Clearfield', 'Davis', 'UT', '84015', '8017731821', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972504892', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002526', 'W77002526', 'UT01', 'Chiropractic Health Plan', 'Keith', 'S', 'Hansen', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '891 E 9400 S', 'Sandy', 'Salt Lake', 'UT', '84094', '8015698181', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-09-24', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497886246', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002527', 'W77002527', 'UT01', 'Chiropractic Health Plan', 'Keith', 'S', 'Hansen', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-09-24', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497886246', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002528', 'W77002528', 'UT01', 'Chiropractic Health Plan', 'Eric', 'J', 'Harrison', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '2828 W 4700 S Ste B', 'Taylorsville', 'Salt Lake', 'UT', '84118', '8019663101', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-03-30', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417037920', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002529', 'W77002529', 'UT01', 'Chiropractic Health Plan', 'Eugene', NULL, 'Hawkins', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833507', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002530', 'W77002530', 'UT01', 'Chiropractic Health Plan', 'Von', 'W', 'Alleman', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467472985', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002531', 'W77002531', 'UT01', 'Chiropractic Health Plan', 'Brandon', 'K', 'Allred', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '7400 Union Park Ave Ste 102', 'Midvale', 'Salt Lake', 'UT', '84047', '8012560006', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-03-22', '2006-01-22', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834578', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002532', 'W77002532', 'UT01', 'Chiropractic Health Plan', 'Kenneth', 'R', 'Andersen', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '9035 S 1300 E Ste 1', 'Sandy', 'Salt Lake', 'UT', '84094', '8015698787', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-01-30', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760483986', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002533', 'W77002533', 'UT01', 'Chiropractic Health Plan', 'Ronald', 'D', 'Andersen', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-04-15', '2006-01-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841356235', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002534', 'W77002534', 'UT01', 'Chiropractic Health Plan', 'Jay', 'D', 'Anderson', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '57 E 800 N', 'Spanish Fork', 'Utah', 'UT', '84660', '8017986558', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-07-29', '2005-08-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832662', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002535', 'W77002535', 'UT01', 'Chiropractic Health Plan', 'J Scott', NULL, 'Barrus', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '62 N Grant Ave', 'American Fork', 'Utah', 'UT', '84003', '8017562861', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833504', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002536', 'W77002536', 'UT01', 'Chiropractic Health Plan', 'Thomas', 'M', 'Benhard', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1405 Washington Blvd Ste 3', 'Ogden', 'Weber', 'UT', '84404', '8013948866', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851476428', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002537', 'W77002537', 'UT01', 'Murray Chiropractic', 'Scott', NULL, 'Binkerd', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '431 E 5600 S', 'Murray', 'Salt Lake', 'UT', '84107', '8012622651', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366509168', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870395551', 'W77002589', 'W77002589', 'UT01', 'Chiropractic Health Plan', 'Dirk', 'S', 'Woodmansee', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '      2303', '0.00', NULL, NULL, 3, '1999-09-02', '2006-11-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834297', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002590', 'W77002590', 'UT01', 'Wright Chiropractic Clinic', 'Darin', 'E', 'Wright', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '887 E 100 N Ste 2A', 'Payson', 'Utah', 'UT', '84651', '8014658800', '8014655707', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-08-06', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1316001050', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002591', 'W77002591', 'UT01', 'Chiropractic Health Plan', 'Stuart', 'J', 'Yeager', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '7086 Highland Dr Ste 50', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019433355', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-01-26', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356422828', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002592', 'W77002592', 'UT01', 'Chiropractic Health Plan', 'James', 'B', 'Young', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '3935 N 75 W', 'Hyde Park', 'Cache', 'UT', '84318', '4355634141', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2002-02-15', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832080', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395860', 'W77002593', 'W77002593', 'UT01', 'Etzel, Glenn', 'Glenn', 'T', 'Etzel', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '280 N Hospital Dr Ste 5', 'Price', 'Carbon', 'UT', '84501', '4356379545', '4356373423', NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831542', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395860', 'W77002594', 'W77002594', 'UT01', 'Etzel, Glenn', 'Glenn', 'T', 'Etzel', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 882', 'Price', 'Carbon', 'UT', '84501', '4356360625', '4356373423', NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831542', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002595', 'W77002595', 'UT01', 'Chiropractic Health Plan', 'Evan', 'J', 'LeFevre', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1950 N Main St Ste 102', 'Logan', 'Cache', 'UT', '84341', '4357524747', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386725190', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870395551', 'W77002598', 'W77002598', 'UT01', 'Chiropractic Health Plan', 'Brian', 'T', 'Lyman', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073694816', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002599', 'W77002599', 'UT01', 'Chiropractic Health Plan', 'Lance', NULL, 'Mangum', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '2112 N Hill Field Rd Ste 