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
('111111111', 'RX0013128', 'RX0013128', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1101 BELLEFONTAINE ST', 'WAPAKONETA', 'Auglaize', 'OH', '45895', '4197388926', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639272453', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013129', 'RX0013129', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '300 OXFORD ST', 'DOVER', 'Tuscarawas', 'OH', '44622', '3303647508', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548363369', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013130', 'RX0013130', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5981 FAR HILLS AVE', 'DAYTON', 'Montgomery', 'OH', '45429', '9374385954', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457454274', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013131', 'RX0013131', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '34440 VINE ST', 'WILLOWICK', 'Lake', 'OH', '44095', '4402698828', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649297839', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013132', 'RX0013132', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '32 TROY RD', 'DELAWARE', 'Delaware', 'OH', '43015', '7403638171', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275636094', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013133', 'RX0013133', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '111 W CHERRY ST', 'SUNBURY', 'Delaware', 'OH', '43074', '7409653061', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184727901', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013134', 'RX0013134', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2887 S ARLINGTON RD', 'AKRON', 'Summit', 'OH', '44312', '3306459557', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558388744', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013135', 'RX0013135', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1120 S MAIN ST', 'BOWLING GREEN', 'Wood', 'OH', '43402', '4193523396', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801814652', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013136', 'RX0013136', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '341 W HIGH ST', 'BRYAN', 'Williams', 'OH', '43506', '4196365021', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1992808711', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013137', 'RX0013137', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8000 EUCLID AVE', 'CLEVELAND', 'Cuyahoga', 'OH', '44103', '2167214000', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801999628', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013138', 'RX0013138', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6800 E BROAD ST # C', 'COLUMBUS', 'Franklin', 'OH', '43213', '6145753741', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669406369', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013139', 'RX0013139', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1093 STATE ROUTE 28', 'MILFORD', 'Clermont', 'OH', '45150', '5132481978', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578597274', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013140', 'RX0013140', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8160 MACEDONIA COMMONS BLVD', 'MACEDONIA', 'Summit', 'OH', '44056', '3304680110', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467479659', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013141', 'RX0013141', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1760 COLUMBUS PIKE', 'DELAWARE', 'Delaware', 'OH', '43015', '7403690422', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376560565', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013142', 'RX0013142', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '297 S MAIN ST', 'OBERLIN', 'Lorain', 'OH', '44074', '4407743531', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710080536', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013143', 'RX0013143', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3282 TREMONT RD', 'UPPER ARLINGTON', 'Franklin', 'OH', '43221', '6143261288', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629171442', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013144', 'RX0013144', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '340 WELTON BLVD #', 'NORWALK', 'Huron', 'OH', '44857', '4196632413', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285651471', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013145', 'RX0013145', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3637 S HIGH ST', 'COLUMBUS', 'Franklin', 'OH', '43207', '6144921081', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487688180', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013146', 'RX0013146', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1840 COLUMBUS PIKE', 'DELAWARE', 'Delaware', 'OH', '43015', '7403634398', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295769990', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013147', 'RX0013147', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7385 WOOSTER PIKE', 'CINCINNATI', 'Hamilton', 'OH', '45227', '5132719320', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104850809', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013148', 'RX0013148', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1501 WAGNER RD', 'GREENVILLE', 'Darke', 'OH', '45331', '9375479844', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093732281', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013149', 'RX0013149', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7412 STATE RD', 'CLEVELAND', 'Cuyahoga', 'OH', '44134', '4408878038', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1447353263', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013150', 'RX0013150', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '779 SOM CENTER RD', 'CLEVELAND', 'Cuyahoga', 'OH', '44143', '4404494818', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1356444178', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013151', 'RX0013151', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8001 W 130TH ST', 'NORTH ROYALTON', 'Cuyahoga', 'OH', '44133', '4408456444', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1265535082', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013152', 'RX0013152', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9 W 130TH ST', 'HINCKLEY', 'Medina', 'OH', '44233', '3302258458', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174626998', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013153', 'RX0013153', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '375 LEAR STREET', 'AVON LAKE', 'Lorain', 'OH', '44012', '4409332525', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1083717805', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013154', 'RX0013154', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6001 MAHONING AVE', 'YOUNGSTOWN', 'Mahoning', 'OH', '44515', '3302700006', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902823198', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013155', 'RX0013155', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1202 COUNTY LINE RD', 'WESTERVILLE', 'Franklin', 'OH', '43081', '6148918300', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1891898615', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013156', 'RX0013156', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6165 GLICK RD', 'POWELL', 'Delaware', 'OH', '43065', '6147668399', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1700989522', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013157', 'RX0013157', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '407 N FRONT ST', 'OAK HILL', 'Jackson', 'OH', '45656', '7406823525', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1619070430', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013158', 'RX0013158', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4610 CEMETERY RD', 'HILLIARD', 'Franklin', 'OH', '43026', '6147775988', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1528161346', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013159', 'RX0013159', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3728 PEARL RD', 'CLEVELAND', 'Cuyahoga', 'OH', '44109', '2167495454', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831292663', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013160', 'RX0013160', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10000 BROOKPARK RD', 'CLEVELAND', 'Cuyahoga', 'OH', '44130', '2167417386', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811914005', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013161', 'RX0013161', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3360 NEW GERMANY TREBEIN RD', 'BEAVERCREEK', 'Greene', 'OH', '45431', '9374267007', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720005911', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013162', 'RX0013162', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '22909 EMERY RD', 'CLEVELAND', 'Cuyahoga', 'OH', '44128', '2165183551', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1740383579', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013163', 'RX0013163', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4460 MAYFIELD RD', 'SOUTH EUCLID', 'Cuyahoga', 'OH', '44121', '2163826780', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659474484', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013164', 'RX0013164', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5901 MAYFIELD RD', 'MAYFIELD HEIGHTS', 'Cuyahoga', 'OH', '44124', '4406461555', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477656205', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013165', 'RX0013165', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '850 S HAMILTON RD', 'WHITEHALL', 'Franklin', 'OH', '43213', '6147592746', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1770508483', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013166', 'RX0013166', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '797 W COSHOCTON ST', 'JOHNSTOWN', 'Licking', 'OH', '43031', '7409679511', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386747111', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013167', 'RX0013167', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '804 PIKE ST', 'MARIETTA', 'Washington', 'OH', '45750', '7403769035', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639196827', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013168', 'RX0013168', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '34 SHOPPING PLZ', 'CHAGRIN FALLS', 'Cuyahoga', 'OH', '44022', '4402478132', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194828921', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013169', 'RX0013169', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3355 E LIVINGSTON AVE', 'COLUMBUS', 'Franklin', 'OH', '43227', '6142373737', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003919838', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013170', 'RX0013170', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3506 GENDER RD', 'CANAL WINCHESTER', 'Franklin', 'OH', '43110', '6148375588', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912000746', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013171', 'RX0013171', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1230 ROMBACH AVE', 'WILMINGTON', 'Clinton', 'OH', '45177', '9376555700', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922032622', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013172', 'RX0013172', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6527 BRECKSVILLE RD', 'INDEPENDENCE', 'Cuyahoga', 'OH', '44131', '2164470990', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821191651', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013173', 'RX0013173', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6480 WILMINGTON PIKE', 'CENTERVILLE', 'Montgomery', 'OH', '45459', '9378486401', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689699399', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013174', 'RX0013174', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1215 S MAIN ST', 'BRYAN', 'Williams', 'OH', '43506', '4196369153', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366469553', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013175', 'RX0013175', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3100 CLEVELAND AVE', 'COLUMBUS', 'Franklin', 'OH', '43224', '6142630923', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730282567', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013176', 'RX0013176', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '231 BLUEBELL DR NW', 'NEW PHILADELPHIA', 'Tuscarawas', 'OH', '44663', '3303396163', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710905567', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013177', 'RX0013177', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1575 COSHOCTON AVE', 'MOUNT VERNON', 'Knox', 'OH', '43050', '7403923890', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457378648', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013178', 'RX0013178', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2850 MAPLE AVE', 'ZANESVILLE', 'Muskingum', 'OH', '43701', '7404559007', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275550469', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013179', 'RX0013179', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2525 ROME HILLIARD RD', 'HILLIARD', 'Franklin', 'OH', '43026', '6147714172', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497770101', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013180', 'RX0013180', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1094 N MAIN ST', 'BOWLING GREEN', 'Wood', 'OH', '43402', '4193535116', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831123538', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013181', 'RX0013181', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2015 WAL MART DR NE', 'WARREN', 'Trumbull', 'OH', '44483', '3303721992', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184641375', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013182', 'RX0013182', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '19950 DETROIT RD', 'ROCKY RIVER', 'Cuyahoga', 'OH', '44116', '4403561999', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649373473', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013183', 'RX0013183', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '170 E MAIN ST', 'GENEVA', 'Ashtabula', 'OH', '44041', '4404664133', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558464388', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013184', 'RX0013184', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '780 NORTHWOODS BLVD', 'VANDALIA', 'Montgomery', 'OH', '45377', '9372642420', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659305357', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013185', 'RX0013185', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '325 HOSTETLER RD', 'ORRVILLE', 'Wayne', 'OH', '44667', '3306842602', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467555292', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013186', 'RX0013186', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3900 MORSE RD', 'COLUMBUS', 'Franklin', 'OH', '43219', '6144762188', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1992722185', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013187', 'RX0013187', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '620 E MARKET ST', 'WARREN', 'Trumbull', 'OH', '44481', '3303935205', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376646109', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013188', 'RX0013188', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1428 MARION WALDO RD', 'MARION', 'Marion', 'OH', '43302', '7403862321', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558395251', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013189', 'RX0013189', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4000 RED BANK RD', 'FAIRFAX', 'Hamilton', 'OH', '45227', '5133519710', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801813092', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013190', 'RX0013190', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '419 S LOCUST ST', 'OXFORD', 'Butler', 'OH', '45056', '5135243744', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710904909', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013191', 'RX0013191', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1700 W PARK SQ', 'XENIA', 'Greene', 'OH', '45385', '9373765534', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467486167', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013192', 'RX0013192', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2160 LEE RD', 'CLEVELAND HEIGHTS', 'Cuyahoga', 'OH', '44118', '2169324808', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285737015', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013193', 'RX0013193', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '620 S CLEVELAND AVE', 'WESTERVILLE', 'Franklin', 'OH', '43081', '6148919771', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902909732', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013194', 'RX0013194', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7710 CHIPPEWA RD', 'BRECKSVILLE', 'Cuyahoga', 'OH', '44141', '4405461655', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811090640', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013195', 'RX0013195', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3066 STATE ROUTE 160', 'GALLIPOLIS', 'Gallia', 'OH', '45631', '7404467459', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720181555', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013196', 'RX0013196', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11601 SPRINGFIELD PIKE', 'SPRINGDALE', 'Hamilton', 'OH', '45246', '5138515063', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639272461', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013197', 'RX0013197', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1500 LEXINGTON AVE', 'MANSFIELD', 'Richland', 'OH', '44907', '4197567023', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376577072', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013198', 'RX0013198', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '116 AINSWORTH ST', 'LODI', 'Medina', 'OH', '44254', '3309484413', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548363377', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013199', 'RX0013199', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '443 CLEVELAND ST', 'ELYRIA', 'Lorain', 'OH', '44035', '4403657162', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457454282', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013200', 'RX0013200', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2846 MAHONING AVE', 'YOUNGSTOWN', 'Mahoning', 'OH', '44509', '3307928668', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366545196', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013201', 'RX0013201', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2900 W ST RT 22', 'MAINEVILLE', 'Warren', 'OH', '45039', '5136834224', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285668988', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013202', 'RX0013202', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1235 COLUMBUS AVE', 'LEBANON', 'Warren', 'OH', '45036', '5139339936', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093749798', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013203', 'RX0013203', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7375 TYLERSVILLE RD', 'WEST CHESTER', 'Butler', 'OH', '45069', '5137773978', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629096474', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013204', 'RX0013204', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '500 S WATER ST', 'KENT', 'Portage', 'OH', '44240', '3306784009', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275636003', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013205', 'RX0013205', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9440 STATE ROUTE 14', 'STREETSBORO', 'Portage', 'OH', '44241', '3306269996', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629095815', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013206', 'RX0013206', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '485 AIRPORT HWY', 'WAUSEON', 'Fulton', 'OH', '43567', '4193378122', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538186721', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013207', 'RX0013207', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8585 PEARL RD', 'STRONGSVILLE', 'Cuyahoga', 'OH', '44136', '4408260644', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1447277637', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013208', 'RX0013208', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9940 STATE ROUTE 43', 'STREETSBORO', 'Portage', 'OH', '44241', '3306261866', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184727919', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013209', 'RX0013209', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1600 N BECHTLE AVE', 'SPRINGFIELD', 'Clark', 'OH', '45504', '9373992045', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538187380', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013210', 'RX0013210', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5200 WESTPOINTE PLAZA DR', 'COLUMBUS', 'Franklin', 'OH', '43228', '6148767165', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1326066176', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013211', 'RX0013211', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3551 N RIDGE RD W', 'ASHTABULA', 'Ashtabula', 'OH', '44004', '4409984004', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487671673', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013212', 