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
('870629690', 'W73003343', 'W73003343', 'UT01', 'Jordan Valley Epic', 'Thomas', 'G', 'Darr', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000005886', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003344', 'W73003344', 'UT01', 'Jordan Valley Epic', 'Arthur', NULL, 'Davenport', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005891', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003345', 'W73003345', 'UT01', 'Jordan Valley Epic', 'Daniel', 'R', 'Duggleby', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006047', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003346', 'W73003346', 'UT01', 'Jordan Valley Epic', 'Brett', 'J', 'Earl', 'MD', 'Pain Management', 'Emergency Medicine', 'Family Practice', NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Evanston Regional Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1568423564', 0, 'Y', 0, '2013-12-23', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003347', 'W73003347', 'UT01', 'Jordan Valley Epic', 'Garrett', 'J', 'Emery', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006121', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003348', 'W73003348', 'UT01', 'Jordan Valley Epic', 'Matthew', NULL, 'Feil', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006212', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003349', 'W73003349', 'UT01', 'Jordan Valley Epic', 'Ruth', 'H', 'Filloux', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006242', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003350', 'W73003350', 'UT01', 'Jordan Valley Epic', 'Arnold', '', 'Finkleman', 'MD', 'Emergency Medicine', '', '', NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1053371542', 0, 'Y', 0, '2012-09-19', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003351', 'W73003351', 'UT01', 'Jordan Valley Epic', 'Mark', 'G', 'Flammer', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Lakeview Hospital', 'Pioneer Valley Hospital', NULL, NULL, 'HCFA|UB|', '0000006261', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003352', 'W73003352', 'UT01', 'Jordan Valley Epic', 'Andrew', NULL, 'Florence', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006270', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003353', 'W73003353', 'UT01', 'Jordan Valley Epic', 'Robert', 'D', 'Gannon', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629039649', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003354', 'W73003354', 'UT01', 'Jordan Valley Epic', 'John', 'A', 'Gezon', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006407', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003355', 'W73003355', 'UT01', 'Jordan Valley Epic', 'Ryan', 'A', 'Giles', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006414', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003356', 'W73003356', 'UT01', 'Jordan Valley Epic', 'Les', NULL, 'Greenwood', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006488', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003357', 'W73003357', 'UT01', 'Jordan Valley Epic', 'J', 'Linke', 'Hebrew', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000006649', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003358', 'W73003358', 'UT01', 'Jordan Valley Epic', 'Michael', 'G', 'Henderson', 'PA-C', 'Emergency Medicine', 'Physician Assistant', 'Neurosurgery', NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', '', 'WCSTEPIC', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1265423594', 0, 'Y', 0, '2014-05-27', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003359', 'W73003359', 'UT01', 'Jordan Valley Epic', 'Shay', 'W', 'Holley', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006751', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003360', 'W73003360', 'UT01', 'Jordan Valley Epic', 'Ryan', 'R', 'Horning', 'PAC', 'Family Practice', 'Emergency Medicine', '', NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1497752372', 0, 'Y', 0, '2010-12-08', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003361', 'W73003361', 'UT01', 'Jordan Valley Epic', 'Jon', NULL, 'Hughes', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006800', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003362', 'W73003362', 'UT01', 'Jordan Valley Epic', 'Mark', 'E', 'Jackson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006896', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003363', 'W73003363', 'UT01', 'Jordan Valley Epic', 'Kristen', NULL, 'Jahn', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006905', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003364', 'W73003364', 'UT01', 'Jordan Valley Epic', 'Allen', 'R', 'Jensen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006932', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003365', 'W73003365', 'UT01', 'Jordan Valley Epic', 'R', 'Bart', 'Johansen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006951', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003366', 'W73003366', 'UT01', 'Jordan Valley Epic', 'Robert', NULL, 'Keddington', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007049', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003367', 'W73003367', 'UT01', 'Jordan Valley Epic', 'Kris', NULL, 'Kemp', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Park City Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007063', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003368', 'W73003368', 'UT01', 'Jordan Valley Epic', 'Michael', 'J', 'King', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007100', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003369', 'W73003369', 'UT01', 'Jordan Valley Epic', 'Sharon', 'S', 'Kolber', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007134', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