2B', 'Layton', 'Davis', 'UT', '84041', '8017740555', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-07-11', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396889689', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002600', 'W77002600', 'UT01', 'Chiropractic Health Plan', 'Terry', NULL, 'Martin', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1951 W 4700 S Ste 1', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019698197', '8019698192', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447224720', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002601', 'W77002601', 'UT01', 'Chiropractic Health Plan', 'Gordon', 'Jr', 'McClean', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '385 N 500 W', 'Provo', 'Utah', 'UT', '84601', '8013731035', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1053408955', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002602', 'W77002602', 'UT01', 'Chiropractic Health Plan', 'Timothy', 'P', 'Mellin', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2002-05-10', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134194897', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002603', 'W77002603', 'UT01', 'Chiropractic Health Plan', 'Jared', 'A', 'Miller', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '2700 W 12569 S Ste 202', 'Riverton', 'Salt Lake', 'UT', '84065', '8016419898', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-05-02', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609825835', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002604', 'W77002604', 'UT01', 'Chiropractic Health Plan', 'Jared', 'A', 'Miller', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '3688 Campus Dr Ste 110', 'Lehi', 'Utah', 'UT', '84043', '8017895416', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-05-02', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609825835', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002605', 'W77002605', 'UT01', 'Chiropractic Health Plan', 'Jared', 'A', 'Miller', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-05-02', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609825835', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002606', 'W77002606', 'UT01', 'Chiropractic Health Plan', 'Nathan', 'D', 'Miller', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '920 N 2000 W', 'Pleasant Grove', 'Utah', 'UT', '84062', '8014929300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-11-07', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1285716738', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002607', 'W77002607', 'UT01', 'Chiropractic Health Plan', 'Tom', NULL, 'Doxey', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833529', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002608', 'W77002608', 'UT01', 'Center for TEAM Healthcare', 'Craig', 'R', 'Dunn', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1255 Iron Horse Dr', 'Park City', 'Summit', 'UT', '84060', '4356491542', '4356584909', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-01-30', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508809443', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002609', 'W77002609', 'UT01', 'Chiropractic Health Plan', 'Craig', 'R', 'Dunn', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '7400 Union Park Ave Ste 301', 'Midvale', 'Salt Lake', 'UT', '84047', '8015681598', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-01-30', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508809443', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002610', 'W77002610', 'UT01', 'Chiropractic Health Plan', 'Craig', 'R', 'Dunn', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-01-30', '2004-01-30', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508809443', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002611', 'W77002611', 'UT01', 'Chiropractic Health Plan', 'Craig', 'R', 'Dunn', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-01-30', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508809443', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002612', 'W77002612', 'UT01', 'Chiropractic Health Plan', 'Brett', 'K', 'Dyer', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '7555 Ctr View Ct Ste 102', 'West Jordan', 'Salt Lake', 'UT', '84084', '8012825858', '8015689559', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-06-24', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '929784', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002613', 'W77002613', 'UT01', 'Sports & Family Medical Group', 'Roger', 'M', 'Ellis', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '990 Medical Dr Ste UL-1', 'Brigham City', 'Box Elder', 'UT', '84302', '4357232311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-10-29', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740361435', 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
('870395551', 'W77002614', 'W77002614', 'UT01', 'Chiropractic Health Plan', 'Damon', NULL, 'Faust', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1675 N Freedom Blvd Ste 7A', 'Provo', 'Utah', 'UT', '84604', '8013700795', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265452163', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002615', 'W77002615', 'UT01', 'Chiropractic Health Plan', 'Cory', 'M', 'Frogley', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-06-04', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033168372', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002616', 'W77002616', 'UT01', 'Frogley Health & Wellness Center', 'Cory', 'M', 'Frogley', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '10376 S Jordan Gtwy', 'South Jordan', 'Salt Lake', 'UT', '84095', '8018160332', '8018160331', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-06-04', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033168372', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002617', 'W77002617', 'UT01', 'Chiropractic Health Plan', 'Gregory', 'D', 'Futrell', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-01-28', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '912213', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870395551', 'W77002714', 'W77002714', 'UT01', 'Chiropractic Health Plan', 'Kenneth', 'M', 'Seals', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, NULL, '0.00', NULL, NULL, 3, '2004-01-30', '2004-06-21', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832898', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870395551', 'W77002721', 'W77002721', 'UT01', 'Chiropractic Health Plan', 'Harold', NULL, 'Stokes', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '2332 W 12600 S Ste 2A', 'Riverton', 'Salt Lake', 'UT', '84065', '8012545808', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669527040', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002722', 'W77002722', 'UT01', 