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
('237268471', 'W12009213', 'W12009213', 'UT01', 'University Radiology Associates', 'Bhasker', 'R', 'Koppula', 'MD', 'Diagnostic Radiology', '', '', NULL, 'B', 'PO Box 413025', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413025', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-09-11', '2012-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1417033267', 0, 'N', 0, '2012-08-02', NULL, NULL, 0, 0, NULL, NULL),
('320186101', 'W12009207', 'W12009207', 'UT01', 'University Health Care', 'Wilson', '', 'King', 'MD', 'Pediatric Cardiology', '', '', NULL, 'O', '3773  S 12600 S', 'Riverton', 'Salt Lake', 'UT', '84065', '8012854000', NULL, '3773  S 12600 S', 'Riverton', 'Salt Lake', 'UT', '84065', '8012854000', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2010-08-15', '2011-04-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1982820338', 0, 'N', 0, '2013-01-22', NULL, NULL, 0, 0, NULL, NULL),
('320186101', 'W12009206', 'W12009206', 'UT01', 'U of U Pediatric Diagnostic Cardiology', 'Wilson', '', 'King', 'MD', 'Pediatric Cardiology', '', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2010-08-15', '2011-04-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1982820338', 0, 'N', 0, '2013-01-22', NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W12009204', 'W12009204', 'UT01', 'University Health Care', 'Helen', 'E', 'Hong', 'MD', 'Cardiovascular Disease', '', '', NULL, 'O', '100 Marrio Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625400', NULL, '100 Marrio Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625400', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-09-13', '2012-08-29', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1760593214', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W12009203', 'W12009203', 'UT01', 'U-U Cardiology Division', 'Helen', 'E', 'Hong', 'MD', 'Cardiovascular Disease', '', '', NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-09-13', '2012-08-29', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1760593214', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870685140', 'W12009201', 'W12009201', 'UT01', 'University Health Care', 'Megan', 'A', 'Farley', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'O', '650 S Komas Dr Ste 208', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015851212', NULL, '650 S Komas Dr Ste 208', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015851212', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2010-09-14', '2012-09-18', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790012136', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('870685140', 'W12009200', 'W12009200', 'UT01', 'UNI-Home Project-Psychiatric', 'Megan', 'A', 'Farley', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', 'PO Box 30294', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8015876688', NULL, 'PO Box 30294', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8015876688', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2010-09-14', '2012-09-18', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790012136', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W12009196', 'W12009196', 'UT01', 'University Health Care', 'Keith', 'L', 'Duffy', 'MD', 'Dermatology', '', '', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-07-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1770779050', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W12009195', 'W12009195', 'UT01', 'U-U Dermatology Division', 'Keith', 'L', 'Duffy', 'MD', 'Dermatology', '', '', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-07-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1770779050', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870521827', 'W12008973', 'W12008973', 'UT01', 'University Health Care Neuropsychiatric Institute', 'Lowry', 'A', 'Bushnell', 'MD', 'Mental Health', 'Psychiatry', '', 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, '2012-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|', '1285692780', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870521827', 'W12009191', 'W12009191', 'UT01', 'University Health Care Neuropsychiatric Institute', 'Lowry', 'A', 'Bushnell', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', 'PO Box 30294', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8015876688', NULL, 'PO Box 30294', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8015876688', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2012-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|', '1285692780', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('710920170', 'W12009187', 'W12009187', 'UT01', 'University Health Care', 'Howard', '', 'Colman', 'MD', 'Neurology', '', '', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816909', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816909', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-09-13', '2012-08-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1437258498', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('710920170', 'W12009188', 'W12009188', 'UT01', 'Medical Neuroscience', 'Howard', '', 'Colman', 'MD', 'Neurology', '', '', NULL, 'B', 'PO Box 413030', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413030', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-09-13', '2012-08-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1437258498', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('743134252', 'W12009184', 'W12009184', 'UT01', 'University Health Care', 'Ashley', 'A', 'Warnock', 'MD', 'Pediatrics', '', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882000', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2010-09-01', '2012-07-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114117348', 0, 'N', 0, '2012-07-31', NULL, NULL, 0, 0, NULL, NULL),
('743134252', 'W12009185', 'W12009185', 'UT01', 'Pediatric Genetics-Department of University of Utah', 'Ashley', 'A', 'Warnock', 'MD', 'Pediatrics', '', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2010-09-01', '2012-07-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114117348', 0, 'N', 0, '2012-07-31', NULL, NULL, 0, 0, NULL, NULL),
('300638000', 'W12009181', 'W12009181', 'UT01', 'University Health Care', 'Jeffrey', 'R', 'VanBlarcom', 'MD', 'Pediatrics', '', '', NULL, 'O', '3741 W 126000 S', 'Riverton', 'Salt Lake', 'UT', '84065', '8012854000', NULL, '3741 W 126000 S', 'Riverton', 'Salt Lake', 'UT', '84065', '8012854000', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-09-19', '2012-07-24', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1194804666', 0, 'N', 0, '2013-01-22', NULL, NULL, 0, 0, NULL, NULL),
('300638000', 'W12009182', 'W12009182', 'UT01', 'Pediatric Inpatient Services Riverton', 'Jeffrey', 'R', 'VanBlarcom', 'MD', 'Pediatrics', '', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-09-19', '2012-07-24', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1194804666', 0, 'N', 0, '2013-01-22', NULL, NULL, 0, 0, NULL, NULL),
('300638000', 'W12009177', 'W12009177', 'UT01', 'University Health Care', 'Andrew', 'G', 'Smith', 'MD', 'Pediatrics', '', '', NULL, 'O', '3741 W 126000 S', 'Riverton', 'Salt Lake', 'UT', '84065', '8012854000', NULL, '3741 W 126000 S', 'Riverton', 'Salt Lake', 'UT', '84065', '8012854000', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2010-08-22', '2012-07-24', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1033111810', 0, 'N', 0, '2013-01-22', NULL, NULL, 0, 0, NULL, NULL),
('300638000', 'W12009176', 'W12009176', 'UT01', 'Pediatric Inpatient Services Riverton', 'Andrew', 'G', 'Smith', 'MD', 'Pediatrics', '', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2010-08-22', '2012-07-24', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1033111810', 0, 'N', 0, '2013-01-22', NULL, NULL, 0, 0, NULL, NULL),
('237268471', 'W12009152', 'W12009152', 'UT01', 'University Health Care', 'Hyo-Chun', '', 'Yoon', 'MD', 'Diagnostic Radiology', '', '', NULL, 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817553', '8015850520', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817553', '8015850520', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1245320837', 0, 'N', 0, '2012-08-02', NULL, NULL, 0, 0, NULL, NULL),
('237268471', 'W12009151', 'W12009151', 'UT01', 'University Radiology Associates', 'Hyo-Chun', '', 'Yoon', 'MD', 'Diagnostic Radiology', '', '', NULL, 'B', 'PO Box 413025', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413025', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1245320837', 0, 'N', 0, '2012-08-02', NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W12009147', 'W12009147', 'UT01', 'Huntsman Cancer Hospital', 'Andy', '', 'Nguyen', 'MD', 'Internal Medicine', '', '', NULL, 'O', '1950 Cir Of Hope Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', NULL, '1950 Cir Of Hope Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-07-01', '2012-08-27', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1033362694', 0, 'N', 0, '2012-08-28', NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W12009146', 'W12009146', 'UT01', 'U-U Hematology / Oncology Division', 'Andy', '', 'Nguyen', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-07-01', '2012-08-27', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1033362694', 0, 'N', 0, '2012-08-28', NULL, NULL, 0, 0, NULL, NULL),