'RX0013212', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5445 N HIGH ST', 'COLUMBUS', 'Franklin', 'OH', '43214', '6148443699', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1992808729', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013213', 'RX0013213', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '900 BELLEFONTAINE AVE', 'LIMA', 'Allen', 'OH', '45804', '4192277970', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801999636', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013214', 'RX0013214', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '31550 CHIEFTAIN DR', 'LOGAN', 'Hocking', 'OH', '43138', '7403802041', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902830607', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013215', 'RX0013215', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6095 GENDER RD', 'CANAL WINCHESTER', 'Franklin', 'OH', '43110', '6148342805', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811921513', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013216', 'RX0013216', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1505 MAIN ST', 'HAMILTON', 'Butler', 'OH', '45013', '5137370894', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295752483', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013217', 'RX0013217', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '24801 BROOKPARK RD', 'NORTH OLMSTED', 'Cuyahoga', 'OH', '44070', '4409799416', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104843390', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013218', 'RX0013218', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1001 NORTON RD', 'GALLOWAY', 'Franklin', 'OH', '43119', '6148533836', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710080544', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013219', 'RX0013219', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2323 DAYTON GERMANTOWN PIKE', 'GERMANTOWN', 'Montgomery', 'OH', '45327', '9378557296', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629171459', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013220', 'RX0013220', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '85 RIVER TRCE', 'CHILLICOTHE', 'Ross', 'OH', '45601', '7407742343', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013934207', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013221', 'RX0013221', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7345 STATE ROUTE 3', 'WESTERVILLE', 'Delaware', 'OH', '43082', '6147945550', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720012420', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013222', 'RX0013222', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5900 BRITTON PKWY', 'DUBLIN', 'Franklin', 'OH', '43016', '6147179672', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922025113', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013223', 'RX0013223', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '311 PARK AVE', 'YOUNGSTOWN', 'Mahoning', 'OH', '44504', '3307439930', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538262365', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013224', 'RX0013224', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '222 PIEDMONT AVE', 'CINCINNATI', 'Hamilton', 'OH', '45219', '5134757755', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639103336', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013225', 'RX0013225', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '155 N HEINCKE RD', 'MIAMISBURG', 'Montgomery', 'OH', '45342', '9378472834', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1043368046', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013226', 'RX0013226', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2100 MICHIGAN ST', 'SIDNEY', 'Shelby', 'OH', '45365', '9374984116', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548294242', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013227', 'RX0013227', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '118 W GARFIELD RD', 'AURORA', 'Portage', 'OH', '44202', '3305627032', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1447353271', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013228', 'RX0013228', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1400 PARSONS AVE', 'COLUMBUS', 'Franklin', 'OH', '43206', '6144499399', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1356444186', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013229', 'RX0013229', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4840 GLENWAY AVE', 'CINCINNATI', 'Hamilton', 'OH', '45238', '5139210831', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1265535090', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013230', 'RX0013230', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5210 STATE ROUTE 741', 'MASON', 'Warren', 'OH', '45040', '5133988820', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457385155', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013231', 'RX0013231', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '264 S HOLLYWOOD BLVD', 'STEUBENVILLE', 'Jefferson', 'OH', '43952', '7402645057', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366476061', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013232', 'RX0013232', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '887 N BRIDGE ST', 'CHILLICOTHE', 'Ross', 'OH', '45601', '7407758467', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275567976', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013233', 'RX0013233', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '50739 VALLEY PLAZA DR', 'SAINT CLAIRSVILLE', 'Belmont', 'OH', '43950', '7406958413', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831116029', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013234', 'RX0013234', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1045 HILL RD N', 'PICKERINGTON', 'Fairfield', 'OH', '43147', '6147592765', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1437183134', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013235', 'RX0013235', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4572 MEGA ST NW', 'NORTH CANTON', 'Stark', 'OH', '44720', '3303050037', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1740207935', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013236', 'RX0013236', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2620 W BREESE RD', 'LIMA', 'Auglaize', 'OH', '45806', '4199910010', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174626907', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013237', 'RX0013237', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4777 KENARD AVE', 'CINCINNATI', 'Hamilton', 'OH', '45232', '5136817916', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184658882', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013238', 'RX0013238', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '12164 LEBANON RD', 'CINCINNATI', 'Hamilton', 'OH', '45241', '5137334945', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1346274040', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013239', 'RX0013239', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '851 E COLUMBUS ST', 'KENTON', 'Hardin', 'OH', '43326', '4196752705', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1255365953', 0, 'N', 0, '2012-10-02', 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
('111111111', 'RX0013240', 'RX0013240', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10085 DARROW RD', 'TWINSBURG', 'Summit', 'OH', '44087', '3304254300', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578666319', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013241', 'RX0013241', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1800 DORAL DR', 'POLAND', 'Mahoning', 'OH', '44514', '3307580040', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659398840', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013242', 'RX0013242', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2322 FERGUSON RD', 'CINCINNATI', 'Hamilton', 'OH', '45238', '5139228441', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568489755', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013243', 'RX0013243', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2600 STATE ROUTE 59', 'RAVENNA', 'Portage', 'OH', '44266', '3306772287', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477570661', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013244', 'RX0013244', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1500 LOCKBOURNE RD', 'COLUMBUS', 'Franklin', 'OH', '43206', '6144499771', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275636730', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013245', 'RX0013245', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '20641 FAIRMOUNT BLVD', 'CLEVELAND', 'Cuyahoga', 'OH', '44118', '2163711234', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184727646', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013246', 'RX0013246', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2090 CROWN PLAZA DR', 'COLUMBUS', 'Franklin', 'OH', '43235', '6143265650', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1164456869', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013247', 'RX0013247', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '804 W MAIN ST', 'TROY', 'Miami', 'OH', '45373', '9373355688', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487757225', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013248', 'RX0013248', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1023 S MAIN ST', 'CENTERVILLE', 'Montgomery', 'OH', '45458', '9374351982', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1073547774', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013249', 'RX0013249', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1365 STONERIDGE DR', 'GAHANNA', 'Franklin', 'OH', '43230', '6144181529', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306861018', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013250', 'RX0013250', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9939 MONTGOMERY RD', 'CINCINNATI', 'Hamilton', 'OH', '45242', '5137931620', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1982638680', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013251', 'RX0013251', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2310 FERGUSON RD', 'CINCINNATI', 'Hamilton', 'OH', '45238', '5139228194', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750306460', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013252', 'RX0013252', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '124 S MAIN ST', 'UNION', 'Montgomery', 'OH', '45322', '9378363784', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295838035', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013253', 'RX0013253', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1720 N PERRY ST', 'OTTAWA', 'Putnam', 'OH', '45875', '4195239205', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386661577', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013254', 'RX0013254', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1585 GEORGESVILLE SQ', 'COLUMBUS', 'Franklin', 'OH', '43228', '6148781664', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235163932', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013255', 'RX0013255', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7541 N MAIN ST', 'DAYTON', 'Montgomery', 'OH', '45415', '9372772024', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104929942', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013256', 'RX0013256', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1140 PORTAGE TRAIL EXT', 'AKRON', 'Summit', 'OH', '44313', '3309292023', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013010859', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013257', 'RX0013257', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1137 STATE ROUTE 131', 'MILFORD', 'Clermont', 'OH', '45150', '5138318225', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922101765', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013258', 'RX0013258', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3600 SOLDANO BLVD', 'COLUMBUS', 'Franklin', 'OH', '43228', '6142748108', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669497376', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013259', 'RX0013259', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1785 WOODMAN DR', 'KETTERING', 'Montgomery', 'OH', '45420', '9372533242', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831292671', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013260', 'RX0013260', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '50789 VALLEY PLAZA DR', 'SAINT CLAIRSVILLE', 'Belmont', 'OH', '43950', '7406957170', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1144254848', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013261', 'RX0013261', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10825 KINSMAN RD', 'CLEVELAND', 'Cuyahoga', 'OH', '44104', '2167528656', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659474492', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013262', 'RX0013262', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '400 28TH ST', 'BELLAIRE', 'Belmont', 'OH', '43906', '7406715169', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1053345751', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013263', 'RX0013263', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1008 WASHINGTON BLVD', 'BELPRE', 'Washington', 'OH', '45714', '7404237271', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1962436667', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013264', 'RX0013264', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7100 PERIMETER LOOP RD', 'DUBLIN', 'Franklin', 'OH', '43016', '6147604246', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578588281', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013265', 'RX0013265', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2913 OLENTANGY RIVER RD', 'COLUMBUS', 'Franklin', 'OH', '43202', '6142652816', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1871527572', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013266', 'RX0013266', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2700 W STATE ST', 'ALLIANCE', 'Stark', 'OH', '44601', '3308210449', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295752491', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013267', 'RX0013267', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2989 DERR RD', 'SPRINGFIELD', 'Clark', 'OH', '45503', '9373900767', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1780618488', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013268', 'RX0013268', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3675 E BROAD ST', 'WHITEHALL', 'Franklin', 'OH', '43213', '6142370963', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487679197', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013269', 'RX0013269', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1443 RICHMOND RD', 'LYNDHURST', 'Cuyahoga', 'OH', '44124', '2163814300', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518061282', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013270', 'RX0013270', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '990 W EMMITT AVE', 'WAVERLY', 'Pike', 'OH', '45690', '7409470300', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104843309', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013271', 'RX0013271', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1875 E MANSFIELD ST', 'BUCYRUS', 'Crawford', 'OH', '44820', '4195628411', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013934215', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013272', 'RX0013272', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4996 BRANDT PIKE', 'HUBER HEIGHTS', 'Montgomery', 'OH', '45424', '9372333324', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568565307', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013273', 'RX0013273', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11611 HAMILTON AVE', 'CINCINNATI', 'Hamilton', 'OH', '45231', '5137421155', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1336243005', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013274', 'RX0013274', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1370 W MAIN ST', 'NEWARK', 'Licking', 'OH', '43055', '7403446977', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154425825', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013275', 'RX0013275', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '379 E MAIN ST', 'NEWARK', 'Licking', 'OH', '43055', '7403454201', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972607646', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013276', 'RX0013276', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '300 S LOCUST ST', 'OXFORD', 'Butler', 'OH', '45056', '5135237323', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1598799298', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013277', 'RX0013277', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2115 E DOROTHY LN', 'KETTERING', 'Montgomery', 'OH', '45420', '9372998437', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1407880107', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013278', 'RX0013278', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '780 BRITTAIN RD', 'AKRON', 'Summit', 'OH', '44305', '3307840994', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699879361', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013279', 'RX0013279', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '473 HIGH ST', 'WADSWORTH', 'Medina', 'OH', '44281', '3303366444', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417051186', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013280', 'RX0013280', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3 N CLEVELAND AVE', 'MOGADORE', 'Portage', 'OH', '44260', '3306281717', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235233909', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013281', 'RX0013281', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1410 S CLEVELAND MASSILLON RD', 'COPLEY', 'Summit', 'OH', '44321', '3306664101', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1144324815', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013282', 'RX0013282', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5420 LIBERTY FAIRFIELD RD', 'HAMILTON', 'Butler', 'OH', '45011', '5138878464', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295750909', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013283', 'RX0013283', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2145 EASTERN AVE', 'GALLIPOLIS', 'Gallia', 'OH', '45631', '7404410175', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922025121', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013284', 'RX0013284', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1441 PARSONS AVE', 'COLUMBUS', 'Franklin', 'OH', '43207', '6144455734', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104841816', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013285', 'RX0013285', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9690 COLERAIN AVE', 'CINCINNATI', 'Hamilton', 'OH', '45251', '5137419240', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1851325559', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013286', 'RX0013286', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7301 LAKE SHORE BLVD', 'MENTOR', 'Lake', 'OH', '44060', '4406026071', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275631822', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013287', 'RX0013287', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '175 LANCASTER PIKE', 'CIRCLEVILLE', 'Pickaway', 'OH', '43113', '7404775763', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760416465', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013288', 'RX0013288', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2812 SCIOTO TRL', 'PORTSMOUTH', 'Scioto', 'OH', '45662', '7403553568', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972601797', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013289', 'RX0013289', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '965 POPLAR ST', 'NELSONVILLE', 'Athens', 'OH', '45764', '7407531984', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679507370', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013290', 'RX0013290', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '52 W MAIN ST', 'AMELIA', 'Clermont', 'OH', '45102', '5139436201', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902900723', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013291', 'RX0013291', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '513 E MONROE ST', 'SANDUSKY', 'Erie', 'OH', '44870', '4196252284', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811091630', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013292', 'RX0013292', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '947 CINCINNATI BATAVIA PIKE', 'CINCINNATI', 'Clermont', 'OH', '45245', '5139432801', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720182546', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013293', 'RX0013293', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '604 RACE ST', 'CINCINNATI', 'Hamilton', 'OH', '45202', '5133453801', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639273451', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013294', 'RX0013294', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9151 S OLD STATE RD', 'LEWIS CENTER', 'Delaware', 'OH', '43035', '6148468027', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457455271', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013295', 'RX0013295', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2555 GLENDALE AVE', 'TOLEDO', 'Lucas', 'OH', '43614', '4193854675', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013932722', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013296', 