'Chiropractic Health Plan', 'Michael', 'R', 'Taylor', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-03-25', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '922083', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870395551', 'W77002724', 'W77002724', 'UT01', 'Chiropractic Health Plan', 'Kelly', 'D', 'Terry', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '55 N 600 E', 'Price', 'Carbon', 'UT', '84501', '4356374621', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-01-19', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834535', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002725', 'W77002725', 'UT01', 'Chiropractic Health Plan', 'David', 'B', 'Thomson', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '135 S 500 W', 'Bountiful', 'Davis', 'UT', '84010', '8012968500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2002-04-05', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1902898927', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002726', 'W77002726', 'UT01', 'Chiropractic Health Plan', 'Brandon', 'T', 'Tinlin', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2002-09-12', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832357', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002727', 'W77002727', 'UT01', 'Chiropractic Health Plan', 'Kyle', 'D', 'Klein', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2000-07-14', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104911130', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002729', 'W77002729', 'UT01', 'Sports & Family Medical Group', 'Kyle', 'D', 'Klein', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '990 Medical Dr Ste UL-1', 'Brigham City', 'Box Elder', 'UT', '84302', '4357232311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2000-07-14', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104911130', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002730', 'W77002730', 'UT01', 'Chiropractic Health Plan', 'Monte', 'J', 'Layton', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598773863', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002731', 'W77002731', 'UT01', 'The Chiropractic Place', 'Monte', 'J', 'Layton', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '715 E 3900 S Ste 107', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012688051', '8012683030', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598773863', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002732', 'W77002732', 'UT01', 'Chiropractic Health Plan', 'Darwin', 'K', 'Le', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-07-29', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497876163', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002733', 'W77002733', 'UT01', 'Leavitt Family Chiropractic', 'Nathan', 'E', 'Leavitt', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '740 E 3900 S Ste 130', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8016850818', '8016850817', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-02-25', '2005-04-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '916938', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002734', 'W77002734', 'UT01', 'Chiropractic Health Plan', 'James', NULL, 'Liebelt', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821042102', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002735', 'W77002735', 'UT01', 'Chiropractic Health Plan', 'Robert', NULL, 'Lindberg', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '98 N W State Rd', 'American Fork', 'Utah', 'UT', '84003', '8017560111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-04-15', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326142530', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002736', 'W77002736', 'UT01', 'Chiropractic Health Plan', 'Troy', 'J', 'Losh', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '550 N Main St Ste A', 'Moab', 'Grand', 'UT', '84532', '4352590123', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-04-02', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832938', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002737', 'W77002737', 'UT01', 'Chiropractic Health Plan', 'Brett', 'S', 'Luddington', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-06-04', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427126515', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002738', 'W77002738', 'UT01', 'Optimum Health & Wellness Centre', 'Brett', 'S', 'Luddington', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '150 S 600 E Ste 9B', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013630800', '8013632421', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-06-04', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427126515', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870418818', 'W77002825', 'W77002825', 'UT01', 'Bear River Medical Associates', 'Dellray', 'H', 'Anderson', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '420 W 600 N', 'Tremonton', 'Box Elder', 'UT', '84337', '4352574444', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639166416', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W77002826', 'W77002826', 'UT01', 'Central Valley Medical Center Pro Fees', 'al Center Pro F', 'ees', 'Central Valley Medic', 'GROUP', 'Emergency Medicine', NULL, NULL, NULL, 'O', '48 W 1500 N', 'Nephi', 'Juab', 'UT', '84648', '4356230775', '4356233180', NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '1999-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834459', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W77002827', 'W77002827', 'UT01', 'Central Valley Medical Center Pro Fees', 'al Center Pro F', 'ees', 'Central Valley Medic', 'GROUP', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 412', 'Nephi', 'Juab', 'UT', '84648', '4356230775', '4356233180', NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '1999-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834459', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W77002828', 'W77002828', 'UT01', 'Nephi Medical Clinic', 'James', 'M', 'Besendorfer', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 120', 'Nephi', 'Juab', 'UT', '84648', '4356233200', '4356233180', NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1194741629', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W77002829', 'W77002829', 'UT01', 'Nephi Medical Clinic', 'Mark', 'C', 'Oveson', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 120', 'Nephi', 'Juab', 'UT', '84648', '4356233200', '4356233180', NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '1999-09-02', '1999-09-02', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417974098', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W77002830', 'W77002830', 'UT01', 'Nephi Medical Clinic', 'James', 'A', 'Tatton', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '48 W 1500 N', 