('352381020', 'W12009774', 'W12009774', 'UT01', 'University of Utah', 'Kasey', 'D', 'Mitchell', 'OTR', 'Occupational Therapy', '', '', NULL, 'B', '520 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', NULL, '520 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-10-07', '2012-09-18', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073827572', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('352381020', 'W12009775', 'W12009775', 'UT01', 'University of Utah', 'Kasey', 'D', 'Mitchell', 'OTR', 'Occupational Therapy', '', '', NULL, 'O', '540 Arapeen Dr Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', NULL, '540 Arapeen Dr Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-10-07', '2012-09-18', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1073827572', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('352381020', 'W12009778', 'W12009778', 'UT01', 'University of Utah', 'Bradley', 'D', 'Freestone', 'OD', 'Optometry', '', '', NULL, 'B', '520 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', NULL, '520 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2011-02-10', '2012-09-18', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1134133960', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('352381020', 'W12009777', 'W12009777', 'UT01', 'University of Utah', 'Bradley', 'D', 'Freestone', 'OD', 'Optometry', '', '', NULL, 'O', '540 Arapeen Dr Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', NULL, '540 Arapeen Dr Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2011-02-10', '2012-09-18', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1134133960', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('352381020', 'W12009782', 'W12009782', 'UT01', 'Division of Occupational Therapy University of Utah', '', '', 'Division of Occupational Therapy University of Utah', 'Group', 'Clinics', '', '', NULL, 'B', '520 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', NULL, '520 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015857448', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-12-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1700186699', 0, 'N', 0, '2011-04-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W12011936', 'W12011936', 'UTIHCPHY', 'Memorial Clinic', 'Leah', '', 'Costello', 'MD', 'Pediatrics', '', '', NULL, 'O', '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8014647500', '8014647876', '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8014647500', '8014647876', 'USTDMULT', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 8, '2010-08-16', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326292269', 0, 'N', 0, '2011-06-22', NULL, NULL, 40.7267, -111.865, NULL, NULL),
('870281028', 'W12009792', 'W12009792', 'UT01', 'Central Utah Clinic PC', 'John', 'F', 'Boyle', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'M', '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013548225', '8014298150', '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013548225', '8014298150', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2011-03-01', NULL, 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital', NULL, NULL, 'HCFA|UB|', '1154489698', 0, 'N', 0, '2013-09-20', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'W12009793', 'W12009793', 'UT01', 'Central Utah Clinic PC', 'John', 'F', 'Boyle', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '230 N Hospital Dr Ste 2', 'Price', 'Carbon', 'UT', '84501', '4356370474', '4356375052', '230 N Hospital Dr Ste 2', 'Price', 'Carbon', 'UT', '84501', '4356370474', '4356375052', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2011-03-01', NULL, 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital', NULL, NULL, 'HCFA|UB|', '1154489698', 0, 'N', 0, '2013-09-20', NULL, NULL, 39.6039, -110.831, NULL, NULL),
('870281028', 'W12009794', 'W12009794', 'UT01', 'Central Utah Clinic PC', 'John', 'F', 'Boyle', 'MD', 'Orthopedic Surgery', NULL, NULL, 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, '2011-03-01', NULL, 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital', NULL, NULL, 'HCFA|UB|', '1154489698', 0, 'N', 0, '2013-09-20', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'W12009795', 'W12009795', 'UT01', 'Central Utah Clinic Rheumatology', 'Malgorzata', '', 'Hanczyc', 'MD', 'Rheumatology', '', '', NULL, 'O', '1055 N 500 W Ste Ste 205', 'Provo', 'Utah', 'UT', '84604', '8014298095', NULL, '1055 N 500 W Ste Ste 205', 'Provo', 'Utah', 'UT', '84604', '8014298095', '          ', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2011-03-01', '2012-04-17', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1467765735', 0, 'N', 0, '2013-04-16', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'W12009796', 'W12009796', 'UT01', 'Central Utah Clinic', 'Malgorzata', '', 'Hanczyc', 'MD', 'Rheumatology', '', '', NULL, 'B', 'Po Box 30079 Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8013758858', '8014290629', 'Po Box 30079 Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8013758858', '8014290629', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2011-03-01', '2012-04-17', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1467765735', 0, 'N', 0, '2013-04-16', NULL, NULL, 0, 0, NULL, NULL),
('841624968', 'W12009797', 'W12009797', 'UTDT01', 'Wasatch Gentle Dental', 'Andrew', '', 'Smith', 'DMD', 'Dentist', '', '', NULL, 'O', '6040 S Fashion Blvd Ste 100', 'Murray', 'Salt Lake', 'UT', '84107', '8012626661', NULL, '6040 S Fashion Blvd Ste 100', 'Murray', 'Salt Lake', 'UT', '84107', '8012626661', '          ', 'UT000A', '', '', '0.00', '20.00', '0.00', 8, '2011-01-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '0000008753', 0, 'N', 0, '2011-04-14', NULL, NULL, 0, 0, NULL, NULL),
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('870281028', 'W12009813', 'W12009813', 'UT01', 'Central Utah Clinic', '', '', 'Central Utah Clinic', 'GROUP', 'Internal Medicine', '', '', NULL, 'B', 'Po Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8013758858', NULL, 'Po Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8013758858', '          ', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2011-03-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005617', 0, 'Y', 0, '2012-11-26', NULL, NULL, 0, 0, NULL, NULL),
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('870281028', 'W12009816', 'W12009816', 'UT01', 'Central Utah Clinic PC', 'Nancy', 'R', 'Davis', 'NP', 'Family Practice', '', '', NULL, 'O', '736 S 900 E Ste 203', 'St George', 'Washington', 'UT', '84790', '4356736131', '4356738557', '736 S 900 E Ste 203', 'St George', 'Washington', 'UT', '84790', '4356736131', '4356738557', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2011-03-01', NULL, 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1821101288', 0, 'N', 0, '2013-03-30', NULL, NULL, 37.0956, -113.564, NULL, NULL),
('870281028', 'W12009817', 'W12009817', 'UT01', 'Central Utah Clinic PC', 'Nancy', 'R', 'Davis', 'NP', 'Family Practice', '', '', NULL, 'B', 'Po Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '4356736131', '4356738557', 'Po Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '4356736131', '4356738557', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2011-03-01', NULL, 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1821101288', 0, 'Y', 0, '2013-03-30', NULL, NULL, 0, 0, NULL, NULL),
('273507603', 'W12009818', 'W12009818', 'UT01', 'K2 Foot and Ankle ', 'Stanton', 'M', 'Smith', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '5770 S 250 E Ste 415', 'Murray', 'Salt Lake', 'UT', '84107', '8013145400', '8013145409', '5770 S 250 E Ste 415', 'Murray', 'Salt Lake', 'UT', '84107', '8013145400', '8013145409', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2011-01-01', NULL, 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1043283856', 0, 'N', 0, '2013-08-21', NULL, NULL, 40.6452, -111.884, NULL, NULL),
('870281028', 'W12009819', 'W12009819', 'UT01', 'Central Utah Clinic PC', 'Wynn', 'H', 'Hemmert', 'MD', 'Gastroenterology', '', '', NULL, 'B', 'Po Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8013758858', NULL, 'Po Box 30079', 'Salt Lake City', 'Salt Lake', 'UT', '84130', '8013758858', '          ', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2010-03-01', '2012-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003874736', 0, 'Y', 0, '2013-09-06', NULL, NULL, 0, 0, NULL, NULL),
('522828100', 'W12009820', 'W12009820', 'UTMH1', '', 'Bryan', 'D', 'Bingham', 'LMFT', 'Mental Health', 'Marriage and Family Therapy', '', NULL, 'O', '836 S Main St Ste 210', 'Layton', 'Davis', 'UT', '84041', '8015892438', NULL, '836 S Main St Ste 210', 'Layton', 'Davis', 'UT', '84041', '8015892438', '', 'MA', '', '', '0.00', '35.00', '0.00', 3, '2011-04-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1164508487', 0, 'N', 0, '2014-05-28', NULL, NULL, 0, 0, NULL, NULL),
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('205934739', 'W12009823', 'W12009823', 'ID02', 'Family Residency of Idaho', 'Jennifer', 'R', 'Blackler', '', 'Family Practice', '', '', NULL, 'O', '121 E Fort St', 'Boise', 'Ada', 'ID', '83712', '2083816102', '2083811776', '121 E Fort St', 'Boise', 'Ada', 'ID', '83712', '2083816102', '2083811776', 'IDPPO', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2011-04-13', '2012-04-05', 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1588841621', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('205934739', 'W12009822', 'W12009822', 'ID02', 'Family Residency of Idaho', 'Jennifer', 'R', 'Blackler', '', 'Family Practice', '', '', NULL, 'O', '777 N Raymond St', 'Boise', 'Ada', 'ID', '83704', '2085142500', '2083227018', '777 N Raymond St', 'Boise', 'Ada', 'ID', '83704', '2085142500', '2083227018', 'IDPPO', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2011-04-13', '2012-04-05', 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1588841621', 0, 'N', 0, '2012-04-10', NULL, NULL, 0, 0, NULL, NULL),
('870373083', 'W12009824', 'W12009824', 'UT01', 'Heart and Lung Institute of Utah Inc', 'William', 'M', 'Brann', 'MD', 'Internal Medicine', '', '', NULL, 'O', '82 S 1100 E Ste 103', 'Salt Lake City', 'Salt Lake', 'UT', '84104', '8012632370', '8012651200', '82 S 1100 E Ste 103', 'Salt Lake City', 'Salt Lake', 'UT', '84104', '8012632370', '8012651200', 'WUSTDCARD5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2011-06-01', '2014-04-30', 0, 0, 0, 'Jordan Valley Medical Center', 'University Health Care University Hospital', 'Salt Lake Regional Medical Center', '', 'HCFA|UB|', '1912087826', 0, 'N', 0, '2014-07-25', NULL, NULL, 40.7676, -111.86, NULL, NULL),
('263325305', 'W12009825', 'W12009825', 'UTMH1', 'Life Mosaics Family Counseling', 'Barbara', 'J', 'Bronson', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'O', '1358 W Business Park Dr', 'Orem', 'Utah', 'UT', '84058', '8017703030', '8017702839', '1358 W Business Park Dr', 'Orem', 'Utah', 'UT', '84058', '8017703030', '8017702839', 'UTMA', '', '', '0.00', '35.00', '0.00', 3, '2011-02-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1841302056', 0, 'N', 0, '2013-09-13', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'W12009702', 'W12009702', 'UT01', 'Central Utah Clinic PC', 'Brent', '', 'Butler', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1055 N 500 W Ste 122', 'Provo', 'Utah', 'UT', '84604', '8014290610', '8014290629', '1055 N 500 W Ste 122', 'Provo', 'Utah', 'UT', '84604', '8014290610', '8014290629', 'WCUC', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2011-06-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1083720551', 0, 'N', 0, '2014-07-21', NULL, NULL, 40.248, -111.667, NULL, NULL),