'RX0013296', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1608 MARION MOUNT GILEAD RD', 'MARION', 'Marion', 'OH', '43302', '7403892144', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093730707', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013297', 'RX0013297', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3387 MAPLE AVE', 'ZANESVILLE', 'Muskingum', 'OH', '43701', '7404538837', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588698286', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013298', 'RX0013298', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7217 CINCINNATI DAYTON RD', 'WEST CHESTER', 'Butler', 'OH', '45069', '5137593301', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275637092', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013299', 'RX0013299', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '965 N BECHTLE AVE', 'SPRINGFIELD', 'Clark', 'OH', '45504', '9373230282', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497789101', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013300', 'RX0013300', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '811 GAY ST', 'PORTSMOUTH', 'Scioto', 'OH', '45662', '7403542262', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306870019', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013301', 'RX0013301', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1013 WASHINGTON BLVD', 'BELPRE', 'Washington', 'OH', '45714', '7404011035', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184728909', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013302', 'RX0013302', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3195 DAYTON XENIA RD STE 500', 'BEAVERCREEK', 'Greene', 'OH', '45434', '9374318230', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013941723', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013303', 'RX0013303', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3606 MAYFIELD RD', 'CLEVELAND', 'Cuyahoga', 'OH', '44118', '2163822358', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831116037', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013304', 'RX0013304', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1177 POLARIS PKWY', 'COLUMBUS', 'Delaware', 'OH', '43240', '6144302445', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215961925', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013305', 'RX0013305', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '955 N 21ST ST', 'NEWARK', 'Licking', 'OH', '43055', '7403669082', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1992809719', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013306', 'RX0013306', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4777 SAWMILL RD', 'COLUMBUS', 'Franklin', 'OH', '43220', '6144597641', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801990627', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013307', 'RX0013307', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3579 S HIGH ST', 'COLUMBUS', 'Franklin', 'OH', '43207', '6144090689', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1740207943', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013308', 'RX0013308', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2257 N HOLLAND SYLVANIA RD', 'TOLEDO', 'Lucas', 'OH', '43615', '4195786465', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922032630', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013309', 'RX0013309', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1095 W 5TH ST', 'MARYSVILLE', 'Union', 'OH', '43040', '9376443332', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124052832', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013310', 'RX0013310', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1161 N BROAD ST', 'FAIRBORN', 'Greene', 'OH', '45324', '9377544427', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831123546', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013311', 'RX0013311', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4961 ROBERTS RD', 'HILLIARD', 'Franklin', 'OH', '43026', '6148502407', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710081534', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013312', 'RX0013312', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5965 HOOVER RD', 'GROVE CITY', 'Franklin', 'OH', '43123', '6142773405', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902821614', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013313', 'RX0013313', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '220 WAVERLY PLZ', 'WAVERLY', 'Pike', 'OH', '45690', '7409470128', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417981127', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013314', 'RX0013314', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5161 HAMPSTED WAY', 'NEW ALBANY', 'Franklin', 'OH', '43054', '6148558670', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1326072034', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013315', 'RX0013315', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '625 DOVER CENTER RD', 'BAY VILLAGE', 'Cuyahoga', 'OH', '44140', '4408083921', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538263355', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013316', 'RX0013316', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '601 E MAIN ST', 'CANFIELD', 'Mahoning', 'OH', '44406', '3307028031', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1356445175', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013317', 'RX0013317', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8645 COLUMBUS PIKE', 'LEWIS CENTER', 'Delaware', 'OH', '43035', '7406578101', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659398857', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013318', 'RX0013318', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5900 SAWMILL RD', 'COLUMBUS', 'Franklin', 'OH', '43235', '6147609222', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568489763', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013319', 'RX0013319', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2793 TAYLOR ROAD EXT', 'REYNOLDSBURG', 'Franklin', 'OH', '43068', '6143671021', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477570679', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013320', 'RX0013320', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '13027 LORAIN AVE', 'CLEVELAND', 'Cuyahoga', 'OH', '44111', '2166881046', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699873414', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013321', 'RX0013321', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3520 HUDSON DR', 'STOW', 'Summit', 'OH', '44224', '3309238338', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386661585', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013322', 'RX0013322', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10595 SPRINGFIELD PIKE', 'CINCINNATI', 'Hamilton', 'OH', '45215', '5137711801', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1316971021', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013323', 'RX0013323', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '36008 DETROIT RD', 'AVON', 'Lorain', 'OH', '44011', '4409374027', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174627996', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013324', 'RX0013324', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1165 WESTERN AVE', 'CHILLICOTHE', 'Ross', 'OH', '45601', '7407724062', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811912520', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013325', 'RX0013325', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7314 MONTGOMERY RD', 'CINCINNATI', 'Hamilton', 'OH', '45236', '5136867771', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1083718803', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013326', 'RX0013326', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10200 BROOKPARK RD', 'CLEVELAND', 'Cuyahoga', 'OH', '44130', '2168981133', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1790703544', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013327', 'RX0013327', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1 MASSILLON MARKETPLACE DR SW', 'MASSILLON', 'Stark', 'OH', '44646', '3308340552', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194742395', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013328', 'RX0013328', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1331 YOUNGSTOWN WARREN RD', 'NILES', 'Trumbull', 'OH', '44446', '3305052601', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801990635', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013329', 'RX0013329', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4280 MORSE RD', 'COLUMBUS', 'Franklin', 'OH', '43230', '6144731123', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629172457', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013330', 'RX0013330', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '610 CARROLL ST', 'NEW LEXINGTON', 'Perry', 'OH', '43764', '7403425649', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1225062938', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013331', 'RX0013331', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6955 MILLER LN', 'DAYTON', 'Montgomery', 'OH', '45414', '9374150198', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003833203', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013332', 'RX0013332', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3446 PENTAGON PARK BLVD', 'DAYTON', 'Greene', 'OH', '45431', '9374270879', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235157082', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013333', 'RX0013333', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '200 LEASE AVE', 'GREENVILLE', 'Darke', 'OH', '45331', '9375481736', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1134153844', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013334', 'RX0013334', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7172 TOWN CENTRE DR', 'WEST CHESTER', 'Butler', 'OH', '45069', '5137597824', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1326072075', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013335', 'RX0013335', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3950 MORSE RD', 'COLUMBUS', 'Franklin', 'OH', '43219', '6144285856', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912924119', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013336', 'RX0013336', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '824 MAIN ST', 'MILFORD', 'Clermont', 'OH', '45150', '5139653644', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720003437', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013337', 'RX0013337', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '210 STERLING RUN BLVD', 'MOUNT ORAB', 'Brown', 'OH', '45154', '9374445014', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1043244759', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013338', 'RX0013338', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '27713 LORAIN RD', 'NORTH OLMSTED', 'Cuyahoga', 'OH', '44070', '4407165166', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538263363', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013339', 'RX0013339', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2801 FAR HILLS AVE', 'DAYTON', 'Montgomery', 'OH', '45419', '9373954681', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1356445183', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013340', 'RX0013340', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '175 W MAIN ST', 'NEW ALBANY', 'Franklin', 'OH', '43054', '6148555771', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174627905', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013341', 'RX0013341', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7545 SYLVANIA AVE', 'SYLVANIA', 'Lucas', 'OH', '43560', '4198416468', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639194343', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013342', 'RX0013342', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1060 ASHLAND RD', 'MANSFIELD', 'Richland', 'OH', '44905', '4195893693', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1952335663', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013343', 'RX0013343', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9570 FIELDS ERTEL RD', 'LOVELAND', 'Clermont', 'OH', '45140', '5136775181', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821015025', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013344', 'RX0013344', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '350 E BROAD ST', 'PATASKALA', 'Licking', 'OH', '43062', '7409645105', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1861426579', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013345', 'RX0013345', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '800 KEMPER COMMONS CIR', 'CINCINNATI', 'Hamilton', 'OH', '45246', '5136712090', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730106931', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013346', 'RX0013346', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5525 PARKSIDE DR', 'MASON', 'Warren', 'OH', '45040', '5133987609', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1891899621', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013347', 'RX0013347', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1996 TIFFIN AVE', 'FINDLAY', 'Hancock', 'OH', '45840', '4194273662', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1770517484', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013348', 'RX0013348', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '530 E MAIN ST', 'JACKSON', 'Jackson', 'OH', '45640', '7402866400', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689608390', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013349', 'RX0013349', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '801 N HOUK RD', 'DELAWARE', 'Delaware', 'OH', '43015', '7403628426', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548285257', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013350', 'RX0013350', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '575 HARRY SAUNER RD', 'HILLSBORO', 'Highland', 'OH', '45133', '9378409374', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1598799215', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013351', 'RX0013351', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1397 LEESBURG AVE', 'WASHINGTON COURT HOUSE', 'Fayette', 'OH', '43160', '7403337681', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649297847', 0, 'N', 0, '2012-10-02', 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
('111111111', 'RX0013352', 'RX0013352', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '548 CLINTON AVE', 'WASHINGTON COURT HOUSE', 'Fayette', 'OH', '43160', '7403354062', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1770517492', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013353', 'RX0013353', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4001 S RT 128', 'CLEVES', 'Hamilton', 'OH', '45002', '5133530860', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689608309', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013354', 'RX0013354', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '815 CLEPPER LN', 'CINCINNATI', 'Clermont', 'OH', '45245', '5137539280', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558388751', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013355', 'RX0013355', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '61205 SOUTHGATE RD', 'CAMBRIDGE', 'Guernsey', 'OH', '43725', '7404395903', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467479667', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013356', 'RX0013356', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '12910 STATE ROUTE 664 S', 'LOGAN', 'Hocking', 'OH', '43138', '7403800469', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376560573', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013357', 'RX0013357', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '855 COSHOCTON AVE', 'MOUNT VERNON', 'Knox', 'OH', '43050', '7403932487', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497789119', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013358', 'RX0013358', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1300 E MALL DR', 'HOLLAND', 'Lucas', 'OH', '43528', '4198681398', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285651489', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013359', 'RX0013359', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RR 4 BOX 141', 'SOUTH POINT', 'Lawrence', 'OH', '45680', '7408940702', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093732299', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013360', 'RX0013360', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2160 N HIGH ST', 'COLUMBUS', 'Franklin', 'OH', '43201', '6142942105', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386747129', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013361', 'RX0013361', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3520 W SIEBENTHALER AVE', 'DAYTON', 'Montgomery', 'OH', '45406', '9375679587', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306870027', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013362', 'RX0013362', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '428 OXFORD STATE RD', 'MIDDLETOWN', 'Butler', 'OH', '45044', '5134237097', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215961933', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013363', 'RX0013363', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '17 WILLIAM HOWARD TAFT RD', 'CINCINNATI', 'Hamilton', 'OH', '45219', '5135694301', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1619071446', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013364', 'RX0013364', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4506 BRANDT PIKE', 'DAYTON', 'Montgomery', 'OH', '45424', '9372338930', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1447275151', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013365', 'RX0013365', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5705 S STATE ROUTE 48', 'MAINEVILLE', 'Warren', 'OH', '45039', '5134942215', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1356366066', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013366', 'RX0013366', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3975 POWELL RD', 'POWELL', 'Delaware', 'OH', '43065', '6148895257', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124052840', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013367', 'RX0013367', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8910 BROAD ST SW', 'PATASKALA', 'Licking', 'OH', '43062', '7409276705', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1437253267', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013368', 'RX0013368', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9197 READING RD', 'CINCINNATI', 'Hamilton', 'OH', '45215', '5137338550', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1255435087', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013369', 'RX0013369', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '521 E STATE ST', 'GEORGETOWN', 'Brown', 'OH', '45121', '9373782218', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1073617809', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013370', 'RX0013370', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '592 W PLANE ST', 'BETHEL', 'Clermont', 'OH', '45106', '5137346242', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1982708715', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013371', 'RX0013371', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3733 HAMILTON CLEVES RD', 'HAMILTON', 'Butler', 'OH', '45013', '5137384666', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1528166246', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013372', 'RX0013372', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1950 HARD RD', 'COLUMBUS', 'Franklin', 'OH', '43235', '6147612553', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518061340', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013373', 'RX0013373', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2100 E DUBLIN GRANVILLE RD', 'COLUMBUS', 'Franklin', 'OH', '43229', '6148911410', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427152255', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013374', 'RX0013374', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5800 W BROAD ST', 'GALLOWAY', 'Franklin', 'OH', '43119', '6148704354', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033143755', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013375', 'RX0013375', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6500 SATRIALE WAY', 'HAMILTON', 'Butler', 'OH', '45011', '5138698410', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1871511626', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013376', 'RX0013376', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6300 TUSSING RD', 'REYNOLDSBURG', 'Franklin', 'OH', '43068', '6148667742', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1770500977', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013377', 'RX0013377', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1189 BUCHHOLZER BLVD', 'CUYAHOGA FALLS', 'Summit', 'OH', '44221', '3309294092', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689691883', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013378', 'RX0013378', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6011 GROVEPORT RD', 'GROVEPORT', 'Franklin', 'OH', '43125', '6148302015', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942234661', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013379', 'RX0013379', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '833 W ALEXIS RD', 'TOLEDO', 'Lucas', 