'Nephi', 'Juab', 'UT', '84648', '4356233200', '4356233180', NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396785341', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W77002831', 'W77002831', 'UT01', 'Nephi Medical Clinic', 'Nita', 'Beth', 'Weber', 'DO', 'Internal Medicine', 'Pediatrics', NULL, NULL, 'B', 'PO Box 120', 'Nephi', 'Juab', 'UT', '84648', '4356233200', '4356233180', NULL, NULL, '', NULL, NULL, '', '', '111', NULL, NULL, '0.00', '11.00', NULL, 3, '2001-06-12', '2004-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831670', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002832', 'W77002832', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Janice', 'L B', 'Byrne', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', 'Neonatology', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-05-31', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1629158530', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002833', 'W77002833', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Janice', 'L B', 'Byrne', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', 'Neonatology', NULL, 'B', 'PO Box 58859', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015855172', '8015855164', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-05-31', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1629158530', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870410144', 'W77002834', 'W77002834', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Mark', 'K', 'Dodson', 'MD', 'Obstetrics and Gynecology', 'Gynecologic Oncology', NULL, NULL, 'B', 'PO Box 58859', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015855172', '8015855164', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275570467', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002837', 'W77002837', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Antonio', 'E', 'Frias', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 58859', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015855172', '8015855164', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-01-01', '2002-01-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033130299', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002838', 'W77002838', 'UT01', 'U Of U Dept Of Ob/Gyn', 'William', 'D', 'Geis', 'MD', 'Gynecologic Oncology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-06-03', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832178', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002839', 'W77002839', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Mark', NULL, 'Gibson', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', 'Reproductive Endocrinology', NULL, 'O', '555 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015852111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-08-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578653176', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002840', 'W77002840', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Mark', NULL, 'Gibson', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', 'Reproductive Endocrinology', NULL, 'O', '675 Arapeen Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-08-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578653176', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002841', 'W77002841', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Denise', NULL, 'Gitlin', 'NP', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '2000 Circle of Hope Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2006-04-30', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1487744082', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002842', 'W77002842', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Denise', NULL, 'Gitlin', 'NP', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015850640', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2006-04-30', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1487744082', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002843', 'W77002843', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Denise', NULL, 'Gitlin', 'NP', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 58859', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015855172', '8015855164', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2003-07-01', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1487744082', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002844', 'W77002844', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Ahmad', 'O', 'Hammoud', 'MD', 'Endocrinology', 'Obstetrics and Gynecology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-10-05', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821188426', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77002845', 'W77002845', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Harry', 'H', 'Hatasaka', 'MD', 'Obstetrics and Gynecology', 'Reproductive Endocrinology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740360650', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002846', 'W77002846', 'UT01', 'Chiropractic Health Plan', 'Thomas', 'D', 'Rose', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2002-06-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336164466', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002847', 'W77002847', 'UT01', 'Chiropractic Health Plan', 'Gary', NULL, 'Rosquist', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '887 E Vine St', 'Murray', 'Salt Lake', 'UT', '84107', '8012661415', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427078666', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002848', 'W77002848', 'UT01', 'Chiropractic Health Plan', 'Gary', NULL, 'Rosquist', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427078666', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002849', 'W77002849', 'UT01', 'Chiropractic Health Plan', 'J Stewart', NULL, 'Scoville', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '150 S 700 E Ste 1', 'Price', 'Carbon', 'UT', '84501', '4356374822', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-03-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629108840', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002850', 'W77002850', 'UT01', 'Chiropractic Health Plan', 'J Stewart', NULL, 'Scoville', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-03-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629108840', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002851', 'W77002851', 'UT01', 'Chiropractic Health Plan', 'Charles', 'P', 'Smith', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-06-04', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1538290143', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002852', 'W77002852', 'UT01', 'Decker Lake Chiropractic', 'Edward', 'F', 'Smith', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '2196 