('870658625', 'W12009826', 'W12009826', 'UT01', 'Wasatch Peak Family Practice', 'David', 'E', 'Butters', 'DO', 'Family Practice', '', '', NULL, 'O', '1580 W Antelope Dr Ste 200', 'Layton', 'Davis', 'UT', '84041', '8017734770', NULL, '1580 W Antelope Dr Ste 200', 'Layton', 'Davis', 'UT', '84041', '8017734770', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2011-04-11', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1932272598', 0, 'N', 0, '2011-05-24', NULL, NULL, 41.0893, -111.994, NULL, NULL),
('870476172', 'W12009836', 'W12009836', 'UTMH1', 'Shepherds Staff Christian Counseling Center', 'Lisa', 'A', 'Dixon', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'O', '575 23rd St', 'Ogden', 'Weber', 'UT', '84401', '8015619987', '8015619987', '575 23rd St', 'Ogden', 'Weber', 'UT', '84401', '8015619987', '8015619987', 'MA', '', '', '0.00', '35.00', '0.00', 3, '2011-06-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407187149', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870476172', 'W12009837', 'W12009837', 'UTMH1', 'Christian Counseling Centers of Utah', 'Lisa', 'A', 'Dixon', 'LPC', 'Mental Health', 'Counseling', '', NULL, 'O', '731 E 8600 S', 'Sandy', 'Salt Lake', 'UT', '84094', '8015619987', '8015619987', '731 E 8600 S', 'Sandy', 'Salt Lake', 'UT', '84094', '8015619987', '8015619987', 'MA', '', '', '0.00', '35.00', '0.00', 3, '2011-06-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407187149', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870629575', 'W12009839', 'W12009839', 'UT01', 'Central Utah Pathology', 'Stanley', 'L', 'Gibbon', 'MD', 'Pathology', '', '', NULL, 'O', '1000 E 100 N', 'Payson', 'Utah', 'UT', '84651', '8014657080', '8014697020', '1000 E 100 N', 'Payson', 'Utah', 'UT', '84651', '8014657080', '8014697020', 'WUUVPN11', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2011-05-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1104872621', 0, 'Y', 0, '2011-06-29', NULL, NULL, 40.0446, -111.716, NULL, NULL),
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('870629575', 'W12009840', 'W12009840', 'UT01', 'Central Utah Pathology', 'Stanley', 'L', 'Gibbon', 'MD', 'Pathology', '', '', NULL, 'B', 'PO Box 276', 'Midvale', 'Salt Lake', 'UT', '84047', '8012630810', NULL, 'PO Box 276', 'Midvale', 'Salt Lake', 'UT', '84047', '8012630810', '          ', 'WUUVPN11', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2011-05-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1104872621', 0, 'N', 0, '2011-06-29', NULL, NULL, 0, 0, NULL, NULL),
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('876157946', 'W12009860', 'W12009860', 'UT01', 'University Ear, Nose, and Throat Associates', 'Kevin ', '', 'Wilson', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '8015853655', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '8015853655', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2010-07-01', '2012-09-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1780701003', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
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('274450635', 'W12009868', 'W12009868', 'UT01', '', 'Cynthia', '', 'Canga-Siao', 'MD', 'Internal Medicine', '', '', NULL, 'O', '415 Medical Dr Ste D201', 'Bountiful', 'Davis', 'UT', '84010', '8012982332', '8012989018', '415 Medical Dr Ste D201', 'Bountiful', 'Davis', 'UT', '84010', '8012982332', '8012989018', 'WISE+5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2011-04-04', '2012-12-31', 0, 0, 0, 'Lakeview Hospital', '', '', '', 'HCFA|UB|', '1669497558', 0, 'N', 0, '2014-03-05', NULL, NULL, 0, 0, NULL, NULL),
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('562302331', 'W12009875', 'W12009875', 'UT01', 'Central Utah Anesthesia', 'Janie', 'S', 'Christensen', 'CRNA', 'Nurse Anesthetist', '', '', NULL, 'B', '274 N Main St', 'Logan', 'Cache', 'UT', '84321', '4357531600', NULL, '274 N Main St', 'Logan', 'Cache', 'UT', '84321', '4357531600', '          ', 'WCUANES', '', '1000', '41.37', '20.00', '0.00', 6, '2011-05-01', '2012-04-30', 1, 12, 0, '', '', '', '', 'HCFA|UB|', '0000005696', 0, 'Y', 0, '2011-05-13', NULL, NULL, 0, 0, NULL, NULL),
('562302331', 'W12009876', 'W12009876', 'UT01', 'Central Utah Anesthesia', 'Janie', 'S', 'Christensen', 'CRNA', 'Nurse Anesthetist', '', '', NULL, 'B', '274 N Main St', 'Logan', 'Cache', 'UT', '84321', '4357531600', NULL, '274 N Main St', 'Logan', 'Cache', 'UT', '84321', '4357531600', '          ', 'WCUANES', '', '1000', '43.02', '20.00', '0.00', 6, '2012-05-01', NULL, 1, 12, 0, '', '', '', '', 'HCFA|UB|', '0000005696', 0, 'Y', 0, '2011-05-13', 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
('562302331', 'W12009877', 'W12009877', 'UT01', 'Central Utah Anesthesia', 'Kurt', 'L', 'Christensen', 'CRNA', 'Nurse Anesthetist', '', '', NULL, 'B', '274 N Main St', 'Logan', 'Cache', 'UT', '84321', '4357531600', NULL, '274 N Main St', 'Logan', 'Cache', 'UT', '84321', '4357531600', '          ', 'WCUANES', '', '1000', '41.37', '20.00', '0.00', 6, '2011-05-01', '2012-04-30', 1, 12, 0, '', '', '', '', 'HCFA|UB|', '0000005699', 0, 'Y', 0, '2013-10-24', NULL, NULL, 0, 0, NULL, NULL),
('562302331', 'W12009878', 'W12009878', 'UT01', 'Central Utah Anesthesia', 'Kurt', 'L', 'Christensen', 'CRNA', 'Nurse Anesthetist', '', '', NULL, 'B', '274 N Main St', 'Logan', 'Cache', 'UT', '84321', '4357531600', NULL, '274 N Main St', 'Logan', 'Cache', 'UT', '84321', '4357531600', '          ', 'WCUANES', '', '1000', '43.02', '20.00', '0.00', 6, '2012-05-01', NULL, 1, 12, 0, '', '', '', '', 'HCFA|UB|', '0000005699', 0, 'Y', 0, '2013-10-24', NULL, NULL, 0, 0, NULL, NULL),
('830234097', 'W12007973', 'W12007973', 'WY01', 'Orthopedic Specialists of Wyoming', 'Patricia ', 'A', 'Connally', 'DO', 'Family Practice', '', '', NULL, 'O', '501 S Burma Ave', 'Gillette', 'Campbell', 'WY', '82717', '3076883500', '3076883510', '501 S Burma Ave', 'Gillette', 'Campbell', 'WY', '82717', '3076883500', '3076883510', '', '', '5001', '0.00', '0.00', '0.00', 6, '2011-02-03', '2014-07-22', 0, 0, 0, 'Campbell County Memorial Hospital', '', '', '', 'HCFA|UB|', '1538142930', 0, 'N', 0, '2014-07-24', NULL, NULL, 44.2903, -105.52, NULL, NULL),
('830234097', 'W12007975', 'W12007975', 'WY01', 'Orthopedic Specialists of Wyoming', 'Patricia ', 'A', 'Connally', 'DO', 'Family Practice', '', '', NULL, 'B', 'PO Box 3011', 'Gillette', 'Campbell', 'WY', '82717', '3076883500', '3076883510', 'PO Box 3011', 'Gillette', 'Campbell', 'WY', '82717', '3076883500', '3076883510', '', '', '5001', '0.00', '0.00', '0.00', 6, '2011-02-03', '2013-08-31', 0, 0, 0, 'Campbell County Memorial Hospital', '', '', '', 'HCFA|UB|', '1538142930', 0, 'N', 0, '2014-07-21', NULL, NULL, 0, 0, NULL, NULL),
('830234097', 'W12007974', 'W12007974', 'WYWSBAIT', 'Orthopedic Specialists of Wyoming', 'Patricia ', 'A', 'Connally', 'DO', 'Family Practice', '', '', NULL, 'O', '501 S Burma Ave', 'Gillette', 'Campbell', 'WY', '82717', '3076883500', '3076883510', '501 S Burma Ave', 'Gillette', 'Campbell', 'WY', '82717', '3076883500', '3076883510', '', '', '5001A', '0.00', '0.00', '0.00', 3, '2011-02-03', '2011-06-30', 0, 0, 1, 'Campbell County Memorial Hospital', '', '', '', 'HCFA|UB|', '1538142930', 0, 'N', 0, '2014-07-21', NULL, NULL, 0, 0, NULL, NULL),
('830234097', 'W12007976', 'W12007976', 'WYWSBAIT', 'Orthopedic Specialists of Wyoming', 'Patricia ', 'A', 'Connally', 'DO', 'Family Practice', '', '', NULL, 'B', 'PO Box 3011', 'Gillette', 'Campbell', 'WY', '82717', '3076883500', '3076883510', 'PO Box 3011', 'Gillette', 'Campbell', 'WY', '82717', '3076883500', '3076883510', '', '', '5001A', '0.00', '0.00', '0.00', 3, '2011-02-03', '2011-06-30', 0, 0, 1, 'Campbell County Memorial Hospital', '', '', '', 'HCFA|UB|', '1538142930', 0, 'N', 0, '2014-07-21', NULL, NULL, 0, 0, NULL, NULL),
('260523843', 'W12009879', 'W12009879', 'UT01', '', 'Todd', 'E', 'Daynes', 'MD', 'Ophthalmology', '', '', NULL, 'O', '520 Medical Dr Ste 201', 'Bountiful', 'Davis', 'UT', '84010', '8012948855', '8012948866', '520 Medical Dr Ste 201', 'Bountiful', 'Davis', 'UT', '84010', '8012948855', '8012948866', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2011-04-01', NULL, 0, 0, 0, 'Lakeview Hospital', 'St Marks Hospital', '', '', 'HCFA|UB|', '1053412494', 0, 'N', 0, '2011-10-12', NULL, NULL, 40.8873, -111.87, NULL, NULL),
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('870388269', 'W12009967', 'W12009967', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Ryan', 'Russell', 'Fuhriman', 'PT', 'Physical Therapy', '', '', NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1609877372', 0, 'N', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W12009968', 'W12009968', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Ryan', 'Russell', 'Fuhriman', 'PT', 'Physical Therapy', '', '', NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1609877372', 0, 'N', 0, '2011-04-22', NULL, NULL, 40.6575, -111.866, 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
('870388269', 'W12009969', 'W12009969', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Gail', 'L', 'Marietta', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1952302630', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W12009970', 'W12009970', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Gail', 'L', 'Marietta', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1952302630', 0, 'N', 0, '2011-04-20', NULL, NULL, 40.6575, -111.866, NULL, NULL),
('870388269', 'W12009971', 'W12009971', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'John', 'Michael', 'Orr', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1518942291', 0, 'N', 0, '2013-08-26', NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W12009972', 'W12009972', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'John', 'Michael', 'Orr', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2013-08-30', 0, 0, 0, '', '', '', '', 'HCFA|', '1518942291', 0, 'N', 0, '2013-08-26', NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W12009973', 'W12009973', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Susan', 'S', 'Ozaki', 'OT', 'Occupational Therapy', 'Physical Therapy', '', NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1386645075', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W12009974', 'W12009974', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Susan', 'S', 'Ozaki', 'OT', 'Occupational Therapy', 'Physical Therapy', '', NULL, 'O', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', '5151 S 900 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613321', '8012615942', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1386645075', 0, 'N', 0, '2011-04-20', NULL, NULL, 40.6575, -111.866, NULL, NULL),