'OH', '43612', '4192696911', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1851325575', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013380', 'RX0013380', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5225 COBBLESTONE RD', 'SHEFFIELD VILLAGE', 'Lorain', 'OH', '44035', '4409344310', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306863501', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013381', 'RX0013381', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7132 HAMILTON AVE', 'CINCINNATI', 'Hamilton', 'OH', '45231', '5137282720', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1265457972', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013382', 'RX0013382', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5445 RIDGE AVE', 'CINCINNATI', 'Hamilton', 'OH', '45213', '5136310414', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215954417', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013383', 'RX0013383', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6632 S STATE ROUTE 48', 'MAINEVILLE', 'Warren', 'OH', '45039', '5136974881', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1437257151', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013384', 'RX0013384', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6299 DRESSLER RD NW', 'NORTH CANTON', 'Stark', 'OH', '44720', '3304977352', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124045323', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013385', 'RX0013385', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2400 HARDING HWY', 'LIMA', 'Allen', 'OH', '45804', '4192226828', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033136239', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013386', 'RX0013386', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '100 MALL DR', 'STEUBENVILLE', 'Jefferson', 'OH', '43952', '7402667199', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942227145', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013387', 'RX0013387', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '929 E STATE ST', 'ATHENS', 'Athens', 'OH', '45701', '7405943628', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1851318059', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013388', 'RX0013388', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '790 W MARKET ST', 'TIFFIN', 'Seneca', 'OH', '44883', '4194478304', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760416481', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013389', 'RX0013389', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5375 N BEND RD', 'CINCINNATI', 'Hamilton', 'OH', '45247', '5136618630', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760409965', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013390', 'RX0013390', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '540 HARRY SAUNER RD', 'HILLSBORO', 'Highland', 'OH', '45133', '9378409459', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679590871', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013391', 'RX0013391', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '600 E MAIN ST', 'HEBRON', 'Licking', 'OH', '43025', '7409282152', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679507396', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013392', 'RX0013392', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2728 E MAIN ST', 'SPRINGFIELD', 'Clark', 'OH', '45503', '9375256770', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174548887', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013393', 'RX0013393', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2028 E HARBOR RD', 'PORT CLINTON', 'Ottawa', 'OH', '43452', '4197326452', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295769917', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013394', 'RX0013394', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7235 MARKET PLACE DR', 'BAINBRIDGE', 'Geauga', 'OH', '44023', '3305627084', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1780602532', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013395', 'RX0013395', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1315 N 21ST ST', 'NEWARK', 'Licking', 'OH', '43055', '7403649114', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588681787', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013396', 'RX0013396', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2875 E STATE ST', 'SALEM', 'Columbiana', 'OH', '44460', '3303378986', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1396762597', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013397', 'RX0013397', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2900 TOWNE BLVD', 'MIDDLETOWN', 'Butler', 'OH', '45044', '5134234882', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1205853405', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013398', 'RX0013398', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3721 NAVARRE AVE', 'OREGON', 'Lucas', 'OH', '43616', '4196985156', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114944311', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013399', 'RX0013399', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2565 LONDON GROVEPORT RD', 'GROVE CITY', 'Franklin', 'OH', '43123', '6142772921', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1245334077', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013400', 'RX0013400', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '19471 LAKE DR', 'TRIMBLE', 'Athens', 'OH', '45782', '7407673851', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730268228', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013401', 'RX0013401', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1415 S BYRNE RD', 'TOLEDO', 'Lucas', 'OH', '43614', '4193822385', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1083639793', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013402', 'RX0013402', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '850 S MCCORD RD', 'HOLLAND', 'Lucas', 'OH', '43528', '4198655776', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1891710505', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013403', 'RX0013403', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1316 OAK HARBOR RD', 'FREMONT', 'Sandusky', 'OH', '43420', '4193326804', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104850825', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013404', 'RX0013404', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '210 E MARY ST', 'BUCYRUS', 'Crawford', 'OH', '44820', '4195627654', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013941731', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013405', 'RX0013405', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '101 6TH ST', 'FINDLAY', 'Hancock', 'OH', '45840', '4194234721', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1609891324', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013406', 'RX0013406', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2850 MAYSVILLE PIKE', 'ZANESVILLE', 'Muskingum', 'OH', '43701', '7404522117', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1881613875', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013407', 'RX0013407', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1701 W DOROTHY LN', 'DAYTON', 'Montgomery', 'OH', '45439', '9376432481', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023035227', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013408', 'RX0013408', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '35901 CHESTER RD', 'AVON', 'Lorain', 'OH', '44011', '4409374760', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932126133', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013410', 'RX0013410', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1755 HILLIARD ROME RD E', 'COLUMBUS', 'Franklin', 'OH', '43228', '6149211105', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1598783342', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013411', 'RX0013411', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5821 W CENTRAL AVE', 'TOLEDO', 'Lucas', 'OH', '43615', '4195369259', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841217049', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013412', 'RX0013412', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3488 SELDOM SEEN RD', 'POWELL', 'Delaware', 'OH', '43065', '6147181508', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1063516896', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013413', 'RX0013413', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9101 OHIO RIVER RD', 'WHEELERSBURG', 'Scioto', 'OH', '45694', '7405746569', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730113457', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013414', 'RX0013414', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5100 TERRA FIRMA DR', 'MASON', 'Warren', 'OH', '45040', '5132295920', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427073147', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013415', 'RX0013415', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '375 LAFAYETTE ST', 'LONDON', 'Madison', 'OH', '43140', '7408522726', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750308953', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013416', 'RX0013416', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2925 GLENDALE AVE', 'TOLEDO', 'Lucas', 'OH', '43614', '4193808670', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669499869', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013417', 'RX0013417', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8083 W RIDGEWOOD DR', 'PARMA', 'Cuyahoga', 'OH', '44129', '4408845709', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578580775', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013418', 'RX0013418', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6594 MAYFIELD RD', 'CLEVELAND', 'Cuyahoga', 'OH', '44124', '4404469325', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487671681', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013419', 'RX0013419', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6361 SOUTH AVE', 'YOUNGSTOWN', 'Mahoning', 'OH', '44512', '3309651813', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1396762498', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013420', 'RX0013420', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6674 WINCHESTER BLVD', 'CANAL WINCHESTER', 'Franklin', 'OH', '43110', '6148335663', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1205853306', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013421', 'RX0013421', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2300 N LIMESTONE ST', 'SPRINGFIELD', 'Clark', 'OH', '45503', '9373287050', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1336164052', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013422', 'RX0013422', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1221 GEORGESVILLE RD', 'COLUMBUS', 'Franklin', 'OH', '43228', '6142759832', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114944212', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013423', 'RX0013423', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4500 MONTGOMERY RD', 'NORWOOD', 'Hamilton', 'OH', '45212', '5138416620', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649204363', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013424', 'RX0013424', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6725 DICK FLYNN BLVD', 'GOSHEN', 'Clermont', 'OH', '45122', '5137227460', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558395277', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013425', 'RX0013425', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1040 NILES CORTLAND RD SE', 'WARREN', 'Trumbull', 'OH', '44484', '3308569110', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023035128', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013426', 'RX0013426', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3750 W MARKET ST UNIT J', 'FAIRLAWN', 'Summit', 'OH', '44333', '3306681176', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932126034', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013427', 'RX0013427', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7833 REFUGEE RD', 'PICKERINGTON', 'Fairfield', 'OH', '43147', '6144170020', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1245255967', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013428', 'RX0013428', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1260 W OHIO PIKE', 'AMELIA', 'Clermont', 'OH', '45102', '5137532950', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154346872', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013429', 'RX0013429', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5600 EMERALD CT', 'MENTOR', 'Lake', 'OH', '44060', '4403527654', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841217940', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013430', 'RX0013430', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '222 SMOKERISE DR', 'WADSWORTH', 'Medina', 'OH', '44281', '3303365274', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1407874258', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013431', 'RX0013431', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3200 ATLANTIC BLVD NE', 'CANTON', 'Stark', 'OH', '44705', '3304899140', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750308854', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013432', 'RX0013432', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1693 STRINGTOWN RD', 'GROVE CITY', 'Franklin', 'OH', '43123', '6145398610', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669499760', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013433', 'RX0013433', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '550 OLD ST RTE 74', 'CINCINNATI', 'Hamilton', 'OH', '45244', '5135288920', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467486183', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013434', 'RX0013434', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1240 PARK AVE W', 'MANSFIELD', 'Richland', 'OH', '44906', '4195281862', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376577098', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013435', 'RX0013435', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '199 GRACELAND BLVD', 'COLUMBUS', 'Franklin', 'OH', '43214', '6144101108', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689699308', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013436', 'RX0013436', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '100A E WASHINGTON JACKSON', 'EATON', 'Preble', 'OH', '45320', '9374567720', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1861419962', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013437', 'RX0013437', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7725 HOKE RD', 'CLAYTON', 'Montgomery', 'OH', '45315', '9378369413', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1770500878', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013438', 'RX0013438', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6300 SCIOTO DARBY RD', 'HILLIARD', 'Franklin', 'OH', '43026', '6145292604', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1245331701', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013439', 'RX0013439', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3491 W NORTH BEND RD', 'CINCINNATI', 'Hamilton', 'OH', '45239', '5135987520', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497770119', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013440', 'RX0013440', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1257 BELLEFONTAINE ST', 'WAPAKONETA', 'Auglaize', 'OH', '45895', '4197380490', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689691784', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013441', 'RX0013441', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4000 TUSCARAWAS ST W', 'CANTON', 'Stark', 'OH', '44708', '3304799630', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497772594', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013442', 'RX0013442', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '15603 STATE RD #67', 'KENTON', 'Hardin', 'OH', '43326', '4196751289', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306864053', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013443', 'RX0013443', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '15050 S SPRINGDALE AVE', 'MIDDLEFIELD', 'Geauga', 'OH', '44062', '4406320460', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306863402', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013444', 'RX0013444', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '900 N HAMILTON RD', 'GAHANNA', 'Franklin', 'OH', '43230', '6144285201', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1861543761', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013445', 'RX0013445', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8460 E MAIN ST', 'REYNOLDSBURG', 'Franklin', 'OH', '43068', '6145520780', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306861026', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013446', 'RX0013446', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '401 N EWING ST', 'LANCASTER', 'Fairfield', 'OH', '43130', '7406541019', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215952932', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013447', 'RX0013447', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4633 SUDER AVE', 'TOLEDO', 'Lucas', 'OH', '43611', '4197272650', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710911433', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013448', 'RX0013448', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8467 E MAIN ST', 'REYNOLDSBURG', 'Franklin', 'OH', '43068', '6148632000', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972607703', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013449', 'RX0013449', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '113 E AIRPORT HWY', 'SWANTON', 'Fulton', 'OH', '43558', '4198251475', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699844423', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013450', 'RX0013450', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1815 E OHIO PIKE', 'AMELIA', 'Clermont', 'OH', '45102', '5137971250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215954318', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013451', 'RX0013451', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6067 N RIDGE RD', 'MADISON', 'Lake', 'OH', '44057', '4404170373', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124045224', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013452', 'RX0013452', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1300 E ASH ST', 'PIQUA', 'Miami', 'OH', '45356', '9376159968', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033136130', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013453', 'RX0013453', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2485 POSSUM RUN RD', 'MANSFIELD', 'Richland', 'OH', '44903', '4197567177', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942227046', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013454', 'RX0013454', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '150 W SYCAMORE ST', 'COLUMBUS', 'Franklin', 'OH', '43215', '6143407980', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629002340', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013455', 'RX0013455', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3033 HERITAGE GREEN DR', 'MONROE', 'Butler', 'OH', '45050', '5137277440', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538193255', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013456', 'RX0013456', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2929 STELZER RD', 'COLUMBUS', 'Franklin', 'OH', '43219', '6143376210', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417055138', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013457', 'RX0013457', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '200 TUTTLE RD', 'SPRINGFIELD', 'Clark', 'OH', '45503', '9373252613', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215955968', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013458', 'RX0013458', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1143 SMILEY AVE', 'CINCINNATI', 'Hamilton', 'OH', '45240', '5138253804', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1851318950', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013459', 'RX0013459', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1855 E WYANDOT AVE', 'UPPER SANDUSKY', 'Wyandot', 'OH', '43351', '4192943721', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760409866', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013460', 'RX0013460', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '475 FORTMAN DR', 'ST MARYS', 'Auglaize', 'OH', '45885', '4193948930', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821029919', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013461', 'RX0013461', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7625 SAWMILL RD', 'DUBLIN', 'Franklin', 'OH', '43016', '6149233340', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942389820', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013462', 'RX0013462', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3883 PARK MILL RUN DR', 'HILLIARD', 'Franklin', 'OH', '43026', '6148763510', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1508960337', 0, 'N', 0, '2012-10-02', 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