W 3500 S Ste C-7', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8017467246', '8017467249', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2003-03-28', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578615761', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002853', 'W77002853', 'UT01', 'Chiropractic Health Plan', 'Derrick', 'L', 'Stanbridge', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '5974 Fashion Point Dr', 'Ogden', 'Weber', 'UT', '84403', '8014756800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2001-03-30', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326024977', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002854', 'W77002854', 'UT01', 'Chiropractic Health Plan', 'Randy', 'L', 'Stauffer', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1025 E 11400 S Ste 104', 'Sandy', 'Salt Lake', 'UT', '84094', '8015233898', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-03-25', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '920827', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002855', 'W77002855', 'UT01', 'Stevens and Tribett Chiropractic Offices', 'Dee', 'Scott', 'Stevens', 'DC', 'Chiropractic', NULL, NULL, NULL, 'O', '1300 N 200 E Ste 110', 'Logan', 'Cache', 'UT', '84341', '4357557654', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2005-03-25', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962456681', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002856', 'W77002856', 'UT01', 'Chiropractic Health Plan', 'Harold', NULL, 'Stokes', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669527040', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002857', 'W77002857', 'UT01', 'Chiropractic Health Plan', 'Joseph', 'W', 'Swenson', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '2004-04-02', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1194843698', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002858', 'W77002858', 'UT01', 'Chiropractic Health Plan', 'Joel', 'D', 'Templeton', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', '8013527270', '8013527024', NULL, NULL, '', NULL, NULL, '', '', 'SELECT', NULL, '      2303', '0.00', NULL, NULL, 3, '2005-05-20', '2006-09-22', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578768172', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'W77002859', 'W77002859', 'UT01', 'Chiropractic Health Plan', 'Michael', NULL, 'Thompson', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '9135 S Monroe St Ste B', 'Sandy', 'Salt Lake', 'UT', '84070', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2303', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861453219', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870421100', 'W77002860', 'W77002860', 'UT01', 'Michaelson, Chauncey', 'Chauncey', 'D', 'Michaelson', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '2252 N 400 E', 'Ogden', 'Weber', 'UT', '84414', '8017823400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831486', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870422134', 'W77002861', 'W77002861', 'UT01', NULL, 'Richard', 'B', 'Nay', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '49 E Ctr', 'Gunnison', 'Sanpete', 'UT', '84634', '4355287231', '4355287232', NULL, NULL, '', NULL, NULL, '', '', 'URSTDFAM', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-12-29', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780707711', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870423701', 'W77002862', 'W77002862', 'UT01', 'Avner, Dennis L', 'Dennis', 'L', 'Avner', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', '1220 E 3900 S Ste -3C', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012629555', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDGSTR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832397', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870428249', 'W77003043', 'W77003043', 'UT01', 'Coalville Health Center', 'Jeanette', 'R', 'Vernon', 'PA-C', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 865', 'Coalville', 'Summit', 'UT', '84017', '4353364403', '4353365570', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1998-01-01', '2006-08-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1487866208', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870437878', 'W77003050', 'W77003050', 'UT01', 'Beaver Medical Clinic', 'Kenneth', 'L', 'Hussey', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 1690', 'Beaver', 'Beaver', 'UT', '84713', '4354387280', '4354387210', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-11-07', '2006-11-30', 0, 0, 0, 'Beaver Valley Hospital', 'Beaver Valley Hospital Pro Fee', NULL, NULL, 'HCFA|UB|', '1841295938', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870437878', 'W77003051', 'W77003051', 'UT01', 'Beaver Medical Clinic', 'Roger', 'H', 'Smith', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1059 N 100 W', 'Beaver', 'Beaver', 'UT', '84713', '4354387280', '4354387210', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-11-07', '2006-11-30', 0, 0, 0, 'Beaver Valley Hospital', 'Beaver Valley Hospital Pro Fee', NULL, NULL, 'HCFA|UB|', '1043217268', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870437878', 'W77003052', 'W77003052', 'UT01', 'Beaver Medical Clinic', 'Roger', 'H', 'Smith', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 1690', 'Beaver', 'Beaver', 'UT', '84713', '4354387280', '4354387210', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-11-07', '2006-11-30', 0, 0, 0, 'Beaver Valley Hospital', 'Beaver Valley Hospital Pro Fee', NULL, NULL, 'HCFA|UB|', '1043217268', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870441813', 'W77003053', 'W77003053', 'UT01', 'Rowley, Steven D', 'Steven', 'D', 'Rowley', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'O', '1461 E 840 N', 'Orem', 'Utah', 'UT', '84097', '8013735211', '8013737803', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124121538', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870410144', 'W77003058', 'W77003058', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Jennifer', 'J', 'Trauscht-Van Horn', 'MD', 'Obstetrics and Gynecology', 'Certified Nurse Midwife', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306926209', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870410144', 'W77003060', 'W77003060', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Michael', 'W', 'Varner', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1396783486', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W77003061', 'W77003061', 'UT01', 'U Of U Dept Of Ob/Gyn', 'Daren', 'A', 'Watts', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015812000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2005-03-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1679589600', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