('870388269', 'W12009975', 'W12009975', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Seth', 'M', 'Riley', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', '8013641242', '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', '8013641242', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1427033109', 0, 'N', 0, '2011-11-29', NULL, NULL, 0, 0, NULL, NULL),
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('870388269', 'W12009978', 'W12009978', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Seth', 'M', 'Riley', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '535 E 500 S Ste 8', 'Bountiful', 'Davis', 'UT', '84010', '8012982533', '8012982533', '535 E 500 S Ste 8', 'Bountiful', 'Davis', 'UT', '84010', '8012982533', '8012982533', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1427033109', 0, 'N', 0, '2011-11-29', NULL, NULL, 0, 0, NULL, NULL),
('870388269', 'W12009979', 'W12009979', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Seth', 'M', 'Riley', 'DPT', 'Physical Therapy', NULL, NULL, NULL, 'O', '535 E 500 S Ste 8', 'Bountiful', 'Davis', 'UT', '84010', '8012982533', '8012982533', '535 E 500 S Ste 8', 'Bountiful', 'Davis', 'UT', '84010', '8012982533', '8012982533', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1427033109', 0, 'N', 0, '2011-11-29', NULL, NULL, 40.8843, -111.869, NULL, NULL),
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('870574059', 'W12010055', 'W12010055', 'ID02', 'Mountain Land Boise', 'Aaron', '', 'Knox', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1907 S Brdway Ave Ste 203', 'Boise', 'Ada', 'ID', '83706', '2084229826', '2084229855', '1907 S Brdway Ave Ste 203', 'Boise', 'Ada', 'ID', '83706', '2084229826', '2084229855', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1487888798', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010056', 'W12010056', 'ID02', 'Mountain Land Boise', 'Aaron', '', 'Knox', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1907 S Broadway Ave Ste 203', 'Boise', 'Ada', 'ID', '83706', '2084229826', '2084229855', '1907 S Broadway Ave Ste 203', 'Boise', 'Ada', 'ID', '83706', '2084229826', '2084229855', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 1, '', '', '', '', 'HCFA|', '1487888798', 0, 'N', 0, '2011-04-20', NULL, NULL, 43.5896, -116.194, NULL, NULL),
('870574059', 'W12010057', 'W12010057', 'UT01', 'Mountain Land Boise', 'Aaron', '', 'Knox', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084229826', '2084229855', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084229826', '2084229855', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1487888798', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010058', 'W12010058', 'UT01', 'Mountain Land Boise', 'Aaron', '', 'Knox', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084229826', '2084229855', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084229826', '2084229855', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1487888798', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010059', 'W12010059', 'UT01', 'Mountain Land Caldwell', 'Jeff', '', 'Thomason', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084554231', '2084591626', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084554231', '2084591626', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1538253752', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010060', 'W12010060', 'UT01', 'Mountain Land Caldwell', 'Jeff', '', 'Thomason', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084554231', '2084591626', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084554231', '2084591626', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1538253752', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010061', 'W12010061', 'ID02', 'Mountain Land Caldwell', 'Jeff', '', 'Thomason', 'PT', 'Physical Therapy', '', '', NULL, 'O', '4623 Enterprise Way', 'Caldwell', 'Canyon', 'ID', '83605', '2084554231', '2084591626', '4623 Enterprise Way', 'Caldwell', 'Canyon', 'ID', '83605', '2084554231', '2084591626', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1538253752', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010062', 'W12010062', 'ID02', 'Mountain Land Caldwell', 'Jeff', '', 'Thomason', 'PT', 'Physical Therapy', '', '', NULL, 'O', '4623 Enterprise Way', 'Caldwell', 'Canyon', 'ID', '83605', '2084554231', '2084591626', '4623 Enterprise Way', 'Caldwell', 'Canyon', 'ID', '83605', '2084554231', '2084591626', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 1, '', '', '', '', 'HCFA|', '1538253752', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870574059', 'W12010063', 'W12010063', 'UT01', 'Mountain Land Clinton', 'Mark', 'Alan', 'Flinders', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1477 N 2000 W Ste A', 'Clearfield', 'Davis', 'UT', '84015', '8017734191', '8017734197', '1477 N 2000 W Ste A', 'Clearfield', 'Davis', 'UT', '84015', '8017734191', '8017734197', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1184736951', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010064', 'W12010064', 'UT01', 'Mountain Land Clinton', 'Mark', 'Alan', 'Flinders', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1477 N 2000 W Ste A', 'Clearfield', 'Davis', 'UT', '84015', '8017734191', '8017734197', '1477 N 2000 W Ste A', 'Clearfield', 'Davis', 'UT', '84015', '8017734191', '8017734197', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1184736951', 0, 'N', 0, '2011-04-20', NULL, NULL, 41.1353, -112.064, NULL, NULL),
('870574059', 'W12010065', 'W12010065', 'UT01', 'Mountain Land Clinton', 'Mark', 'Alan', 'Flinders', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017734191', '8017734197', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017734191', '8017734197', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1184736951', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010066', 'W12010066', 'UT01', 'Mountain Land Clinton', 'Mark', 'Alan', 'Flinders', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017734191', '8017734197', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017734191', '8017734197', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1184736951', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010067', 'W12010067', 'ID02', 'Mountain Land Maple Grove', 'Jeffrey', '', 'Box', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1435 Maple Grove Rd', 'Boise', 'Ada', 'ID', '83709', '2083226200', '2083226233', '1435 Maple Grove Rd', 'Boise', 'Ada', 'ID', '83709', '2083226200', '2083226233', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1104928258', 0, 'N', 0, '2011-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010068', 'W12010068', 'ID02', 'Mountain Land Maple Grove', 'Jeffrey', '', 'Box', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1435 Maple Grove Rd', 'Boise', 'Ada', 'ID', '83709', '2083226200', '2083226233', '1435 Maple Grove Rd', 'Boise', 'Ada', 'ID', '83709', '2083226200', '2083226233', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 1, '', '', '', '', 'HCFA|', '1104928258', 0, 'N', 0, '2011-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010069', 'W12010069', 'ID02', 'Mountain Land Eagle', 'Jeffrey', '', 'Box', 'PT', 'Physical Therapy', '', '', NULL, 'O', '875 E Plaza Dr Ste 103', 'Eagle', 'Ada', 'ID', '83616', '8019423311', '8019455955', '875 E Plaza Dr Ste 103', 'Eagle', 'Ada', 'ID', '83616', '8019423311', '8019455955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1104928258', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010070', 'W12010070', 'ID02', 'Mountain Land Eagle', 'Jeffrey', '', 'Box', 'PT', 'Physical Therapy', '', '', NULL, 'O', '875 E Plaza Dr Ste 103', 'Eagle', 'Ada', 'ID', '83616', '8019423311', '8019455955', '875 E Plaza Dr Ste 103', 'Eagle', 'Ada', 'ID', '83616', '8019423311', '8019455955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 1, '', '', '', '', 'HCFA|', '1104928258', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010071', 'W12010071', 'UT01', 'Mountain Land Maple Grove', 'Jeffrey', '', 'Box', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083226200', '2083226233', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083226200', '2083226233', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1104928258', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('261852184', 'W12010072', 'W12010072', 'UT01', 'Toole & Associates', 'Rodney', 'Edward (Ed)', 'Wade', 'PT', 'Physical Therapy', '', '', NULL, 'O', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1164448080', 0, 'N', 0, '2011-10-19', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010073', 'W12010073', 'UT01', 'Mountain Land Maple Grove', 'Jeffrey', '', 'Box', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083226200', '2083226233', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083226200', '2083226233', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1104928258', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('261852184', 'W12010074', 'W12010074', 'UT01', 'Toole & Associates', 'Rodney', 'Edward (Ed)', 'Wade', 'PT', 'Physical Therapy', '', '', NULL, 'O', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1164448080', 0, 'N', 0, '2011-10-19', NULL, NULL, 40.9141, -111.395, NULL, NULL),
('261852184', 'W12010075', 'W12010075', 'UT01', 'Toole & Associates', 'Rodney', 'Edward (Ed)', 'Wade', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'Po Box 307', 'Bountiful', 'Davis', 'UT', '84011', '4353369355', '4353369356', 'Po Box 307', 'Bountiful', 'Davis', 'UT', '84011', '4353369355', '4353369356', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1164448080', 0, 'Y', 0, '2011-10-19', NULL, NULL, 0, 0, NULL, NULL),