('111111111', 'RX0013463', 'RX0013463', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '223 MEADOWLAND DR', 'CHARDON', 'Geauga', 'OH', '44024', '4402861056', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1225076250', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013464', 'RX0013464', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6953 MILLER LN', 'DAYTON', 'Montgomery', 'OH', '45414', '9374546290', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669414413', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013465', 'RX0013465', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1355 S MCCORD RD', 'HOLLAND', 'Lucas', 'OH', '43528', '4198670452', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124046875', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013466', 'RX0013466', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1161 TRENTON AVE', 'FINDLAY', 'Hancock', 'OH', '45840', '4194255992', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1265450928', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013467', 'RX0013467', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1111 MIAMISBURG CENTERVILLE RD', 'WASHINGTON TOWNSHIP', 'Montgomery', 'OH', '45459', '9372910197', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588681688', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013468', 'RX0013468', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '614 CROSSINGS RD', 'SANDUSKY', 'Erie', 'OH', '44870', '4196261820', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760493282', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013469', 'RX0013469', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1270 N BRIDGE ST', 'CHILLICOTHE', 'Ross', 'OH', '45601', '7407796716', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679584197', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013470', 'RX0013470', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '46440 US ROUTE 20', 'OBERLIN', 'Lorain', 'OH', '44074', '4407746734', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588675003', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013471', 'RX0013471', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '300 S HAMILTON RD', 'GAHANNA', 'Franklin', 'OH', '43230', '6144166420', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1881773760', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013472', 'RX0013472', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3575 BROADWAY', 'GROVE CITY', 'Franklin', 'OH', '43123', '6148750261', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154418325', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013473', 'RX0013473', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '200 BROADWAY E', 'GRANVILLE', 'Licking', 'OH', '43023', '7405870268', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215018601', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013474', 'RX0013474', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3724 NORTHPOINTE DR', 'ZANESVILLE', 'Muskingum', 'OH', '43701', '7404526869', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659461622', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013475', 'RX0013475', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '919 E STATE ST', 'ATHENS', 'Athens', 'OH', '45701', '7405664180', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811086507', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013476', 'RX0013476', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '250 TALLMADGE RD', 'KENT', 'Portage', 'OH', '44240', '3306733368', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518040567', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013477', 'RX0013477', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '126 W HIGH ST', 'FOSTORIA', 'Seneca', 'OH', '44830', '4194354190', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821154196', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013478', 'RX0013478', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3657 E MAIN ST', 'COLUMBUS', 'Franklin', 'OH', '43213', '6142397805', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1528123791', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013479', 'RX0013479', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2700 BETHEL RD', 'COLUMBUS', 'Franklin', 'OH', '43220', '6143260661', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1609931872', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013480', 'RX0013480', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1001 CHERRY ST STE A', 'BLANCHESTER', 'Clinton', 'OH', '45107', '9377830270', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427113695', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013481', 'RX0013481', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6388 BRANCH HILL GUINEA PIKE', 'LOVELAND', 'Clermont', 'OH', '45140', '5136974820', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972668929', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013482', 'RX0013482', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '201 CHAMBER DR', 'MILFORD', 'Clermont', 'OH', '45150', '5132484284', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174657738', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013483', 'RX0013483', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1274 E 2ND ST', 'FRANKLIN', 'Warren', 'OH', '45005', '9377040697', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013041797', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013484', 'RX0013484', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1000 CHESTNUT COMMONS DR', 'ELYRIA', 'Lorain', 'OH', '44035', '4403660125', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548394893', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013485', 'RX0013485', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2801 CUNNINGHAM DR', 'CINCINNATI', 'Hamilton', 'OH', '45241', '5137691145', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639397375', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013486', 'RX0013486', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1804 N CLINTON ST', 'DEFIANCE', 'Defiance', 'OH', '43512', '4197842404', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1326265323', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013488', 'RX0013488', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '60 WORTHINGTON MALL', 'COLUMBUS', 'Franklin', 'OH', '43085', '6144102007', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679755516', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013561', 'RX0013561', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'OK HIGHWAY 9 EAST', 'STIGLER', 'Haskell', 'OK', '74462', '9189673369', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275556342', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013562', 'RX0013562', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2301 W KENOSHA ST', 'BROKEN ARROW', 'Tulsa', 'OK', '74012', '9183552235', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1043237167', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013563', 'RX0013563', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '401 LINWOOD PLZ', 'LINDSAY', 'Garvin', 'OK', '73052', '4057569591', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1952328072', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013564', 'RX0013564', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6625 S MEMORIAL DR', 'TULSA', 'Tulsa', 'OK', '74133', '9182949700', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1861419988', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013566', 'RX0013566', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2091 E 81ST ST', 'TULSA', 'Tulsa', 'OK', '74137', '9184960053', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689691701', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013567', 'RX0013567', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1500 W GRANT AVE', 'PAULS VALLEY', 'Garvin', 'OK', '73075', '4052387525', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497772511', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013568', 'RX0013568', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1100 S 1ST ST', 'MADILL', 'Marshall', 'OK', '73446', '5807953358', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427076181', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013569', 'RX0013569', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3651 W ROBINSON ST', 'NORMAN', 'Cleveland', 'OK', '73072', '4053605406', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1396849121', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013570', 'RX0013570', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2501 N HIGHWAY 64', 'GUYMON', 'Texas', 'OK', '73942', '5803381312', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306863428', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013571', 'RX0013571', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1618 S DIVISION ST', 'GUTHRIE', 'Logan', 'OK', '73044', '4052821051', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215954334', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013572', 'RX0013572', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1220 N COMMERCE ST', 'ARDMORE', 'Carter', 'OK', '73401', '5802231041', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114021946', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013573', 'RX0013573', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1902 S 4TH ST', 'CHICKASHA', 'Grady', 'OK', '73018', '4052220305', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023112851', 0, 'N', 0, '2012-10-02', 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
('111111111', 'RX0013574', 'RX0013574', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '20221 E 1110 COUNTY RD', 'ELK CITY', 'Beckham', 'OK', '73644', '5802251575', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124045240', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013575', 'RX0013575', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2000 W MEMORIAL RD', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73134', '4057522888', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033136155', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013576', 'RX0013576', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '111 N PERKINS RD', 'STILLWATER', 'Payne', 'OK', '74075', '4053729186', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942227061', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013577', 'RX0013577', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2415 N MAIN ST', 'MIAMI', 'Ottawa', 'OK', '74354', '9185428429', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1851318976', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013578', 'RX0013578', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1219 W DOOLIN AVE', 'BLACKWELL', 'Kay', 'OK', '74631', '5803634090', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699792713', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013579', 'RX0013579', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1200 GARTH BROOKS BLVD', 'YUKON', 'Canadian', 'OK', '73099', '4053500500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1508883620', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013580', 'RX0013580', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '823 W ROGERS BLVD', 'SKIATOOK', 'Tulsa', 'OK', '74070', '9183963194', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417974536', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013581', 'RX0013581', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1213 S MAIN ST', 'KINGFISHER', 'Kingfisher', 'OK', '73750', '4053755747', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1326065442', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013582', 'RX0013582', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '923 W 11TH ST', 'HOBART', 'Kiowa', 'OK', '73651', '5807262630', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1770501439', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013583', 'RX0013583', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3300 TRI CITY DR', 'NEWCASTLE', 'Mcclain', 'OK', '73065', '4053873403', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235156357', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013584', 'RX0013584', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8787 N MINGO VALLEY EXPWY', 'OWASSO', 'Tulsa', 'OK', '74055', '9182721134', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1144247263', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013585', 'RX0013585', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '501 S PARK DR', 'BROKEN BOW', 'Mccurtain', 'OK', '74728', '5805843234', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1053338178', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013586', 'RX0013586', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '914 E OKLAHOMA BLVD', 'ALVA', 'Woods', 'OK', '73717', '5803274054', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1962429084', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013587', 'RX0013587', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1520 S BRYANT AVE', 'EDMOND', 'Oklahoma', 'OK', '73013', '4053487982', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841394673', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013588', 'RX0013588', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2720 N MAIN ST', 'ALTUS', 'Jackson', 'OK', '73521', '5804828466', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1871510990', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013589', 'RX0013589', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1140 SEVEN OAK CENTER', 'COWETA', 'Wagoner', 'OK', '74429', '9184867286', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1780601807', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013590', 'RX0013590', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'US HWY 59', 'JAY', 'Delaware', 'OK', '74346', '9182534034', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689692345', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013591', 'RX0013591', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1907 SE WASHINGTON ST', 'IDABEL', 'Mccurtain', 'OK', '74745', '5802863323', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699792721', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013592', 'RX0013592', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1506 FIR ST', 'PERRY', 'Noble', 'OK', '73077', '5803364117', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1508883638', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013593', 'RX0013593', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2323 N MARTIN LUTHER KING AVE', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73111', '4054240557', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669576492', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013594', 'RX0013594', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '715 NW 50TH ST', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73118', '4058431501', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235237959', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013595', 'RX0013595', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4500 NW 23RD ST', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73127', '4059475505', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487758215', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013596', 'RX0013596', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '700 W MAIN ST', 'NORMAN', 'Cleveland', 'OK', '73069', '4053217106', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295839025', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013597', 'RX0013597', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '110 W VANDAMENT AVE', 'YUKON', 'Canadian', 'OK', '73099', '4053544869', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013011840', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013598', 'RX0013598', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1327 E DANFORTH RD', 'EDMOND', 'Oklahoma', 'OK', '73034', '4053591025', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831293661', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013599', 'RX0013599', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3712 W MAIN ST', 'DURANT', 'Bryan', 'OK', '74701', '5809245112', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417974544', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013600', 'RX0013600', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1911 E JACKSON ST', 'HUGO', 'Choctaw', 'OK', '74743', '5803267541', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1598783268', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013601', 'RX0013601', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1520 W PLATO RD', 'DUNCAN', 'Stephens', 'OK', '73533', '5802524888', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1407874175', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013602', 'RX0013602', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1349 E EAGLE AVE', 'WEATHERFORD', 'Custer', 'OK', '73096', '5807722712', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1326065459', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013603', 'RX0013603', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1101 W RUTH AVE', 'SALLISAW', 'Sequoyah', 'OK', '74955', '9187755552', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235156365', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013604', 'RX0013604', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1715 N COMMERCE ST', 'ARDMORE', 'Carter', 'OK', '73401', '5802266444', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1144247271', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013605', 'RX0013605', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1901 S MISSISSIPPI AVE', 'ATOKA', 'Atoka', 'OK', '74525', '5808893000', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1053338186', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013606', 'RX0013606', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1225 W I-35 FRONTAGE', 'EDMOND', 'Oklahoma', 'OK', '73013', '4053483677', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1962429092', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013607', 'RX0013607', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1700 E 1ST ST', 'CHANDLER', 'Lincoln', 'OK', '74834', '4052582012', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1871510909', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013608', 'RX0013608', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'OK HWY 33 EAST', 'CUSHING', 'Payne', 'OK', '74023', '9182256320', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1780601815', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013609', 'RX0013609', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'HWY 48 & 16', 'BRISTOW', 'Creek', 'OK', '74010', '9183675515', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184647257', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013610', 'RX0013610', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3215 WILLIAMS AVE', 'WOODWARD', 'Woodward', 'OK', '73801', '5802560097', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1598782625', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013611', 'RX0013611', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6922 S MINGO RD', 'TULSA', 'Tulsa', 'OK', '74133', '9182949100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1407873532', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013612', 'RX0013612', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '601 12TH AVE NE', 'NORMAN', 'Cleveland', 'OK', '73071', '4055795208', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1316964448', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013613', 'RX0013613', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '106 W HWY 152', 'MUSTANG', 'Canadian', 'OK', '73064', '4053763340', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306944020', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013614', 'RX0013614', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6000 NW 23RD ST', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73127', '4054951040', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104845114', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013615', 'RX0013615', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11101 N ROCKWELL AVE', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73162', '4057733478', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1225055353', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013616', 'RX0013616', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2200 E DANFORTH RD', 'EDMOND', 'Oklahoma', 'OK', '73034', '4052160525', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1134146269', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013617', 'RX0013617', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '911 SW 104TH ST', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73139', '4056923866', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1043237175', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013618', 'RX0013618', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4420 S SHERIDAN RD', 'TULSA', 'Tulsa', 'OK', '74145', '9186100270', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1952328080', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013619', 'RX0013619', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6521 SE 29TH ST', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73110', '4057377457', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1861419996', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013620', 'RX0013620', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1801 BELLE ISLE BLVD', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73118', '4058416516', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154348290', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013621', 'RX0013621', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '640 SE 4TH ST', 'MOORE', 'Cleveland', 'OK', '73160', '4057943581', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659390664', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013622', 'RX0013622', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1500 SW 59TH ST', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73119', '4056849764', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1063439107', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013623', 'RX0013623', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1301 E 2ND ST', 'EDMOND', 'Oklahoma', 'OK', '73034', '4057153280', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972520013', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013624', 'RX0013624', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6606 E 81ST ST', 'TULSA', 'Tulsa', 'OK', '74133', '9185241692', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1881611929', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013625', 'RX0013625', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1101 NW 164TH ST', 'EDMOND', 'Oklahoma', 'OK', '73013', '4052168375', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568481570', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013626', 'RX0013626', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9000 NW PASSAGE', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73132', '4057733616', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699792739', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013627', 'RX0013627', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1900 W MEMORIAL RD', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73134', '4057486521', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1508883646', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013628', 'RX0013628', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3116 S GARNETT RD', 'TULSA', 'Tulsa', 'OK', '74146', '9186227923', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417974551', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013629', 'RX0013629', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9411 S DELAWARE AVE', 'TULSA', 'Tulsa', 'OK', '74137', '9182995764', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477572485', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013630', 'RX0013630', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5510 SW 5TH ST', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73128', '4059467847', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1326065467', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013631', 'RX0013631', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '800 W WASHINGTON ST', 'BROKEN ARROW', 'Tulsa', 'OK', '74012', '9182586185', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386663391', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013632', 'RX0013632', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6310 S ELM PL', 'BROKEN ARROW', 'Tulsa', 'OK', '74011', '9184554386', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235156373', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013633', 'RX0013633', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4404 S PEORIA AVE', 'TULSA', 'Tulsa', 'OK', '74105', '9187491607', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1144247289', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013634', 'RX0013634', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6301 NW QUANNAH PARKER TWAY', 'LAWTON', 'Comanche', 'OK', '73505', '5805100357', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467470153', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013635', 'RX0013635', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2100 SW 119TH ST', 'OKLAHOMA CITY', 'Cleveland', 'OK', '73170', '4056911041', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568566396', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013636', 'RX0013636', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3200 S SANTA FE AVE', 'EDMOND', 'Oklahoma', 'OK', '73013', '4053308107', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477657203', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013637', 'RX0013637', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9320 N PENN AVE', 'THE VILLAGE', 'Oklahoma', 'OK', '73120', '4058402105', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689692378', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013638', 'RX0013638', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4420 S WESTERN AVE', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73109', '4056323742', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1053338194', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013639', 'RX0013639', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1040 SW 19TH ST', 'MOORE', 'Cleveland', 'OK', '73160', '4057943001', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386748119', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013640', 'RX0013640', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3400 W MAIN ST', 'NORMAN', 'Cleveland', 'OK', '73072', '4053078369', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1962429001', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013641', 'RX0013641', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '201 S MUSTANG RD', 'YUKON', 'Canadian', 'OK', '73099', '4053248170', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215035936', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013642', 'RX0013642', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2217 NW 23RD ST', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73107', '4055210804', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1871510917', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013643', 'RX0013643', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2015 S GREEN AVE', 'PURCELL', 'Mcclain', 'OK', '73080', '4055277396', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497773188', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013644', 'RX0013644', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9011 NE 23RD ST', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73141', '4057693193', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306864095', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013645', 'RX0013645', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4720 E 21ST ST', 'TULSA', 'Tulsa', 'OK', '74114', '9183927025', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518024900', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013646', 'RX0013646', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4545 W 6TH AVE', 'STILLWATER', 'Payne', 'OK', '74074', '4057070756', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1053476234', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013647', 'RX0013647', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9000 S MAY AVE', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73159', '4056911148', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285755413', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013648', 'RX0013648', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7925 NW EXPRESSWAY', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73132', '4057281392', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578762480', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013649', 'RX0013649', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '12200 S WACO', 'GLENPOOL', 'Tulsa', 'OK', '74033', '9182998030', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275719601', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013650', 'RX0013650', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '12912 E 86TH ST N', 'OWASSO', 'Tulsa', 'OK', '74055', '9182741233', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659505543', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013651', 'RX0013651', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7041 S YALE AVE', 'TULSA', 'Tulsa', 'OK', '74136', '9184777185', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174753404', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013652', 'RX0013652', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '209TH AND KENOSHA', 'BROKEN ARROW', 'Tulsa', 'OK', '74011', '9183551076', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699905901', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013653', 'RX0013653', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10101 S MEMORIAL DR', 'TULSA', 'Tulsa', 'OK', '74133', '9183694911', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487884433', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013654', 'RX0013654', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '100 S DOUGLAS BLVD', 'OKLAHOMA CITY', 'Oklahoma', 'OK', '73130', '4057410036', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902038615', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013655', 'RX0013655', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2351 N 9TH ST', 'BROKEN ARROW', 'Tulsa', 'OK', '74012', '9183551293', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679804934', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013656', 'RX0013656', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4107 S HARVARD AVE', 'TULSA', 'Tulsa', 'OK', '74135', '9187476690', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720302136', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013657', 'RX0013657', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '751 W TUCSON ST (121ST)', 'BROKEN ARROW', 'Tulsa', 'OK', '74011', '9184550089', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942524061', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013658', 'RX0013658', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3501 NW 36TH AVE', 'NORMAN', 'Cleveland', 'OK', '73072', '4053078824', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487974580', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013659', 'RX0013659', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '12902 EAST 96TH STREET NORTH', 'OWASSO', 'Tulsa', 'OK', '74055', '9182722376', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588971956', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013660', 'RX0013660', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6342 E ADMIRAL PL', 'TULSA', 'Tulsa', 'OK', '74115', '9188361715', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023311578', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013661', 'RX0013661', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1853 S ASPEN AVE', 'BROKEN ARROW', 'Tulsa', 'OK', '74012', '9182519615', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1073817185', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013662', 'RX0013662', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2110 S HARVARD AVE', 'TULSA', 'Tulsa', 'OK', '74114', '9187495438', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1063706745', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013663', 'RX0013663', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7520 E RENO AVE', 'MIDWEST CITY', 'Oklahoma', 'OK', '73110', '4058690081', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720375959', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013664', 'RX0013664', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7757 S OLYMPIA AVE', 'TULSA', 'Tulsa', 'OK', '74132', '9184456892', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285922534', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013665', 'RX0013665', 'HDRX', 'FRED MEYER PHARMACY-CV', NULL, NULL, 'FRED MEYER PHARMACY-CV', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '777 NW KINGS BLVD', 'CORVALLIS', 'Benton', 'OR', '97330', '5417539106', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285679357', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013666', 'RX0013666', 'HDRX', 'FRED MEYER PHARMACY-SE', NULL, NULL, 'FRED MEYER PHARMACY-SE', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5253 SE 82ND AVE', 'PORTLAND', 'Multnomah', 'OR', '97266', '5037773359', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295771228', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013667', 'RX0013667', 'HDRX', 'FRED MEYER PHARMACY-RH', NULL, NULL, 'FRED MEYER PHARMACY-RH', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7700 SW BEAVERTON HILLSDALE HW', 'PORTLAND', 'Washington', 'OR', '97225', '5032923531', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427094382', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013668', 'RX0013668', 'HDRX', 'FRED MEYER PHARMACY-ST', NULL, NULL, 'FRED MEYER PHARMACY-ST', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '100 NW 20TH PL', 'PORTLAND', 'Multnomah', 'OR', '97209', '5032267179', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1336185297', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013669', 'RX0013669', 'HDRX', 'FRED MEYER PHARMACY-GL', NULL, NULL, 'FRED MEYER PHARMACY-GL', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6615 NE GLISAN ST', 'PORTLAND', 'Multnomah', 'OR', '97213', '5037976973', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386680296', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013670', 'RX0013670', 'HDRX', 'FRED MEYER PHARMACY', NULL, NULL, 'FRED MEYER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7404 N INTERSTATE AVE', 'PORTLAND', 'Multnomah', 'OR', '97217', '5032866784', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194761007', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013671', 'RX0013671', 'HDRX', 'FRED MEYER PHARMACY-BU', NULL, NULL, 'FRED MEYER PHARMACY-BU', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7555 SW BARBUR BLVD', 'PORTLAND', 'Multnomah', 'OR', '97219', '5032468849', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1245276104', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013672', 'RX0013672', 'HDRX', 'FRED MEYER PHARMACY-DN', NULL, NULL, 'FRED MEYER PHARMACY-DN', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '14700 SE DIVISION ST', 'PORTLAND', 'Multnomah', 'OR', '97236', '5037624436', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093750168', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013673', 'RX0013673', 'HDRX', 'FRED MEYER PHARMACY-HA', NULL, NULL, 'FRED MEYER PHARMACY-HA', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3805 SE HAWTHORNE BLVD', 'PORTLAND', 'Multnomah', 'OR', '97214', '5032347559', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902841075', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013674', 'RX0013674', 'HDRX', 'FRED MEYER PHARMACY-PN', NULL, NULL, 'FRED MEYER PHARMACY-PN', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6850 N LOMBARD ST', 'PORTLAND', 'Multnomah', 'OR', '97203', '5032860629', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811932981', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013675', 'RX0013675', 'HDRX', 'FRED MEYER PHARMACY-GY', NULL, NULL, 'FRED MEYER PHARMACY-GY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1111 NE 102ND AVE', 'PORTLAND', 'Multnomah', 'OR', '97220', '5032555494', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720023898', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013676', 'RX0013676', 'HDRX', 'FRED MEYER PHARMACY-NS', NULL, NULL, 'FRED MEYER PHARMACY-NS', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2855 BROADWAY ST NE', 'SALEM', 'Marion', 'OR', '97303', '5035857222', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568407096', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013677', 'RX0013677', 'HDRX', 'FRED MEYER PHARMACY-SS', NULL, NULL, 'FRED MEYER PHARMACY-SS', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3450 COMMERCIAL ST SE', 'SALEM', 'Marion', 'OR', '97302', '5035857660', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154367019', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013678', 'RX0013678', 'HDRX', 'FRED MEYER PHARMACY-TI', NULL, NULL, 'FRED MEYER PHARMACY-TI', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11565 SW PACIFIC HWY', 'TIGARD', 'Washington', 'OR', '97223', '5032937085', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1063458925', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013679', 'RX0013679', 'HDRX', 'FRED MEYER PHARMACY-SC', NULL, NULL, 'FRED MEYER PHARMACY-SC', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '60 DIVISION AVE', 'EUGENE', 'Lane', 'OR', '97404', '5416888362', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972549830', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013680', 'RX0013680', 'HDRX', 'FRED MEYER PHARMACY-ES', NULL, NULL, 'FRED MEYER PHARMACY-ES', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3740 MARKET ST NE', 'SALEM', 'Marion', 'OR', '97301', '5035816431', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1952347817', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013681', 'RX0013681', 'HDRX', 'FRED MEYER PHARMACY-AB', NULL, NULL, 'FRED MEYER PHARMACY-AB', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2500 SANTIAM HWY SE', 'ALBANY', 'Linn', 'OR', '97322', '5419269497', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1861438723', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013682', 'RX0013682', 'HDRX', 'FRED MEYER PHARMACY-BT', NULL, NULL, 'FRED MEYER PHARMACY-BT', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11425 SW BEAV-HLSDL HY', 'BEAVERTON', 'Washington', 'OR', '97005', '5035261833', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639114705', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013683', 'RX0013683', 'HDRX', 'FRED MEYER PHARMACY-OG', NULL, NULL, 'FRED MEYER PHARMACY-OG', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '14700 SE MCLOUGHLIN BLVD', 'PORTLAND', 'Clackamas', 'OR', '97267', '5036524133', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548205610', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013684', 'RX0013684', 'HDRX', 'FRED MEYER PHARMACY-GR', NULL, NULL, 'FRED MEYER PHARMACY-GR', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2497 SE BURNSIDE RD', 'GRESHAM', 'Multnomah', 'OR', '97080', '5036694233', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457396525', 0, 'N', 0, '2012-10-02', 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
('111111111', 'RX0013685', 'RX0013685', 'HDRX', 'FRED MEYER PHARMACY-SD', NULL, NULL, 'FRED MEYER PHARMACY-SD', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '650 Q ST', 'SPRINGFIELD', 'Lane', 'OR', '97477', '5417415183', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003852914', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013686', 'RX0013686', 'HDRX', 'FRED MEYER PHARMACY-CK', NULL, NULL, 'FRED MEYER PHARMACY-CK', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '16301 SE 82ND DR', 'CLACKAMAS', 'Clackamas', 'OR', '97015', '5036573064', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1225074768', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013687', 'RX0013687', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5511 DEEP LAKE RD', 'OVIEDO', 'Seminole', 'FL', '32765', '4076570100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1205107802', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013688', 'RX0013688', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10863 BLOOMINGDALE AVE', 'RIVERVIEW', 'Hillsborough', 'FL', '33578', '8136856109', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013287499', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013689', 'RX0013689', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5810 RANCH LAKE BLVD', 'BRADENTON', 'Manatee', 'FL', '34202', '9517561938', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942572037', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013690', 'RX0013690', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1177 SW 8TH ST', 'MIAMI', 'Miami-dade', 'FL', '33130', '4017651500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184983355', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013691', 'RX0013691', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '41232 US HIGHWAY 19 N', 'TARPON SPRINGS', 'Pinellas', 'FL', '34689', '7279409295', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669733127', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013692', 'RX0013692', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2 GANNETT DR', 'JOHNSON CITY', 'Broome', 'NY', '13790', '6076441069', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1881912954', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013693', 'RX0013693', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '270 HALSTEAD AVE # 278', 'HARRISON', 'Westchester', 'NY', '10528', '9148353463', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649599143', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013694', 'RX0013694', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '750 ROUTE 25A', 'KINGS PARK', 'Suffolk', 'NY', '11754', '6313613540', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912226085', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013695', 'RX0013695', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4975 TRANSIT RD', 'DEPEW', 'Erie', 'NY', '14043', '7162063087', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306150578', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013696', 'RX0013696', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '16 NEW SCOTLAND AVE', 'ALBANY', 'Albany', 'NY', '12208', '5184340677', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518273481', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013697', 'RX0013697', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3101 DITMARS BLVD', 'ASTORIA', 'Queens', 'NY', '11105', '7185450128', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649588658', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013698', 'RX0013698', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6510 BROCKPORT SPENCERPORT RD', 'BROCKPORT', 'Monroe', 'NY', '14420', '5856377705', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306148317', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013699', 'RX0013699', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1688 WESTCHESTER AVE', 'BRONX', 'Bronx', 'NY', '10472', '7188422217', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1780986661', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013700', 