('261852184', 'W12010076', 'W12010076', 'UT01', 'Toole & Associates', 'Rodney', 'Edward (Ed)', 'Wade', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'Po Box 307', 'Bountiful', 'Davis', 'UT', '84011', '4353369355', '4353369356', 'Po Box 307', 'Bountiful', 'Davis', 'UT', '84011', '4353369355', '4353369356', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1164448080', 0, 'Y', 0, '2011-10-19', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010077', 'W12010077', 'ID02', 'Mountain Land Emmett', 'David', '', 'Murri', 'PT', 'Physical Therapy', '', '', NULL, 'O', '912 S Washington Ave', 'Emmett', 'Gem', 'ID', '83617', '2083654400', '2083654384', '912 S Washington Ave', 'Emmett', 'Gem', 'ID', '83617', '2083654400', '2083654384', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1497797054', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010078', 'W12010078', 'ID02', 'Mountain Land Emmett', 'David', '', 'Murri', 'PT', 'Physical Therapy', '', '', NULL, 'O', '912 S Washington Ave', 'Emmett', 'Gem', 'ID', '83617', '2083654400', '2083654384', '912 S Washington Ave', 'Emmett', 'Gem', 'ID', '83617', '2083654400', '2083654384', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 1, '', '', '', '', 'HCFA|', '1497797054', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010079', 'W12010079', 'UT01', 'Mountain Land Emmett', 'David', '', 'Murri', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083654400', '2083654384', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083654400', '2083654384', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1497797054', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010080', 'W12010080', 'UT01', 'Mountain Land Emmett', 'David', '', 'Murri', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083654400', '2083654384', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2083654400', '2083654384', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1497797054', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010081', 'W12010081', 'UT01', 'Mountain Land Holladay', 'Josh', 'David', 'Fuhriman', 'PT', 'Physical Therapy', '', '', NULL, 'O', '4624 S Holladay Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012771028', '8012775987', '4624 S Holladay Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012771028', '8012775987', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-04-22', 0, 0, 0, '', '', '', '', 'HCFA|', '1376649400', 0, 'N', 0, '2011-06-13', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010082', 'W12010082', 'UT01', 'Mountain Land Holladay', 'Josh', 'David', 'Fuhriman', 'PT', 'Physical Therapy', '', '', NULL, 'O', '4624 S Holladay Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012771028', '8012775987', '4624 S Holladay Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012771028', '8012775987', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2011-04-22', 0, 0, 0, '', '', '', '', 'HCFA|', '1376649400', 0, 'N', 0, '2011-06-13', NULL, NULL, 0, 0, NULL, NULL),
('261852184', 'W12010083', 'W12010083', 'UT01', 'Toole & Associates', 'Douglas', 'B', 'Toole', 'PT', 'Physical Therapy', '', '', NULL, 'O', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-12-23', 0, 0, 0, '', '', '', '', 'HCFA|', '1962617290', 0, 'N', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010084', 'W12010084', 'UT01', 'Mountain Land Holladay', 'Josh', 'David', 'Fuhriman', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012771028', '8012775987', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012771028', '8012775987', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-04-22', 0, 0, 0, '', '', '', '', 'HCFA|', '1376649400', 0, 'Y', 0, '2011-06-13', NULL, NULL, 0, 0, NULL, NULL),
('261852184', 'W12010085', 'W12010085', 'UT01', 'Toole & Associates', 'Douglas', 'B', 'Toole', 'PT', 'Physical Therapy', '', '', NULL, 'O', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', '142 S 50 E Ste 101', 'Coalville', 'Summit', 'UT', '84017', '4353369355', '4353369356', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1962617290', 0, 'N', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W12010156', 'W12010156', 'ID02', 'Mountain Land Kuna', 'Kimberly', '', 'Peterson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-02-23', 0, 0, 1, '', '', '', '', 'HCFA|', '1992807036', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010157', 'W12010157', 'ID02', 'Mountain Land Kuna', 'Kimberly', '', 'Peterson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 1, '', '', '', '', 'HCFA|', '1992807036', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870574059', 'W12010158', 'W12010158', 'UT01', 'Mountain Land Kuna', 'Kimberly', '', 'Peterson', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1992807036', 0, 'Y', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010159', 'W12010159', 'UT01', 'Mountain Land Kuna', 'Kimberly', '', 'Peterson', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1992807036', 0, 'Y', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W12010160', 'W12010160', 'UT01', 'Spine, Orthopedic & Sports Physical Therapy', 'Ned', 'B', 'Bushnell', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1067 N 500 W Bldg B', 'Provo', 'Utah', 'UT', '84604', '8013709981', '8013709984', '1067 N 500 W Bldg B', 'Provo', 'Utah', 'UT', '84604', '8013709981', '8013709984', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1528050861', 0, 'N', 0, '2012-11-26', NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W12010161', 'W12010161', 'UT01', 'Spine, Orthopedic & Sports Physical Therapy', 'Ned', 'B', 'Bushnell', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1067 N 500 W Bldg B', 'Provo', 'Utah', 'UT', '84604', '8013709981', '8013709984', '1067 N 500 W Bldg B', 'Provo', 'Utah', 'UT', '84604', '8013709981', '8013709984', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-06-13', 0, 0, 0, '', '', '', '', 'HCFA|', '1528050861', 0, 'N', 0, '2012-11-26', NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W12010162', 'W12010162', 'UT01', 'Spine, Orthopedic & Sports Physical Therapy', 'Ned', 'B', 'Bushnell', 'PT', 'Physical Therapy', '', '', NULL, 'B', '3303 N University Ave', 'Provo', 'Utah', 'UT', '84604', '8013709981', '8013709984', '3303 N University Ave', 'Provo', 'Utah', 'UT', '84604', '8013709981', '8013709984', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1528050861', 0, 'Y', 0, '2012-11-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010163', 'W12010163', 'ID02', 'Mountain Land Kuna', 'Tristan', '', 'Thorne', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-02-23', 0, 0, 1, '', '', '', '', 'HCFA|', '1447286125', 0, 'N', 0, '2012-07-30', NULL, NULL, 0, 0, NULL, NULL),
('870543678', 'W12010164', 'W12010164', 'UT01', 'Spine, Orthopedic & Sports Physical Therapy', 'Ned', 'B', 'Bushnell', 'PT', 'Physical Therapy', '', '', NULL, 'B', '3303 N University Ave', 'Provo', 'Utah', 'UT', '84604', '8013709981', '8013709984', '3303 N University Ave', 'Provo', 'Utah', 'UT', '84604', '8013709981', '8013709984', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1528050861', 0, 'Y', 0, '2012-11-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010165', 'W12010165', 'ID02', 'Mountain Land Kuna', 'Tristan', '', 'Thorne', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', '172 W Main St', 'Kuna', 'Ada', 'ID', '83634', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 1, '', '', '', '', 'HCFA|', '1447286125', 0, 'N', 0, '2012-07-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010166', 'W12010166', 'UT01', 'Mountain Land Kuna', 'Tristan', '', 'Thorne', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1447286125', 0, 'Y', 0, '2012-07-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010167', 'W12010167', 'UT01', 'Mountain Land Kuna', 'Tristan', '', 'Thorne', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2089229828', '2089223499', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-07-24', 0, 0, 0, '', '', '', '', 'HCFA|', '1447286125', 0, 'Y', 0, '2012-07-30', NULL, NULL, 0, 0, NULL, NULL),
('870504828', 'W12010168', 'W12010168', 'UT01', 'South Mountain Rehabilitation', 'Kevin', 'L', 'Shepherd', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '12226 S 1000 E Ste 1', 'Draper', 'Salt Lake', 'UT', '84020', '8015233415', '8015231843', '12226 S 1000 E Ste 1', 'Draper', 'Salt Lake', 'UT', '84020', '8015233415', '8015231843', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1679621254', 0, 'N', 0, '2012-11-02', NULL, NULL, 0, 0, NULL, NULL),
('870504828', 'W12010169', 'W12010169', 'UT01', 'South Mountain Rehabilitation', 'Kevin', 'L', 'Shepherd', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '12226 S 1000 E Ste 1', 'Draper', 'Salt Lake', 'UT', '84020', '8015233415', '8015231843', '12226 S 1000 E Ste 1', 'Draper', 'Salt Lake', 'UT', '84020', '8015233415', '8015231843', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1679621254', 0, 'N', 0, '2012-11-02', NULL, NULL, 40.529, -111.862, NULL, NULL),
('870574059', 'W12010170', 'W12010170', 'UT01', 'Mountain Land Layton', 'Kurt', 'Aaron', 'Leschke', 'PT', 'Physical Therapy', '', '', NULL, 'O', '124 S Fairfield Rd Ste Lower A', 'Layton', 'Davis', 'UT', '84041', '8015479462', '8045479116', '124 S Fairfield Rd Ste Lower A', 'Layton', 'Davis', 'UT', '84041', '8015479462', '8045479116', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-11-15', 0, 0, 0, '', '', '', '', 'HCFA|', '1235321647', 0, 'N', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010171', 'W12010171', 'UT01', 'Mountain Land Layton', 'Kurt', 'Aaron', 'Leschke', 'PT', 'Physical Therapy', '', '', NULL, 'O', '124 S Fairfield Rd Ste Lower A', 'Layton', 'Davis', 'UT', '84041', '8015479462', '8045479116', '124 S Fairfield Rd Ste Lower A', 'Layton', 'Davis', 'UT', '84041', '8015479462', '8045479116', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1235321647', 0, 'N', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870504828', 'W12010172', 'W12010172', 'UT01', 'South Mountain Rehabilitation', 'Charles', '', 'Numbers', 'MS PT', 'Physical Therapy', '', '', NULL, 'O', '12226 S 1000 E Ste 1', 'Draper', 'Salt Lake', 'UT', '84020', '8015233415', '8015231843', '12226 S 1000 E Ste 1', 'Draper', 'Salt Lake', 'UT', '84020', '8015233415', '8015231843', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1437207016', 0, 'N', 0, '2012-11-02', NULL, NULL, 0, 0, NULL, NULL),
('870504828', 'W12010173', 'W12010173', 'UT01', 'South Mountain Rehabilitation', 'Charles', '', 'Numbers', 'MS PT', 'Physical Therapy', '', '', NULL, 'O', '12226 S 1000 E Ste 1', 'Draper', 'Salt Lake', 'UT', '84020', '8015233415', '8015231843', '12226 S 1000 E Ste 1', 'Draper', 'Salt Lake', 'UT', '84020', '8015233415', '8015231843', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1437207016', 0, 'N', 0, '2012-11-02', NULL, NULL, 40.529, -111.862, NULL, NULL),
('870574059', 'W12010174', 'W12010174', 'UT01', 'Mountain Land Layton', 'Kurt', 'Aaron', 'Leschke', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8015479462', '8045479116', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8015479462', '8045479116', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1235321647', 0, 'Y', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010175', 'W12010175', 'UT01', 'Mountain Land Layton', 'Kurt', 'Aaron', 'Leschke', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8015479462', '8045479116', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8015479462', '8045479116', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1235321647', 0, 'Y', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('611549566', 'W12010176', 'W12010176', 'UT01', 'Saratoga Physical Therapy & Sports Medicine', 'Todd', 'W', 'Austin', 'PT', 'Physical Therapy', '', '', NULL, 'O', '24 W Sergeant Ct Dr Ste 204', 'Saratoga Springs', 'Utah', 'UT', '84045', '8017660103', '8017660136', '24 W Sergeant Ct Dr Ste 204', 'Saratoga Springs', 'Utah', 'UT', '84045', '8017660103', '8017660136', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1932214442', 0, 'N', 0, '2012-11-02', NULL, NULL, 0, 0, NULL, NULL),