'RX0013700', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '416 WASHINGTON AVE', 'KINGSTON', 'Ulster', 'NY', '12401', '8453310226', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1265734859', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013701', 'RX0013701', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '726 E MAIN ST', 'COBLESKILL', 'Schoharie', 'NY', '12043', '5182348150', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1255633897', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013702', 'RX0013702', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '81 8TH AVE', 'NEW YORK', 'New York', 'NY', '10011', '2123664085', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629372370', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013703', 'RX0013703', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '27 N 6TH ST', 'BROOKLYN', 'Kings', 'NY', '11249', '7183882799', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1396041950', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013704', 'RX0013704', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '25-43 PROSPECT ST', 'YONKERS', 'Westchester', 'NY', '10701', '9149682501', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295031151', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013705', 'RX0013705', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '560 N GREENBUSH RD', 'RENSSELAER', 'Rensselaer', 'NY', '12144', '5182836982', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013207083', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013706', 'RX0013706', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '579 TROY SCHENECTADY RD', 'LATHAM', 'Albany', 'NY', '12110', '5187831692', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679863716', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013707', 'RX0013707', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '218 MYRTLE AVENUE', 'BROOKLYN', 'Kings', 'NY', '11201', '7185962460', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1609167972', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013708', 'RX0013708', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '222 NORTH AVENUE', 'NEW ROCHELLE', 'Westchester', 'NY', '10801', '9146377591', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467745315', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013709', 'RX0013709', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '24 QUAKER RIDGE BLVD', 'QUEENSBURY', 'Warren', 'NY', '12804', '5187614058', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1205124567', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013710', 'RX0013710', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '496 COUNTY ROAD 111', 'MANORVILLE', 'Suffolk', 'NY', '11949', '4017651500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1609156074', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013711', 'RX0013711', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '300 PARK AVE SOUTH', 'NEW YORK', 'New York', 'NY', '10010', '4017651500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518247972', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013712', 'RX0013712', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2649 ERIE BLVD E', 'SYRACUSE', 'Onondaga', 'NY', '13224', '3154454072', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1407135502', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013713', 'RX0013713', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6831 BAY PARKWAY', 'BROOKLYN', 'Kings', 'NY', '11204', '7188371471', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1336410935', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013714', 'RX0013714', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '866 NIAGARA FALLS BLVD', 'NORTH TONAWANDA', 'Niagara', 'NY', '14120', '7162434162', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548521008', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013715', 'RX0013715', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3800 DEWEY AVE', 'GREECE', 'Monroe', 'NY', '14616', '5859577389', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629339189', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013716', 'RX0013716', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '301 ANDREWS HWY', 'MIDLAND', 'Midland', 'TX', '79701', '4326853092', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386961159', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013717', 'RX0013717', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2899 FOREST LN', 'DALLAS', 'Dallas', 'TX', '75234', '9722410175', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023336625', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013718', 'RX0013718', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1671 HIGHWAY 71 EAST', 'BASTROP', 'Bastrop', 'TX', '78602', '5123080234', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669790929', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013719', 'RX0013719', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1602 E BUSINESS 83', 'WESLACO', 'Hidalgo', 'TX', '78596', '9564471916', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1528387693', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013720', 'RX0013720', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '20203 STONE OAK PKWY', 'SAN ANTONIO', 'Bexar', 'TX', '78258', '2104815598', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942521273', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013721', 'RX0013721', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '827 E MILAM ST', 'MEXIA', 'Limestone', 'TX', '76667', '2544720306', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1962715136', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013723', 'RX0013723', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1484 RUBEN TORRES BLVD', 'BROWNSVILLE', 'Cameron', 'TX', '78521', '9565410167', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558677740', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013755', 'RX0013755', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10522 SPRING GREEN BLVD', 'KATY', 'Fort Bend', 'TX', '77464', '4017651500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538440771', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013759', 'RX0013759', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '13739 N CENTRAL EXPWY', 'DALLAS', 'Dallas', 'TX', '75243', '4693307305', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1790052298', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013760', 'RX0013760', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8027 KITTY HAWK RD', 'CONVERSE', 'Bexar', 'TX', '78109', '2105663615', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427326131', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('363962090', 'W12023480', 'W12023480', 'ILCHIGSTD', 'Kedzie Medical Center', 'Rhonda', 'Y', 'Gans', 'MD', 'Family Practice', '', '', NULL, 'O', '3554 W 95th St', 'Evergreen Park', 'Cook', 'IL', '60805', '7084236800', '7084230402', '3554 W 95th St', 'Evergreen Park', 'Cook', 'IL', '60805', '7084236800', '7084230402', 'CHIG5', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Little Company of Mary Hospital', NULL, '', '', 'HCFA|UB|', '1003830670', 0, 'N', 0, '2013-08-01', NULL, NULL, 41.7206, -87.7104, NULL, NULL),
('363962090', 'W12023481', 'W12023481', 'ILCHIGSTD', 'Southwest Physicians Group', 'Rhonda', 'Y', 'Gans', 'MD', 'Family Practice', '', '', NULL, 'B', '4861 W 95th St', 'Oak Lawn', 'Cook', 'IL', '60453', '          ', '7084990993', '4861 W 95th St', 'Oak Lawn', 'Cook', 'IL', '60453', '          ', '7084990993', 'CHIG5', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Little Company of Mary Hospital', NULL, '', '', 'HCFA|UB|', '1003830670', 0, 'N', 0, '2013-08-01', NULL, NULL, 41.72, -87.7428, NULL, NULL),
('202630141', 'W12023482', 'W12023482', 'ID02', 'Primary Health Medical Group', 'Phillip ', 'B', 'Whittenberg', 'PA', 'Family Practice', '', '', NULL, 'O', '3115 E Florence', 'Meridian', 'Ada', 'ID', '83642', '2088958670', '2089550494', '3115 E Florence', 'Meridian', 'Ada', 'ID', '83642', '2088958670', '2089550494', 'IDSTDPPO', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2012-09-25', '2013-02-28', 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1053385054', 0, 'N', 0, '2013-07-29', NULL, NULL, 43.6163, -116.355, NULL, NULL),
('202630141', 'W40013468', 'W40013468', 'IDBOISTD', 'Primary Health Medical Group', 'Ann', 'C', 'Overy', 'DO', 'Pediatrics', '', '', NULL, 'O', '6348 Emerald St', 'Boise', 'Ada', 'ID', '83704', '2083774400', '2083774416', '6348 Emerald St', 'Boise', 'Ada', 'ID', '83704', '2083774400', '2083774416', 'IDPRIMARY', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2013-03-01', NULL, 0, 0, 0, 'Saint Alphonsus Medical Center Nampa', NULL, '', '', 'HCFA|UB|', '1306020086', 0, 'N', 0, '2013-03-01', NULL, NULL, 43.6119, -116.261, NULL, NULL),
('270755966', 'W12023488', 'W12023488', 'UTMH1', 'Matt Larson Psychotherapy and Associates', 'Isabelle', 'T', 'Halvorson', 'LPC', 'Mental Health', '', '', NULL, 'O', '433 Glacier Lily Dr', 'Alpine', 'Utah', 'UT', '84004', '8016717612', '8017639665', '433 Glacier Lily Dr', 'Alpine', 'Utah', 'UT', '84004', '8016717612', '8017639665', 'MA', '', '', '0.00', '35.00', '0.00', 3, '2012-09-25', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1417168378', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870218917', 'W12023489', 'W12023489', 'UT01', 'Tanner Memorial Clinic', 'Khaldoun', 'M', 'Al-Rayess', 'MD', 'Endocrinology', 'Internal Medicine', '', NULL, 'O', '1492 W Antelope Dr Ste 115', 'Layton', 'Davis', 'UT', '84041', '8017734840', '0000000000', '1492 W Antelope Dr Ste 115', 'Layton', 'Davis', 'UT', '84041', '8017734840', '0000000000', 'WUTANNER5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, 'Davis Hospital', '', '', '', 'HCFA|UB|', '1003808122', 0, 'N', 0, '2014-06-17', NULL, NULL, 41.0893, -111.993, NULL, NULL),
('870218917', 'W12023490', 'W12023490', 'UT01', 'Tanner Memorial Clinic', 'Khaldoun', 'M', 'Al-Rayess', 'MD', 'Endocrinology', 'Internal Medicine', '', NULL, 'O', '2121 N 1700 W', 'Layton', 'Davis', 'UT', '84041', '8017734840', '0000000000', '2121 N 1700 W', 'Layton', 'Davis', 'UT', '84041', '8017734840', '0000000000', 'WUTANNER5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, 'Davis Hospital', '', '', '', 'HCFA|UB|', '1003808122', 0, 'N', 0, '2014-06-17', NULL, NULL, 41.0893, -111.997, NULL, NULL),
('826003449', 'W12023492', 'W12023492', 'UT01', 'Franklin County Medical Center ', 'Jacob', 'K', 'Curtis', 'DO', 'Family Practice', 'Obstetrics and Gynecology', '', NULL, 'O', '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', NULL, '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', '          ', '', '', '', '0.00', '5.00', '0.00', 3, '2012-09-27', NULL, 0, 0, 0, 'Franklin County Medical Center ', NULL, NULL, NULL, 'HCFA|UB|', '1770684003', 0, 'N', 0, '2013-12-10', NULL, NULL, 42.0971, -111.874, NULL, NULL),
('870218917', 'W12023491', 'W12023491', 'UT01', 'Tanner Memorial Clinic', 'Khaldoun', 'M', 'Al-Rayess', 'MD', 'Endocrinology', 'Internal Medicine', '', NULL, 'B', 'PO Box 337', 'Layton', 'Davis', 'UT', '84041', '8017734840', '0000000000', 'PO Box 337', 'Layton', 'Davis', 'UT', '84041', '8017734840', '0000000000', 'WUTANNER5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, 'Davis Hospital', '', '', '', 'HCFA|UB|', '1003808122', 0, 'N', 0, '2014-06-17', NULL, NULL, 0, 0, NULL, NULL),
('870680602', 'W12023493', 'W12023493', 'UT01', 'Ashdown Surgical', 'Jan', 'M', 'Ashdown', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '44 N 100 E', 'Preston', 'Franklin', 'ID', '83263', '4357231114', NULL, '44 N 100 E', 'Preston', 'Franklin', 'ID', '83263', '4357231114', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-09-27', NULL, 0, 0, 0, 'Brigham City Community Hospital', 'Franklin County Medical Center ', NULL, NULL, 'HCFA|UB|', '1871591958', 0, 'N', 0, '2012-10-03', NULL, NULL, 42.0971, -111.874, NULL, NULL),
('826003449', 'W12023494', 'W12023494', 'UT01', 'Franklin County Medical Center ', 'Lynn', 'P', 'Eskelson', 'MD', 'Family Practice', '', '', NULL, 'O', '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', NULL, '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', '          ', '', '', '', '0.00', '5.00', '0.00', 3, '2012-09-27', NULL, 0, 0, 0, 'Franklin County Medical Center ', NULL, NULL, NULL, 'HCFA|UB|', '1003826389', 0, 'N', 0, '2013-12-10', NULL, NULL, 42.0971, -111.874, NULL, NULL),
('830326307', 'W12023495', 'W12023495', 'WY01', 'Community Health Center of Central Wyoming', 'Melissa', 'L', 'Jenkins', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'O', '5000 Blackmore Rd', 'Casper', 'Natrona', 'WY', '82609', '3072336000', '3072336089', '5000 Blackmore Rd', 'Casper', 'Natrona', 'WY', '82609', '3072336000', '3072336089', 'WISEWYSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1952536120', 0, 'N', 0, '2012-10-09', NULL, NULL, 42.8286, -106.293, NULL, NULL),
('830326307', 'W12023496', 'W12023496', 'WYT1', 'Community Health Center of Central Wyoming', 'Melissa', 'L', 'Jenkins', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'O', '5000 Blackmore Rd', 'Casper', 'Natrona', 'WY', '82609', '3072336000', '3072336089', '5000 Blackmore Rd', 'Casper', 'Natrona', 'WY', '82609', '3072336000', '3072336089', 'WISEWYSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1952536120', 0, 'N', 0, '2012-10-09', NULL, NULL, 0, 0, NULL, NULL),
('870354442', 'W12023636', 'W12023636', 'UT01', 'Rocky Mountain Womens Health Center ', 'Jennifer ', 'L', 'Evans', 'NP', 'Obstetrics and Gynecology', '', '', NULL, 'O', '1580 W Antelope Dr Ste 290', 'Layton', 'Davis', 'UT', '84041', '8017760880', NULL, '1580 W Antelope Dr Ste 290', 'Layton', 'Davis', 'UT', '84041', '8017760880', '          ', 'WRYMTWOM', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2013-01-01', '2014-04-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1174784367', 0, 'N', 0, '2012-12-28', NULL, NULL, 41.0893, -111.994, NULL, NULL),
('364010940', 'W12023497', 'W12023497', 'ILCHIGSTD', 'Center for Dermotology and Skin Surgery', 'Robert', 'V', 'Kolbusz', 'MD', 'Dermatology', '', '', NULL, 'O', '2500 S Highland Ave', 'Lombard', 'Dupage', 'IL', '60148', '6309642000', '6309646378', '2500 S Highland Ave', 'Lombard', 'Dupage', 'IL', '60148', '6309642000', '6309646378', 'CHIG14', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, NULL, NULL, '', '', 'HCFA|UB|', '1669403457', 0, 'N', 0, '2013-05-31', NULL, NULL, 41.8412, -88.0115, NULL, NULL),
('830306180', 'W12023498', 'W12023498', 'WY01', 'College Hill Womens Center', 'Jeffery', '', 'Wheeler', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '3000 College Dr Ste A', 'Rock Springs', 'Sweetwater', 'WY', '82901', '3073621861', '3073621277', '3000 College Dr Ste A', 'Rock Springs', 'Sweetwater', 'WY', '82901', '3073621861', '3073621277', '', '', '', '0.00', '10.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, 'Memorial Hospital of Sweetwater County', NULL, NULL, NULL, 'HCFA|UB|', '1053562280', 0, 'N', 0, '2013-08-06', NULL, NULL, 41.5974, -109.242, NULL, NULL),
('830306180', 'W12023499', 'W12023499', 'WYT2', 'College Hill Womens Center', 'Jeffery', '', 'Wheeler', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '3000 College Dr Ste A', 'Rock Springs', 'Sweetwater', 'WY', '82901', '3073621861', '3073621277', '3000 College Dr Ste A', 'Rock Springs', 'Sweetwater', 'WY', '82901', '3073621861', '3073621277', '', '', '', '0.00', '10.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, 'Memorial Hospital of Sweetwater County', NULL, NULL, NULL, 'HCFA|UB|', '1053562280', 0, 'N', 0, '2013-08-06', NULL, NULL, 0, 0, NULL, NULL),
('363899284', 'W12023500', 'W12023500', 'ILCHIGSTD', 'Aurora Medical Center', 'Akil', '', 'Moinuddin', 'MD', 'Internal Medicine', '', '', NULL, 'O', '302 E New York St', 'Aurora', 'Kane', 'IL', '60505', '6308440080', '6308016967', '302 E New York St', 'Aurora', 'Kane', 'IL', '60505', '6308440080', '6308016967', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Presence Mercy Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1548292683', 0, 'N', 0, '2012-12-19', NULL, NULL, 41.7569, -88.3097, NULL, NULL),
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('826003449', 'W12023592', 'W12023592', 'UT01', 'Franklin County Medical Center ', 'Jacob', 'P', 'Forke', '', 'Emergency Medicine', '', '', NULL, 'O', '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', '2088523812', '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', '2088523812', '', '', '', '0.00', '5.00', '0.00', 3, '2012-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1902127756', 0, 'Y', 0, '2012-10-23', NULL, NULL, 42.0971, -111.874, NULL, NULL),
('826003449', 'W12023593', 'W12023593', 'UT01', 'Franklin County Medical Center ', 'Blaine', 'Reed', 'Olsen', '', 'Emergency Medicine', '', '', NULL, 'O', '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', '2088523812', '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', '2088523812', '', '', '', '0.00', '5.00', '0.00', 3, '2012-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1922236454', 0, 'Y', 0, '2012-10-11', NULL, NULL, 42.0971, -111.874, NULL, NULL),
('826003449', 'W12023594', 'W12023594', 'UT01', 'Franklin County Medical Center ', 'Randall', '', 'Pace', 'MD', 'Family Practice', '', '', NULL, 'O', '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', '2088523812', '44 N 1st E', 'Preston', 'Franklin', 'ID', '83263', '2088520137', '2088523812', '', '', '', '0.00', '5.00', '0.00', 3, '2012-10-01', NULL, 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1932337466', 0, 'N', 0, '2012-10-09', NULL, NULL, 42.0971, -111.874, NULL, NULL),
('830320797', 'W12023595', 'W12023595', 'WY01', 'Rock Springs IV Center', '', '', 'Rock Springs IV Center', 'Group', 'Infusion Agency', '', '', NULL, 'O', '400 2nd St Ste A1', 'Rock Springs', 'Sweetwater', 'WY', '82901', '3073823544', '3073826987', '400 2nd St Ste A1', 'Rock Springs', 'Sweetwater', 'WY', '82901', '3073823544', '3073826987', '', '', '5006', '0.00', '20.00', '0.00', 3, '2012-11-01', NULL, 1, 0, 0, '', '', '', '', 'HCFA|UB|', '1346332970', 0, 'N', 0, '2013-01-18', NULL, NULL, 0, 0, NULL, NULL),
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('453579890', 'W12023599', 'W12023599', 'Sinclair', 'Lukes Family Pharmacy', '', '', 'Lukes Family Pharmacy ', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'O', '101 S Main St ', 'Hailey', 'Blaine', 'ID', '83333', '2087884970', '2087885791', '101 S Main St ', 'Hailey', 'Blaine', 'ID', '83333', '2087884970', '2087885791', 'DME9512', '', '', '0.00', '40.00', '0.00', 3, '2012-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1083985766', 0, 'N', 0, '2012-10-11', NULL, NULL, 0, 0, NULL, NULL),
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('271789847', 'W12041472', 'W12041472', 'IDONTSTD', 'Saint Alphonsus Medical Group Ontario', 'William', 'Z', 'Allen', 'PA-C', 'Family Practice', '', '', NULL, 'O', '1050 SW 3rd Ave Ste 3200', 'Ontario', 'Malheur', 'OR', '97914', '5418817370', '5418817379', '1050 SW 3rd Ave Ste 3200', 'Ontario', 'Malheur', 'OR', '97914', '5418817370', '5418817379', 'IDSAMG2', '', '', '0.00', '10.00', '0.00', 8, '2013-11-27', NULL, 0, 0, 0, 'Saint Alphonsus Regional Medical Center', '', '', '', 'HCFA|UB|', '1730497520', 0, 'Y', 0, '2014-07-09', NULL, NULL, 44.0258, -116.977, NULL, NULL),
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('272825194', 'W12023614', 'W12023614', 'UT01', 'Hearing Zone', 'Jennifer', '', 'Shepherd', 'AUD', 'Audiology', '', '', NULL, 'O', '3651 Wall Ave Ste 1127', 'Ogden', 'Weber', 'UT', '84405', '8016120202', '8016120662', '3651 Wall Ave Ste 1127', 'Ogden', 'Weber', 'UT', '84405', '8016120202', '8016120662', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1356601165', 0, 'N', 0, '2012-10-12', NULL, NULL, 41.197, -111.979, NULL, NULL),
('272825194', 'W12023612', 'W12023612', 'UT01', 'Hearing Zone', 'Jennifer', '', 'Shepherd', 'AUD', 'Audiology', '', '', NULL, 'O', '70 S Fairfield Rd Ste 10', 'Layton', 'Davis', 'UT', '84041', '8014440300', '8015476392', '70 S Fairfield Rd Ste 10', 'Layton', 'Davis', 'UT', '84041', '8014440300', '8015476392', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1356601165', 0, 'N', 0, '2012-10-12', NULL, NULL, 41.0609, -111.945, NULL, NULL),
('272825194', 'W12023613', 'W12023613', 'UT01', 'Hearing Zone', 'Jennifer', '', 'Shepherd', 'AUD', 'Audiology', '', '', NULL, 'O', '74 E 500 S Ste 112', 'Bountiful', 'Davis', 'UT', '84010', '8012946200', '8012940750', '74 E 500 S Ste 112', 'Bountiful', 'Davis', 'UT', '84010', '8012946200', '8012940750', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1356601165', 0, 'N', 0, '2012-10-12', NULL, NULL, 40.8843, -111.879, NULL, NULL),
('455297425', 'W12023615', 'W12023615', 'UT01', 'Springcreek Medical Center', 'Megan', 'E', 'Bressel', 'MPT', 'Physical Therapy', '', '', NULL, 'O', '267 N Spring Creek Pkwy', 'Providence', 'Cache', 'UT', '84332', '4357929400', '4357924800', '267 N Spring Creek Pkwy', 'Providence', 'Cache', 'UT', '84332', '4357929400', '4357924800', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2013-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB', '1366628356', 0, 'N', 0, '2013-07-29', NULL, NULL, 41.7135, -111.828, NULL, NULL),
('870403206', 'W12023616', 'W12023616', 'UT01', 'ARUP LABORATORIES', '', '', 'ARUP LABORATORIES', 'GROUP', 'Laboratory', '', '', NULL, 'O', '500 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8002422787', '8015845130', '500 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8002422787', '8015845130', 'WULABCORP5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1376548271', 0, 'Y', 0, '2014-03-06', NULL, NULL, 40.7572, -111.824, NULL, NULL),
('870403206', 'W12023617', 'W12023617', 'UT01', 'ARUP LABORATORIES', '', '', 'ARUP LABORATORIES', 'GROUP', 'Laboratory', '', '', NULL, 'B', 'PO Box 27964', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8002422787', '8015845130', 'PO Box 27964', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8002422787', '8015845130', 'WULABCORP5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1376548271', 0, 'Y', 0, '2014-03-06', NULL, NULL, 0, 0, NULL, NULL),