('611549566', 'W12010177', 'W12010177', 'UT01', 'Saratoga Physical Therapy & Sports Medicine', 'Todd', 'W', 'Austin', 'PT', 'Physical Therapy', '', '', NULL, 'O', '24 W Sergeant Ct Dr Ste 204', 'Saratoga Springs', 'Utah', 'UT', '84045', '8017660103', '8017660136', '24 W Sergeant Ct Dr Ste 204', 'Saratoga Springs', 'Utah', 'UT', '84045', '8017660103', '8017660136', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1932214442', 0, 'N', 0, '2012-11-02', NULL, NULL, 40.3915, -111.919, NULL, NULL),
('870484010', 'W12010178', 'W12010178', 'UT01', 'Salt Lake Physical Therapy Associates', 'John', 'C', 'Flint', 'PT', 'Physical Therapy', '', '', NULL, 'O', '4888 S Highland Dr Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012649855', '8012938618', '4888 S Highland Dr Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012649855', '8012938618', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-11-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1962508309', 0, 'N', 0, '2011-11-29', NULL, NULL, 0, 0, NULL, NULL),
('870484010', 'W12010179', 'W12010179', 'UT01', 'Salt Lake Physical Therapy Associates', 'John', 'C', 'Flint', 'PT', 'Physical Therapy', '', '', NULL, 'O', '4888 S Highland Dr Ste Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012649855', '8012938618', '4888 S Highland Dr Ste Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012649855', '8012938618', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1962508309', 0, 'N', 0, '2011-11-29', NULL, NULL, 0, 0, NULL, NULL),
('205958022', 'W12010180', 'W12010180', 'UT01', 'Mountain Land Mendenhall', 'Ronnie', 'L', 'Mendenhall', 'PT', 'Physical Therapy', '', '', NULL, 'O', '754 S Main Ste 4', 'St George', 'Washington', 'UT', '84770', '4356730191', '4356730192', '754 S Main Ste 4', 'St George', 'Washington', 'UT', '84770', '4356730191', '4356730192', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1346310661', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('205958022', 'W12010181', 'W12010181', 'UT01', 'Mountain Land Mendenhall', 'Ronnie', 'L', 'Mendenhall', 'PT', 'Physical Therapy', '', '', NULL, 'O', '754 S Main Ste 4', 'St George', 'Washington', 'UT', '84770', '4356730191', '4356730192', '754 S Main Ste 4', 'St George', 'Washington', 'UT', '84770', '4356730191', '4356730192', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1346310661', 0, 'N', 0, '2011-04-20', NULL, NULL, 37.0954, -113.583, NULL, NULL),
('870484010', 'W12010182', 'W12010182', 'UT01', 'Salt Lake Physical Therapy Associates', 'Amy', 'Carol', 'Delap', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '4888 S Highland Dr Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012649855', '8012938618', '4888 S Highland Dr Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012649855', '8012938618', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1679783013', 0, 'N', 0, '2012-06-21', NULL, NULL, 0, 0, NULL, NULL),
('870484010', 'W12010183', 'W12010183', 'UT01', 'Salt Lake Physical Therapy Associates', 'Amy', 'Carol', 'Delap', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '4888 S Highland Dr Ste Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012649855', '8012938618', '4888 S Highland Dr Ste Ste ', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012649855', '8012938618', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-05-15', 0, 0, 0, '', '', '', '', 'HCFA|', '1679783013', 0, 'N', 0, '2012-06-21', NULL, NULL, 0, 0, NULL, NULL),
('870388591', 'W12010184', 'W12010184', 'UT01', '', 'Roger', 'Lee', 'Larson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '6040 S Fashion Blvd Ste Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8012667534', '8012667547', '6040 S Fashion Blvd Ste Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8012667534', '8012667547', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1699759357', 0, 'N', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
('870388591', 'W12010185', 'W12010185', 'UT01', '', 'Roger', 'Lee', 'Larson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '6040 S Fashion Blvd Ste Ste Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8012667534', '8012667547', '6040 S Fashion Blvd Ste Ste Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8012667534', '8012667547', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1699759357', 0, 'N', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
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('870623034', 'W12010223', 'W12010223', 'UT01', 'Rocky Mountain Therapy Services North', 'Keith', 'Jay', 'Ludwig', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8019653545', '8019653518', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8019653545', '8019653518', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1447323647', 0, 'Y', 0, '2013-12-06', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010224', 'W12010224', 'UT01', 'Mountain Land Movement Specialists Downtown', 'Mark', 'D', 'Anderson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1790889889', 0, 'N', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010225', 'W12010225', 'UT01', 'Mountain Land Movement Specialists Downtown', 'Mark', 'D', 'Anderson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1790889889', 0, 'N', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010226', 'W12010226', 'UT01', 'Mountain Land Movement Specialists Downtown ', 'Jared', 'M', 'Beckstrand', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1477871754', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010227', 'W12010227', 'UT01', 'Mountain Land Movement Specialists Downtown ', 'Jared', 'M', 'Beckstrand', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1477871754', 0, 'N', 0, '2011-04-20', NULL, NULL, 40.7693, -111.877, NULL, NULL),
('870574059', 'W12010228', 'W12010228', 'UT01', 'Mountain Land Movement Specialists Downtown  ', 'Jared', 'M', 'Beckstrand', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358433737', '4358438917', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358433737', '4358438917', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1477871754', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010229', 'W12010229', 'UT01', 'Mountain Land Movement Specialists Downtown  ', 'Jared', 'M', 'Beckstrand', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358433737', '4358438917', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '4358433737', '4358438917', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1477871754', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010230', 'W12010230', 'UT01', 'Mountain Land Movement Specialists Downtown', 'Oryslava', '', 'Sorensen', 'PT', 'Physical Therapy', '', '', NULL, 'O', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1881859767', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010231', 'W12010231', 'UT01', 'Mountain Land Movement Specialists Downtown', 'Oryslava', '', 'Sorensen', 'PT', 'Physical Therapy', '', '', NULL, 'O', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', '508 E S Temple Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015219222', '8015219333', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-11-15', 0, 0, 0, '', '', '', '', 'HCFA|', '1881859767', 0, 'N', 0, '2012-12-19', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010232', 'W12010232', 'UT01', 'Mountain Land Movement Specialists Murray', 'Steve', 'H', 'Harkness', 'PT', 'Physical Therapy', '', '', NULL, 'O', '5250 Commerce Dr Ste 320', 'Murray', 'Salt Lake', 'UT', '84107', '8017473889', '8017475218', '5250 Commerce Dr Ste 320', 'Murray', 'Salt Lake', 'UT', '84107', '8017473889', '8017475218', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1518069384', 0, 'N', 0, '2012-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010233', 'W12010233', 'UT01', 'Mountain Land Rehabilitation Home', 'Steve', 'H', 'Harkness', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019433989', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019433989', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-10-18', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1518069384', 0, 'N', 0, '2012-10-25', NULL, NULL, 40.6243, -111.836, NULL, NULL),
('870574059', 'W12010234', 'W12010234', 'UT01', 'Mountain Land Movement Specialists Murray', 'Steve', 'H', 'Harkness', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1518069384', 0, 'Y', 0, '2012-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010235', 'W12010235', 'UT01', 'Mountain Land Rehabilitation Home', 'Steve', 'H', 'Harkness', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-10-18', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1518069384', 0, 'Y', 0, '2012-10-25', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010236', 'W12010236', 'UT01', 'Mountain Land Movement Specialists Murray', 'Valerie', '', 'Schwalbe', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '5250 Commerce Dr Ste 320', 'Murray', 'Salt Lake', 'UT', '84107', '8017473889', '8017475218', '5250 Commerce Dr Ste 320', 'Murray', 'Salt Lake', 'UT', '84107', '8017473889', '8017475218', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1568789345', 0, 'N', 0, '2012-07-17', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010237', 'W12010237', 'UT01', 'Mountain Land Movement Specialists Murray', 'Valerie', '', 'Schwalbe', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '5250 Commerce Dr Ste 320', 'Murray', 'Salt Lake', 'UT', '84107', '8017473889', '8017475218', '5250 Commerce Dr Ste 320', 'Murray', 'Salt Lake', 'UT', '84107', '8017473889', '8017475218', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-07-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1568789345', 0, 'N', 0, '2012-07-17', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010238', 'W12010238', 'UT01', 'Mountain Land Movement Specialists Murray', 'Valerie', '', 'Schwalbe', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1568789345', 0, 'N', 0, '2012-07-17', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010239', 'W12010239', 'UT01', 'Mountain Land Movement Specialists Murray', 'Valerie', '', 'Schwalbe', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8017473889', '8017475218', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-07-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1568789345', 0, 'N', 0, '2012-07-17', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010240', 'W12010240', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Marty', '', 'Fontenot', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-04-25', 0, 0, 0, '', '', '', '', 'HCFA|', '1538373956', 0, 'N', 0, '2011-05-19', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010241', 'W12010241', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Marty', '', 'Fontenot', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1538373956', 0, 'N', 0, '2011-05-19', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010242', 'W12010242', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Marty', '', 'Fontenot', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1538373956', 0, 'Y', 0, '2011-05-19', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010243', 'W12010243', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Marty', '', 'Fontenot', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1538373956', 0, 'Y', 0, '2011-05-19', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010244', 'W12010244', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Jason', 'David', 'Lobb', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1982706750', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010245', 'W12010245', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Jason', 'David', 'Lobb', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1982706750', 0, 'N', 0, '2011-04-20', NULL, NULL, 40.6871, -111.858, NULL, NULL),
('870574059', 'W12010246', 'W12010246', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Jason', 'David', 'Lobb', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1982706750', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010247', 'W12010247', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Jason', 'David', 'Lobb', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1982706750', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010248', 'W12010248', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Mandy', 'Covell', 'Mehler', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1770740318', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010249', 'W12010249', 'UT01', 'Mountain Land Movement Specialists Salt Lake', 'Mandy', 'Covell', 'Mehler', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', '1153 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012626331', '8012623372', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-08-06', 0, 0, 0, '', '', '', '', 'HCFA|', '1770740318', 0, 'N', 0, '2012-09-06', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870574059', 'W12010250', 'W12010250', 'ID02', 'Mountain Land Nampa', 'Ryan', '', 'Myhre', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '5251 E Exchange Way', 'Nampa', 'Canyon', 'ID', '83687', '2084669642', '2084669104', '5251 E Exchange Way', 'Nampa', 'Canyon', 'ID', '83687', '2084669642', '2084669104', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 1, '', '', '', '', 'HCFA|', '1851494637', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010251', 'W12010251', 'ID02', 'Mountain Land Nampa', 'Ryan', '', 'Myhre', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '5251 E Exchange Way', 'Nampa', 'Canyon', 'ID', '83687', '2084669642', '2084669104', '5251 E Exchange Way', 'Nampa', 'Canyon', 'ID', '83687', '2084669642', '2084669104', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 1, '', '', '', '', 'HCFA|', '1851494637', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010252', 'W12010252', 'UT01', 'Mountain Land Nampa', 'Ryan', '', 'Myhre', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084669642', '2084669104', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084669642', '2084669104', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1851494637', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010253', 'W12010253', 'UT01', 'Mountain Land Nampa', 'Ryan', '', 'Myhre', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084669642', '2084669104', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '2084669642', '2084669104', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1851494637', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W12010324', 'W12010324', 'UT01', 'Mountain Land Rehabilitation Home', 'Robert', 'Craig', 'Lloyd', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1922102177', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W12010328', 'W12010328', 'UT01', 'Mountain Land Rehabilitation Home', 'Robert', 'Craig', 'Lloyd', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1922102177', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
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('870375865', 'W12010332', 'W12010332', 'UT01', 'Sports Medicine Clinic', 'Roger', 'L', 'Colvin', 'PT', 'Physical Therapy', '', '', NULL, 'O', '990 S Medical Dr Ste U 4', 'Brigham City', 'Box Elder', 'UT', '84302', '4357236487', '4357236490', '990 S Medical Dr Ste U 4', 'Brigham City', 'Box Elder', 'UT', '84302', '4357236487', '4357236490', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1740390988', 0, 'N', 0, '2012-11-26', NULL, NULL, 0, 0, NULL, NULL),
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('273195196', 'W12010336', 'W12010336', 'UT01', 'Riverside Rehabilitation LLC', 'Jessica', 'L', 'Jones', 'SLP', 'Speech Therapy', '', '', NULL, 'O', '1449 N 1400 W Ste Ste C1', 'St George', 'Washington', 'UT', '84770', '4356323423', '4356562790', '1449 N 1400 W Ste Ste C1', 'St George', 'Washington', 'UT', '84770', '4356323423', '4356562790', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1619284007', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('273195196', 'W12010337', 'W12010337', 'UT01', 'Riverside Rehabilitation LLC', 'Jessica', 'L', 'Jones', 'SLP', 'Speech Therapy', '', '', NULL, 'O', '1449 N 1400 W Ste Ste Ste C1', 'St George', 'Washington', 'UT', '84770', '4356323423', '4356562790', '1449 N 1400 W Ste Ste Ste C1', 'St George', 'Washington', 'UT', '84770', '4356323423', '4356562790', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1619284007', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W12010340', 'W12010340', 'UT01', 'Mountain Land Rehabilitation Home', 'Suzanne', '', 'Critchley', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1487758637', 0, 'Y', 0, '2013-09-30', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010341', 'W12010341', 'UT01', 'Mountain Land Rehabilitation Home', 'Suzanne', '', 'Critchley', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2013-09-03', 0, 0, 0, '', '', '', '', 'HCFA|', '1487758637', 0, 'Y', 0, '2013-09-30', NULL, NULL, 0, 0, NULL, NULL),
('273195196', 'W12010342', 'W12010342', 'UT01', 'Riverside Rehabilitation LLC', 'Kimber Lee', '', 'Dower', 'OT', 'Occupational Therapy', '', '', NULL, 'O', '1449 N 1400 W Ste Ste C21', 'St George', 'Washington', 'UT', '84770', '4356323423', '4356562790', '1449 N 1400 W Ste Ste C21', 'St George', 'Washington', 'UT', '84770', '4356323423', '4356562790', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1922167972', 0, 'N', 0, '2011-11-01', 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
('273195196', 'W12010343', 'W12010343', 'UT01', 'Riverside Rehabilitation LLC', 'Kimber Lee', '', 'Dower', 'OT', 'Occupational Therapy', '', '', NULL, 'O', '1449 N 1400 W Ste Ste Ste C21', 'St George', 'Washington', 'UT', '84770', '4356323423', '4356562790', '1449 N 1400 W Ste Ste Ste C21', 'St George', 'Washington', 'UT', '84770', '4356323423', '4356562790', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1922167972', 0, 'N', 0, '2011-11-01', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010344', 'W12010344', 'UT01', 'Mountain Land Rehabilitation Home', 'Curt', 'D', 'Myrick', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1548364979', 0, 'N', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010345', 'W12010345', 'UT01', 'Mountain Land Rehabilitation Home', 'Curt', 'D', 'Myrick', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-10-09', 0, 0, 0, '', '', '', '', 'HCFA|', '1548364979', 0, 'N', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010346', 'W12010346', 'UT01', 'Mountain Land Rehabilitation Home', 'Curt', 'D', 'Myrick', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1548364979', 0, 'Y', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010347', 'W12010347', 'UT01', 'Mountain Land Rehabilitation Home', 'Curt', 'D', 'Myrick', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'Po Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'Po Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-10-09', 0, 0, 0, '', '', '', '', 'HCFA|', '1548364979', 0, 'Y', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010348', 'W12010348', 'UT01', 'Mountain Land Rehabilitation Home', 'David', 'D', 'Woodbury', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1407942253', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010349', 'W12010349', 'UT01', 'Mountain Land Rehabilitation Home', 'David', 'D', 'Woodbury', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'PO Box 711185', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019423311', '8019433989', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1407942253', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010350', 'W12010350', 'UT01', 'Mountain Land Rehabilitation Home', 'David', 'D', 'Woodbury', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1407942253', 0, 'N', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010351', 'W12010351', 'UT01', 'Mountain Land Rehabilitation Home', 'David', 'D', 'Woodbury', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', '1952 E 7000 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019423311', '8019425955', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1407942253', 0, 'N', 0, '2011-10-26', NULL, NULL, 40.6243, -111.836, NULL, NULL),
('870574059', 'W12010352', 'W12010352', 'UT01', 'Mountain Land Rehabilitation Home', 'David', 'D', 'Woodbury', 'PT', 'Physical Therapy', '', '', NULL, 'O', '736 S 900 E Ste B101', 'St George', 'Washington', 'UT', '84790', '4356732781', '4356528555', '736 S 900 E Ste B101', 'St George', 'Washington', 'UT', '84790', '4356732781', '4356528555', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-07-26', 0, 0, 0, '', '', '', '', 'HCFA|', '1407942253', 0, 'N', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('870574059', 'W12010353', 'W12010353', 'UT01', 'Mountain Land Rehabilitation Home', 'David', 'D', 'Woodbury', 'PT', 'Physical Therapy', '', '', NULL, 'O', '736 S 900 E Ste B101', 'St George', 'Washington', 'UT', '84790', '4356732781', '4356528555', '736 S 900 E Ste B101', 'St George', 'Washington', 'UT', '84790', '4356732781', '4356528555', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1407942253', 0, 'N', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