('455297425', 'W12023618', 'W12023618', 'UT01', 'Springcreek Medical Center', 'Lorraine', 'C', 'Novich-Welter', 'MD', 'Physical Medicine and Rehabilitation', '', '', NULL, 'O', '267 N Spring Creek Pkwy', 'Providence', 'Cache', 'UT', '84332', '4357929400', '4357924800', '267 N Spring Creek Pkwy', 'Providence', 'Cache', 'UT', '84332', '4357929400', '4357924800', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, 'Logan Regional Hospital', '', '', '', 'HCFA|UB|', '1497741383', 0, 'N', 0, '2012-10-12', NULL, NULL, 41.7135, -111.828, NULL, NULL),
('260359718', 'W12023620', 'W12023620', 'ILCHIGSTD', 'A to Z Pediatric & Youth', 'Walter', 'Daniel', 'Perez', 'MD', 'Pediatrics', '', '', NULL, 'O', '2859 S Pulaski', 'Chicago', 'Cook', 'IL', '60623', '7737623333', '7732778989', '2859 S Pulaski', 'Chicago', 'Cook', 'IL', '60623', '7737623333', '7732778989', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Elmhurst Memorial Hospital', '', '', '', 'HCFA|UB|', '1558475996', 0, 'N', 0, '2014-04-25', NULL, NULL, 41.8394, -87.7244, NULL, NULL),
('260359718', 'W12023619', 'W12023619', 'ILCHIGSTD', 'A to Z Pediatric & Youth', 'Walter', 'Daniel', 'Perez', 'MD', 'Pediatrics', '', '', NULL, 'O', '721 W Lake St Ste 202', 'Addison', 'Dupage', 'IL', '60101', '6307574010', '6307574011', '721 W Lake St Ste 202', 'Addison', 'Dupage', 'IL', '60101', '6307574010', '6307574011', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Elmhurst Memorial Hospital', '', '', '', 'HCFA|UB|', '1558475996', 0, 'N', 0, '2014-04-25', NULL, NULL, 41.9406, -88.0085, NULL, NULL),
('205934739', 'W12023621', 'W12023621', 'ID02', 'Family Medicine Health Center', 'Matthew', 'T', 'Messerschmidt', '', 'Family Practice', '', '', NULL, 'O', '6094 W Emerald St', 'Boise', 'Ada', 'ID', '83704', '2085142500', NULL, '6094 W Emerald St', 'Boise', 'Ada', 'ID', '83704', '2085142500', '          ', 'IDPPO', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2012-10-01', '2013-08-26', 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1962630152', 0, 'N', 0, '2013-09-20', NULL, NULL, 0, 0, NULL, NULL),
('043673591', 'W12023622', 'W12023622', 'ID01', 'Eagle River Psychiatry & Counseling', 'Joseph', 'L', 'Van Winkle', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'O', '1032 S Bridgeway Pl Ste 100', 'Eagle', 'Ada', 'ID', '83616', '2082460123', NULL, '1032 S Bridgeway Pl Ste 100', 'Eagle', 'Ada', 'ID', '83616', '2082460123', '          ', 'IDMA', '', '', '0.00', '35.00', '0.00', 3, '2012-11-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1629188537', 0, 'N', 0, '2012-10-12', NULL, NULL, 0, 0, NULL, NULL),
('200066367', 'W12023623', 'W12023623', 'ILCHIGSTD', 'Milestone Pediatrics', 'Michael', 'J', 'Reicherts', 'MD', 'Pediatrics', '', '', NULL, 'O', '4043 S Route 59', 'Naperville', 'Will', 'IL', '60564', '6304204275', '6304208957', '4043 S Route 59', 'Naperville', 'Will', 'IL', '60564', '6304204275', '6304208957', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', '2013-04-02', 0, 0, 0, 'Edward Hospital', NULL, NULL, NULL, 'HCFA|UB', '1679536007', 0, 'N', 0, '2013-04-03', NULL, NULL, 41.7126, -88.2053, NULL, NULL),
('262321654', 'W12023624', 'W12023624', 'ILCHIGSTD', 'Chagoya Pediatrics', 'Pablo', 'E', 'Chagoya', 'MD', 'Pediatrics', '', '', NULL, 'O', '6545 Cermak Rd', 'Berwyn', 'Cook', 'IL', '60402', '7087880077', '7087885620', '6545 Cermak Rd', 'Berwyn', 'Cook', 'IL', '60402', '7087880077', '7087885620', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1720313240', 0, 'N', 0, '2013-04-26', NULL, NULL, 41.8506, -87.7876, NULL, NULL),
('300124169', 'W12023625', 'W12023625', 'ILCHIGSTD', 'Oscar R Linares', 'Oscar', 'Roberto', 'Linares', 'MD', 'Pediatrics', '', '', NULL, 'O', '6545 Cermak Rd', 'Berwyn', 'Cook', 'IL', '60402', '7087880077', '7087885620', '6545 Cermak Rd', 'Berwyn', 'Cook', 'IL', '60402', '7087880077', '7087885620', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790797066', 0, 'N', 0, '2012-12-19', NULL, NULL, 41.8506, -87.7876, NULL, NULL),
('300124169', 'W12023626', 'W12023626', 'ILCHIGSTD', 'Oscar R Linares', 'Oscar', 'Roberto', 'Linares', 'MD', 'Pediatrics', '', '', NULL, 'B', 'PO Box 336', 'Berwyn', 'Cook', 'IL', '60402', '7087880077', '7087885620', 'PO Box 336', 'Berwyn', 'Cook', 'IL', '60402', '7087880077', '7087885620', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790797066', 0, 'N', 0, '2012-12-19', NULL, NULL, 0, 0, NULL, NULL),
('820471484', 'W12023627', 'W12023627', 'ID01', 'Kuna Family Medical Clinic', 'Mark', 'E', 'Sanders', '', 'Family Practice', '', '', NULL, 'O', '708 E Wythe Creek Ct Ste 103', 'Kuna', 'Ada', 'ID', '83634', '2089225130', '2089225132', '708 E Wythe Creek Ct Ste 103', 'Kuna', 'Ada', 'ID', '83634', '2089225130', '2089225132', 'IDSTD', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1821351438', 0, 'N', 0, '2012-10-12', NULL, NULL, 43.4877, -116.405, NULL, NULL),
('820471484', 'W12023628', 'W12023628', 'ID01', 'Kuna Family Medical Clinic', 'Mark', 'E', 'Sanders', '', 'Family Practice', '', '', NULL, 'B', 'PO Box 68', 'Kuna', 'Ada', 'ID', '83634', '2089225130', '2089225132', 'PO Box 68', 'Kuna', 'Ada', 'ID', '83634', '2089225130', '2089225132', 'IDSTD', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2012-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1821351438', 0, 'N', 0, '2012-10-12', NULL, NULL, 0, 0, NULL, NULL),
('363034600', 'W12023631', 'W12023631', 'ILCHIGSTD', 'Viswanatham Susarla MD', 'Viswanatham', '', 'Susarla', 'MD', 'Internal Medicine', '', '', NULL, 'O', '2425 Royal Blvd', 'Elgin', 'Kane', 'IL', '60123', '8472898555', '8472898558', '2425 Royal Blvd', 'Elgin', 'Kane', 'IL', '60123', '8472898555', '8472898558', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Presence Saint Joseph Hospital Elgin', NULL, '', '', 'HCFA|UB|', '1922014315', 0, 'N', 0, '2013-05-24', NULL, NULL, 42.0515, -88.337, NULL, NULL),
('363034600', 'W12023630', 'W12023630', 'ILCHIGSTD', '', 'Viswanatham', '', 'Susarla', 'MD', 'Internal Medicine', '', '', NULL, 'O', '860 Summit St Ste 123', 'Elgin', 'Kane', 'IL', '60120', '8477410026', '8477410027', '860 Summit St Ste 123', 'Elgin', 'Kane', 'IL', '60120', '8477410026', '8477410027', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Presence Saint Joseph Hospital Elgin', NULL, '', '', 'HCFA|UB|', '1922014315', 0, 'N', 0, '2012-12-20', NULL, NULL, 42.0464, -88.2582, NULL, NULL),
('830258707', 'W12023632', 'W12023632', 'WY01', 'Wyoming Surgical Associates', 'Vitoria', 'C', 'Deitchler', 'PA', 'General Surgery', '', '', NULL, 'O', '419 S Washington St Ste 102', 'Casper', 'Natrona', 'WY', '82601', '3075774220', '3072350931', '419 S Washington St Ste 102', 'Casper', 'Natrona', 'WY', '82601', '3075774220', '3072350931', '', '', '', '0.00', '12.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Wyoming Medical Center', '', '', '', 'HCFA|UB|', '1932458262', 0, 'N', 0, '2012-12-28', NULL, NULL, 42.8464, -106.31, NULL, NULL),
('830258707', 'W12023633', 'W12023633', 'WYT2', 'Wyoming Surgical Associates', 'Vitoria', 'C', 'Deitchler', 'PA', 'General Surgery', '', '', NULL, 'O', '419 S Washington St Ste 102', 'Casper', 'Natrona', 'WY', '82601', '3075774220', '3072350931', '419 S Washington St Ste 102', 'Casper', 'Natrona', 'WY', '82601', '3075774220', '3072350931', '', '', '', '0.00', '12.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Wyoming Medical Center', '', '', '', 'HCFA|UB|', '1932458262', 0, 'N', 0, '2012-12-28', NULL, NULL, 0, 0, NULL, NULL),
('363034600', 'W12023635', 'W12023635', 'ILCHIGSTD', 'Savitha Susarla MD', 'Savitha', '', 'Susarla', 'DO', 'Internal Medicine', '', '', NULL, 'O', '2425 Royal Blvd', 'Elgin', 'Kane', 'IL', '60123', '8472898555', '8472898558', '2425 Royal Blvd', 'Elgin', 'Kane', 'IL', '60123', '8472898555', '8472898558', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Presence Saint Joseph Hospital Elgin', NULL, NULL, NULL, 'HCFA|UB|', '1518976323', 0, 'N', 0, '2013-05-24', NULL, NULL, 42.0515, -88.337, NULL, NULL),
('363034600', 'W12023634', 'W12023634', 'ILCHIGSTD', '', 'Savitha', '', 'Susarla', 'DO', 'Internal Medicine', '', '', NULL, 'O', '860 Summit St Ste 123', 'Elgin', 'Kane', 'IL', '60120', '8477410026', '8477410027', '860 Summit St Ste 123', 'Elgin', 'Kane', 'IL', '60120', '8477410026', '8477410027', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, 'Presence Saint Joseph Hospital Elgin', NULL, NULL, NULL, 'HCFA|UB|', '1518976323', 0, 'N', 0, '2013-04-26', NULL, NULL, 42.0464, -88.2582, NULL, NULL),
('200066367', 'W12023629', 'W12023629', 'ILCHIGSTD', 'Milestone Pediatrics', 'James', 'R', 'Pera', 'MD', 'Pediatrics', '', '', NULL, 'O', '4043 S Route 59', 'Naperville', 'Will', 'IL', '60564', '6304204275', '6304208957', '4043 S Route 59', 'Naperville', 'Will', 'IL', '60564', '6304204275', '6304208957', 'CHIG11', 'CHIHCPCS13', '', '0.00', '40.00', '0.00', 3, '2013-01-01', '2013-04-02', 0, 0, 0, 'Edward Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1851335053', 0, 'N', 0, '2013-04-03', NULL, NULL, 41.7126, -88.2053, NULL, NULL),
('870354442', 'W12023637', 'W12023637', 'UT01', 'Rocky Mountain Womens Health Center ', 'Jennifer ', 'L', 'Evans', 'NP', 'Obstetrics and Gynecology', '', '', NULL, 'O', '3110 W 300 N Ste B', 'Clearfield', 'Davis', 'UT', '84015', '8016145271', NULL, '3110 W 300 N Ste B', 'Clearfield', 'Davis', 'UT', '84015', '8016145271', '          ', 'WRYMTWOM', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2013-01-01', '2014-04-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1174784367', 0, 'N', 0, '2012-12-28', NULL, NULL, 41.1181, -112.086, NULL, NULL),
('870354442', 'W12023638', 'W12023638', 'UT01', 'Rocky Mountain Womens Health Center ', 'Jennifer ', 'L', 'Evans', 'NP', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 844839', 'Dallas', 'Dallas', 'TX', '75284', '8016145271', NULL, 'PO Box 844839', 'Dallas', 'Dallas', 'TX', '75284', '8016145271', '          ', 'WRYMTWOM', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2013-01-01', '2014-04-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1174784367', 0, 'N', 0, '2012-12-28', NULL, NULL, 0, 0, NULL, NULL),
('528512299', 'W12023639', 'W12023639', 'UTMH1', 'Preferred Family Clinic', 'Laura', 'L', 'Morris', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'O', '1355 N University Ave Ste 200', 'Provo', 'Utah', 'UT', '84604', '8012210223', '8012210291', '1355 N University Ave Ste 200', 'Provo', 'Utah', 'UT', '84604', '8012210223', '8012210291', 'ma', '', '', '0.00', '35.00', '0.00', 3, '2013-01-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1831453679', 0, 'N', 0, '2012-12-28', NULL, NULL, 0, 0, NULL, NULL),
('800772179', 'W12023641', 'W12023641', 'UT01', 'Parkway Foot & Ankle', 'Darin', 'G', 'Gambles', 'DPM', 'Podiatry', '', '', NULL, 'O', '10 S 100 W Ste B', 'Preston', 'Franklin', 'ID', '83263', '2088522585', '2087859952', '10 S 100 W Ste B', 'Preston', 'Franklin', 'ID', '83263', '2088522585', '2087859952', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790768174', 0, 'N', 0, '2012-12-28', NULL, NULL, 42.0961, -111.879, NULL, NULL),
('800772179', 'W12023640', 'W12023640', 'UT01', 'Parkway Foot & Ankle', 'Darin', 'G', 'Gambles', 'DPM', 'Podiatry', '', '', NULL, 'O', '1495 Parkway Dr Ste B', 'Blackfoot', 'Bingham', 'ID', '83221', '2087852555', '2087859952', '1495 Parkway Dr Ste B', 'Blackfoot', 'Bingham', 'ID', '83221', '2087852555', '2087859952', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790768174', 0, 'Y', 0, '2012-12-28', NULL, NULL, 43.1978, -112.358, NULL, NULL),
('900090045', 'W12023642', 'W12023642', 'TXHOUSTD', 'Trung N Le MD', 'Trung', 'Nguyen', 'Le', 'MD', 'Family Practice', '', '', NULL, 'O', '2410 Ella Blvd Ste A', 'Houston', 'Harris', 'TX', '77008', '7134266930', '7134266983', '2410 Ella Blvd Ste A', 'Houston', 'Harris', 'TX', '77008', '7134266930', '7134266983', 'HOUSTON1', 'TXHCPC13', '', '0.00', '45.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1659336931', 0, 'N', 0, '2013-06-04', NULL, NULL, 29.8078, -95.4292, NULL, NULL),
('271632335', 'W12023643', 'W12023643', 'TXHOUSTD', 'Advanced Womens Healthcare', 'Joseph', 'Lee', 'Petty', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '22999 Hwy 59 N Ste 250', 'Kingwood', 'Harris', 'TX', '77339', '2813124425', '2813124435', '22999 Hwy 59 N Ste 250', 'Kingwood', 'Harris', 'TX', '77339', '2813124425', '2813124435', 'HOUSTON3', 'TXHCPC13', '', '0.00', '45.00', '0.00', 3, '2013-01-01', '2013-11-30', 0, 0, 0, 'Kingwood Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1649461211', 0, 'N', 0, '2013-12-03', NULL, NULL, 30.0528, -95.256, NULL, NULL),
('200209286', 'W12023647', 'W12023647', 'TXHOUSTD', 'Ayub Hussain MD', 'Ayub', '', 'Hussain', 'MD', 'Gastroenterology', '', '', NULL, 'O', '18220 Tomball Pkwy Ste 310', 'Houston', 'Harris', 'TX', '77070', '2814779305', '2814779319', '18220 Tomball Pkwy Ste 310', 'Houston', 'Harris', 'TX', '77070', '2814779305', '2814779319', 'HOUSTON4', 'TXHCPC13', '', '0.00', '45.00', '0.00', 3, '2013-07-01', NULL, 0, 0, 0, 'Houston Methodist Willowbrook Hospital', NULL, '', '', 'HCFA|UB|', '1538279468', 0, 'N', 0, '2013-06-04', NULL, NULL, 29.9641, -95.5508, NULL, NULL),
('200209286', 'W12023648', 'W12023648', 'TXHOUSTD', '', 'Ayub', '', 'Hussain', 'MD', 'Gastroenterology', '', '', NULL, 'O', '21212 N W Freeway Ste 625', 'Cypress', 'Harris', 'TX', '77429', '2814779305', '2814779319', '21212 N W Freeway Ste 625', 'Cypress', 'Harris', 'TX', '77429', '2814779305', '2814779319', 'HOUSTON4', 'TXHCPC13', '', '0.00', '45.00', '0.00', 3, '2013-07-01', NULL, 0, 0, 0, 'Houston Methodist Willowbrook Hospital', NULL, '', '', 'HCFA|UB|', '1538279468', 0, 'N', 0, '2013-05-21', NULL, NULL, 29.9265, -95.6349, NULL, NULL),
('870281028', 'W12020146', 'W12020146', 'UT01', 'Central Utah Clinic PC', 'Randall', '', 'Pace', 'MD', 'Family Practice', '', '', NULL, 'B', '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013548225', '8014180941', '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013548225', '8014180941', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2012-11-01', NULL, 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1932337466', 0, 'N', 0, '2013-04-10', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'W12020144', 'W12020144', 'UT01', 'Central Utah Clinic PC', 'Randall', '', 'Pace', 'MD', 'Family Practice', '', '', NULL, '', '173 N 400 W', 'Orem', 'Utah', 'UT', '84058', '8018027373', '8018027733', '173 N 400 W', 'Orem', 'Utah', 'UT', '84058', '8018027373', '8018027733', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2012-11-01', NULL, 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1932337466', 0, 'N', 0, '2013-04-10', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'W12020145', 'W12020145', 'UT01', 'Central Utah Clinic PC', 'Randall', '', 'Pace', 'MD', 'Family Practice', '', '', NULL, 'B', 'PO Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8013758858', '8014298180', 'PO Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8013758858', '8014298180', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2012-11-01', NULL, 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1932337466', 0, 'N', 0, '2013-04-10', NULL, NULL, 0, 0, NULL, NULL),
('454037502', 'W12023651', 'W12023651', 'WY01', 'Valley Vision Center', 'Travis', 'J', 'Shelton', 'OD', 'Optometry', '', '', NULL, 'O', '106 S Main St', 'Lyman', 'Uinta', 'WY', '82937', '3077876123', '3077873351', '106 S Main St', 'Lyman', 'Uinta', 'WY', '82937', '3077876123', '3077873351', 'WYSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-12-27', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1639440019', 0, 'N', 0, '2013-10-16', NULL, NULL, 41.3274, -110.293, NULL, NULL),
('454037502', 'W12023653', 'W12023653', 'WY01', 'Valley Vision Center', 'Travis', 'J', 'Shelton', 'OD', 'Optometry', '', '', NULL, 'B', 'PO Box 429', 'Lyman', 'Uinta', 'WY', '82937', '3077876123', '3077873351', 'PO Box 429', 'Lyman', 'Uinta', 'WY', '82937', '3077876123', '3077873351', 'WYSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-12-27', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1639440019', 0, 'N', 0, '2013-10-16', NULL, NULL, 0, 0, NULL, NULL),
('454037502', 'W12023652', 'W12023652', 'WYT1', 'Valley Vision Center', 'Travis', 'J', 'Shelton', 'OD', 'Optometry', '', '', NULL, 'O', '106 S Main St', 'Lyman', 'Uinta', 'WY', '82937', '3077876123', '3077873351', '106 S Main St', 'Lyman', 'Uinta', 'WY', '82937', '3077876123', '3077873351', 'WYSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-12-27', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1639440019', 0, 'N', 0, '2013-10-16', NULL, NULL, 0, 0, NULL, NULL),
('454037502', 'W12023654', 'W12023654', 'WYT1', 'Valley Vision Center', 'Travis', 'J', 'Shelton', 'OD', 'Optometry', '', '', NULL, 'B', 'PO Box 429', 'Lyman', 'Uinta', 'WY', '82937', '3077876123', '3077873351', 'PO Box 429', 'Lyman', 'Uinta', 'WY', '82937', '3077876123', '3077873351', 'WYSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2012-12-27', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1639440019', 0, 'N', 0, '2013-10-16', NULL, NULL, 0, 0, NULL, NULL),
('800703995', 'W12023655', 'W12023655', 'UT01', 'University Health Care', '', '', 'Neurostimulation Services', 'Group', 'Mental Health Facility', '', '', NULL, 'O', '501 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015851575', NULL, '501 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015851575', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2012-09-20', NULL, 1, 0, 0, '', '', '', '', 'HCFA|UB|', '1083913792', 0, 'N', 0, '2012-10-09', NULL, NULL, 40.757, -111.824, NULL, NULL),
('800703995', 'W12023657', 'W12023657', 'UT01', 'Neurostimulation Services', '', '', 'Neurostimulation Services', 'Group', 'Mental Health Facility', '', '', NULL, 'B', 'PO Box 413076', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133900', NULL, 'PO Box 413076', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133900', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2012-09-20', NULL, 1, 0, 0, '', '', '', '', 'HCFA|UB|', '1083913792', 0, 'N', 0, '2012-10-09', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W12023659', 'W12023659', 'UT01', 'University of Utah Emergency Physicians', '', '', 'University of Utah Emergency Physicians', 'GROUP', 'Emergency Medicine', '', '', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2012-09-20', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009310', 0, 'N', 0, '2012-10-09', NULL, NULL, 40.7685, -111.837, NULL, NULL),
('870516264', 'W12023844', 'W12023844', 'UT01', 'Utah Surgical Associates Inc', 'Karl', 'M', 'Francis', 'MD', 'General Surgery', '', '', NULL, 'O', '3550 N University Ave Ste 250', 'Provo', 'Utah', 'UT', '84604', '8013749625', NULL, '3550 N University Ave Ste 250', 'Provo', 'Utah', 'UT', '84604', '8013749625', '          ', 'UTCTYSURG', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2012-10-01', NULL, 0, 0, 0, 'Mountain View Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1669521571', 0, 'N', 0, '2013-05-06', NULL, NULL, 40.2813, -111.658, NULL, NULL),
('870525882', 'W12023644', 'W12023644', 'UT01', 'Mountain View Anesthesia ', 'Angela', '', 'Salerno', 'CRNA', 'Anesthesiology', '', '', NULL, 'B', 'PO Box 3750', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8014322648', '8014322668', 'PO Box 3750', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8014322648', '8014322668', '', '', '', '0.00', '23.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1538423058', 0, 'N', 0, '2013-06-04', NULL, NULL, 0, 0, NULL, NULL),
('870525882', 'W12023660', 'W12023660', 'UT01', 'Mountain View Anesthesia', 'Jerry ', 'A', 'Hadlock', 'CRNA', 'Anesthesiology', '', '', NULL, 'B', 'PO Box 3750', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8014322648', '8014322668', 'PO Box 3750', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8014322648', '8014322668', '', '', '', '0.00', '23.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1487904298', 0, 'N', 0, '2012-12-28', NULL, NULL, 0, 0, NULL, NULL),
('760598582', 'W12023661', 'W12023661', 'TXHOUSTD', 'Barlas Enterprises', 'Zeba', '', 'Barlas', 'MD', 'Family Practice', '', '', NULL, 'O', '4407 W Fuqua Ste A', 'Houston', 'Harris', 'TX', '77045', '7134332500', '7134333513', '4407 W Fuqua Ste A', 'Houston', 'Harris', 'TX', '77045', '7134332500', '7134333513', '', '', '', '0.00', '100.00', '0.00', 3, '2030-01-01', '2030-01-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1285642546', 0, 'N', 1, '2012-12-27', NULL, NULL, 0, 0, NULL, NULL),
('205898813', 'W12023662', 'W12023662', 'IDBOISTD', 'Initial Point Family Medicine', 'Yelena', '', 'Rudyi', 'NP', 'Family Practice', '', '', NULL, 'O', '2640 S Eagle Rd', 'Meridian', 'Ada', 'ID', '83642', '2088840835', '2088844794', '2640 S Eagle Rd', 'Meridian', 'Ada', 'ID', '83642', '2088840835', '2088844794', 'IDPCPEM5', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2013-02-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1265710776', 0, 'N', 0, '2013-01-09', NULL, NULL, 43.5807, -116.354, NULL, NULL),
('204974140', 'W12023663', 'W12023663', 'WY01', 'Rocky Mountain Vein Clinic ', 'Jennifer', 'L', 'Williams', 'PA', 'Internal Medicine', '', '', NULL, 'O', '125 W Yellowstone Ave', 'Cody', 'Park', 'WY', '82414', '3075277129', '3075877394', '125 W Yellowstone Ave', 'Cody', 'Park', 'WY', '82414', '3075277129', '3075877394', '', '', '', '0.00', '7.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB||', '1679652010', 0, 'N', 0, '2012-12-28', NULL, NULL, 44.5145, -109.1, NULL, NULL),
('204974140', 'W12023665', 'W12023665', 'WY01', 'Rocky Mountain Vein Clinic ', 'Jennifer', 'L', 'Williams', 'PA', 'Internal Medicine', '', '', NULL, 'O', '2820 Central Ave Ste A', 'Billings', 'Yellowstone', 'MT', '59102', '4062528346', '4066568303', '2820 Central Ave Ste A', 'Billings', 'Yellowstone', 'MT', '59102', '4062528346', '4066568303', '', '', '', '0.00', '7.00', '0.00', 3, '2013-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB||', '1679652010', 0, 'N', 0, '2012-12-28', NULL, NULL, 45.7697, -108.587, NULL, NULL);