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('870574059', 'W12010427', 'W12010427', 'UT01', 'Mountain Land West Point', 'Keith', 'M', 'DeAgostine', 'PT', 'Physical Therapy', '', '', NULL, 'O', '3072 W 300 N Ste A', 'Clearfield', 'Davis', 'UT', '84015', '8018257500', '8018257511', '3072 W 300 N Ste A', 'Clearfield', 'Davis', 'UT', '84015', '8018257500', '8018257511', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-11-30', 0, 0, 0, '', '', '', '', 'HCFA|', '1649508755', 0, 'N', 0, '2012-12-19', NULL, NULL, 0, 0, NULL, NULL),
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('364288180', 'W12010433', 'W12010433', 'UT01', 'Cache Valley Specialty Hospital', 'Brad', '', 'Thomas', 'PT', 'Physical Therapy', '', '', NULL, 'O', '169 N Spring Creek Ste 140', 'Providence', 'Cache', 'UT', '84332', '4357558500', '4357552836', '169 N Spring Creek Ste 140', 'Providence', 'Cache', 'UT', '84332', '4357558500', '4357552836', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 8, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1902021538', 0, 'N', 0, '2011-09-21', NULL, NULL, 0, 0, NULL, NULL),
('870285547', 'W12010434', 'W12010434', 'UT01', 'Registered Physical Therapists', 'Jeffrey', '', 'Eckert', 'PT', 'Physical Therapy', '', '', NULL, 'B', '9720 S 1300 E Ste Ste W 200', 'Sandy', 'Salt Lake', 'UT', '84094', '8015666301', '8015664739', '9720 S 1300 E Ste Ste W 200', 'Sandy', 'Salt Lake', 'UT', '84094', '8015666301', '8015664739', 'WESTREHAB', '', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2011-06-21', 0, 0, 0, '', '', '', '', 'HCFA|', '1144404831', 0, 'Y', 0, '2011-10-20', 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
('870285547', 'W12010435', 'W12010435', 'UT01', 'Registered Physical Therapists', 'Jeffrey', '', 'Eckert', 'PT', 'Physical Therapy', '', '', NULL, 'B', '9720 S 1300 E Ste Ste Ste W 200', 'Sandy', 'Salt Lake', 'UT', '84094', '8015666301', '8015664739', '9720 S 1300 E Ste Ste Ste W 200', 'Sandy', 'Salt Lake', 'UT', '84094', '8015666301', '8015664739', 'WESTREHAB', '', '', '0.00', '0.00', '73.00', 3, '2012-04-01', '2012-04-01', 0, 0, 0, '', '', '', '', 'HCFA|', '1144404831', 0, 'Y', 0, '2011-10-20', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W12010436', 'W12010436', 'UT01', 'Cache Valley Specialty Hospital', 'Brad', '', 'Thomas', 'PT', 'Physical Therapy', '', '', NULL, 'B', '2380 N 400 E', 'Logan', 'Cache', 'UT', '84341', '4357558500', '4357552836', '2380 N 400 E', 'Logan', 'Cache', 'UT', '84341', '4357558500', '4357552836', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 8, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1902021538', 0, 'Y', 0, '2011-09-21', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W12010437', 'W12010437', 'UT01', 'Cache Valley Specialty Hospital', 'Brad', '', 'Thomas', 'PT', 'Physical Therapy', '', '', NULL, 'B', '2380 N 400 E', 'Logan', 'Cache', 'UT', '84341', '4357558500', '4357552836', '2380 N 400 E', 'Logan', 'Cache', 'UT', '84341', '4357558500', '4357552836', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 8, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1902021538', 0, 'Y', 0, '2011-09-21', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W12010438', 'W12010438', 'UT01', 'Cache Valley Specialty Hospital', 'Darin', 'A', 'Chase', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1950 S Hwy 89', 'Brigham City', 'Box Elder', 'UT', '84302', '4357231902', '4357231908', '1950 S Hwy 89', 'Brigham City', 'Box Elder', 'UT', '84302', '4357231902', '4357231908', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 8, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1063550028', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W12010439', 'W12010439', 'UT01', 'Cache Valley Specialty Hospital', 'Darin', 'A', 'Chase', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1950 S Hwy 89', 'Brigham City', 'Box Elder', 'UT', '84302', '4357231902', '4357231908', '1950 S Hwy 89', 'Brigham City', 'Box Elder', 'UT', '84302', '4357231902', '4357231908', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 8, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1063550028', 0, 'N', 0, '2014-06-24', NULL, NULL, 41.4747, -112.025, NULL, NULL),
('870285547', 'W12010440', 'W12010440', 'UT01', 'Registered Physical Therapists', 'Scott', 'C', 'Benson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1577 W 7000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84084', '8015666301', '8015664739', '1577 W 7000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84084', '8015666301', '8015664739', 'WESTREHAB', '', '', '0.00', '0.00', '70.50', 3, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1447237490', 0, 'N', 0, '2012-11-02', NULL, NULL, 0, 0, NULL, NULL),
('870285547', 'W12010441', 'W12010441', 'UT01', 'Registered Physical Therapists', 'Scott', 'C', 'Benson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '1577 W 7000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84084', '8015666301', '8015664739', '1577 W 7000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84084', '8015666301', '8015664739', 'WESTREHAB', '', '', '0.00', '0.00', '73.00', 3, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1447237490', 0, 'N', 0, '2012-11-02', NULL, NULL, 40.6241, -111.936, NULL, NULL),
('364288180', 'W12010442', 'W12010442', 'UT01', 'Cache Valley Specialty Hospital', 'Darin', 'A', 'Chase', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 6220', 'Logan', 'Cache', 'UT', '84341', '4357231902', '4357231908', 'PO Box 6220', 'Logan', 'Cache', 'UT', '84341', '4357231902', '4357231908', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 8, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1063550028', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W12010443', 'W12010443', 'UT01', 'Cache Valley Specialty Hospital', 'Darin', 'A', 'Chase', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 6220', 'Logan', 'Cache', 'UT', '84341', '4357231902', '4357231908', 'PO Box 6220', 'Logan', 'Cache', 'UT', '84341', '4357231902', '4357231908', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 8, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1063550028', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W12010444', 'W12010444', 'UT01', 'Cache Valley Specialty Hospital', 'Vernon', 'R', 'Malan', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '1950 S Hwy 89', 'Brigham City', 'Box Elder', 'UT', '84302', '4357231902', '4357231908', '1950 S Hwy 89', 'Brigham City', 'Box Elder', 'UT', '84302', '4357231902', '4357231908', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 8, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114110079', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W12010445', 'W12010445', 'UT01', 'Cache Valley Specialty Hospital', 'Vernon', 'R', 'Malan', 'DPT', 'Physical Therapy', '', '', NULL, 'O', '1950 S Hwy 89', 'Brigham City', 'Box Elder', 'UT', '84302', '4357231902', '4357231908', '1950 S Hwy 89', 'Brigham City', 'Box Elder', 'UT', '84302', '4357231902', '4357231908', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 8, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114110079', 0, 'N', 0, '2014-06-24', NULL, NULL, 41.4747, -112.025, NULL, NULL),
('364288180', 'W12010446', 'W12010446', 'UT01', 'Cache Valley Specialty Hospital', 'Vernon', 'R', 'Malan', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 6220', 'Logan', 'Cache', 'UT', '84341', '4357231902', '4357231908', 'PO Box 6220', 'Logan', 'Cache', 'UT', '84341', '4357231902', '4357231908', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 8, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114110079', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W12010447', 'W12010447', 'UT01', 'Cache Valley Specialty Hospital', 'Vernon', 'R', 'Malan', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 6220', 'Logan', 'Cache', 'UT', '84341', '4357231902', '4357231908', 'PO Box 6220', 'Logan', 'Cache', 'UT', '84341', '4357231902', '4357231908', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 8, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114110079', 0, 'N', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('364288180', 'W12010448', 'W12010448', 'UT01', 'Cache Valley Specialty Hospital', 'Ryan', '', 'Godfrey', 'OT CHT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2380 N 400 E Ste B', 'Logan', 'Cache', 'UT', '84341', '4357879030', '4357879033', '2380 N 400 E Ste B', 'Logan', 'Cache', 'UT', '84341', '4357879030', '4357879033', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 8, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1942348875', 0, 'N', 0, '2011-10-25', NULL, NULL, 0, 0, NULL, NULL),
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('364288180', 'W12010450', 'W12010450', 'UT01', 'Cache Valley Specialty Hospital', 'Larry', 'D', 'Hunter', 'PT', 'Physical Therapy', '', '', NULL, 'O', '2380 N 400 E Ste B', 'Logan', 'Cache', 'UT', '84341', '4357879030', '4357879033', '2380 N 400 E Ste B', 'Logan', 'Cache', 'UT', '84341', '4357879030', '4357879033', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 8, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1689712598', 0, 'N', 0, '2011-12-19', NULL, NULL, 0, 0, NULL, NULL),
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('364288180', 'W12010452', 'W12010452', 'UT01', 'Cache Valley Specialty Hospital', 'Perry', 'Raymond', 'Crawford', 'PT', 'Physical Therapy', '', '', NULL, 'O', '451 W 600 N', 'Tremonton', 'Box Elder', 'UT', '84337', '4352573809', '4352576347', '451 W 600 N', 'Tremonton', 'Box Elder', 'UT', '84337', '4352573809', '4352576347', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '70.50', 8, '2011-04-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|', '1740328798', 0, 'N', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
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('364288180', 'W12010455', 'W12010455', 'UT01', 'Cache Valley Specialty Hospital', 'Perry', 'Raymond', 'Crawford', 'PT', 'Physical Therapy', '', '', NULL, 'B', '2380 N 400 E', 'Logan', 'Cache', 'UT', '84341', '4352573809', '4352576347', '2380 N 400 E', 'Logan', 'Cache', 'UT', '84341', '4352573809', '4352576347', 'WESTREHAB', 'WUSTDHCPC5', '', '0.00', '0.00', '73.00', 8, '2012-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '1740328798', 0, 'Y', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
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