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('870629690', 'W73003371', 'W73003371', 'UT01', 'Jordan Valley Epic', 'Brent', 'L', 'Larsen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007200', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003372', 'W73003372', 'UT01', 'Jordan Valley Epic', 'Kathleen', '', 'Lawliss', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255397691', 0, 'Y', 0, '2011-07-19', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003373', 'W73003373', 'UT01', 'Jordan Valley Epic', 'Brian', 'W', 'Loveridge', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007339', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003374', 'W73003374', 'UT01', 'Jordan Valley Epic', 'Charles', '', 'Mallender', 'MD', 'Emergency Medicine', '', '', NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007407', 0, 'Y', 0, '2013-06-12', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003375', 'W73003375', 'UT01', 'Jordan Valley Epic', 'Craig', NULL, 'Marsden', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007441', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
('870629690', 'W73003376', 'W73003376', 'UT01', 'Jordan Valley Epic', 'John', 'A', 'Masaryk', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015618888', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007458', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5879, -111.975, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870629690', 'W73003439', 'W73003439', 'UT01', 'LakeView Epic', 'Ruth', 'H', 'Filloux', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '630 E Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012926231', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006242', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.8869, -111.869, NULL, NULL),
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('870629690', 'W73003443', 'W73003443', 'UT01', 'LakeView Epic', 'Robert', 'D', 'Gannon', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '630 E Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012926231', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629039649', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.8869, -111.869, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870629690', 'W73003536', 'W73003536', 'UT01', 'Davis Epic', 'Les', NULL, 'Greenwood', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018011000', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006488', 0, 'Y', 0, '2007-03-20', NULL, NULL, 41.0893, -111.995, NULL, NULL),
('870629690', 'W73003537', 'W73003537', 'UT01', 'Davis Epic', 'J', 'Linke', 'Hebrew', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018011000', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000006649', 0, 'Y', 0, '2007-03-20', NULL, NULL, 41.0893, -111.995, NULL, NULL),
('870629690', 'W73003538', 'W73003538', 'UT01', 'Davis Epic', 'Michael', 'G', 'Henderson', 'PA-C', 'Emergency Medicine', 'Physician Assistant', 'Neurosurgery', NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018011000', NULL, '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018011000', '', 'WCSTEPIC', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1265423594', 0, 'Y', 0, '2014-05-27', NULL, NULL, 41.0893, -111.995, NULL, NULL),
('870629690', 'W73003539', 'W73003539', 'UT01', 'Davis Epic', 'Shay', 'W', 'Holley', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018011000', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006751', 0, 'Y', 0, '2007-03-20', NULL, NULL, 41.0893, -111.995, NULL, NULL),
('870629690', 'W73003540', 'W73003540', 'UT01', 'Davis Epic', 'Ryan', 'R', 'Horning', 'PAC', 'Family Practice', 'Emergency Medicine', '', NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018011000', NULL, '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018011000', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1497752372', 0, 'Y', 0, '2010-12-08', NULL, NULL, 41.0893, -111.995, NULL, NULL),
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('870629690', 'W73003628', 'W73003628', 'UT01', 'Salt Lake Regional Medical Center Epic', 'Michael', 'G', 'Henderson', 'PA-C', 'Emergency Medicine', 'Physician Assistant', 'Neurosurgery', NULL, 'O', '1050 E S Temple', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013504111', NULL, '1050 E S Temple', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013504111', '', 'WCSTEPIC', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1265423594', 0, 'Y', 0, '2014-05-27', NULL, NULL, 40.7694, -111.861, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870629690', 'W73003806', 'W73003806', 'UT01', 'Mountain West Medical Center Epic', 'Les', NULL, 'Greenwood', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006488', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003807', 'W73003807', 'UT01', 'Mountain West Medical Center Epic', 'J', 'Linke', 'Hebrew', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000006649', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
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('870629690', 'W73003811', 'W73003811', 'UT01', 'Mountain West Medical Center Epic', 'Jon', NULL, 'Hughes', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006800', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003812', 'W73003812', 'UT01', 'Mountain West Medical Center Epic', 'Mark', 'E', 'Jackson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006896', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003813', 'W73003813', 'UT01', 'Mountain West Medical Center Epic', 'Kristen', NULL, 'Jahn', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000006905', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003814', 'W73003814', 'UT01', 'Mountain West Medical Center Epic', 'Allen', 'R', 'Jensen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006932', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870629690', 'W73003816', 'W73003816', 'UT01', 'Mountain West Medical Center Epic', 'Robert', NULL, 'Keddington', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007049', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003817', 'W73003817', 'UT01', 'Mountain West Medical Center Epic', 'Kris', NULL, 'Kemp', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Park City Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007063', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003818', 'W73003818', 'UT01', 'Mountain West Medical Center Epic', 'Michael', 'J', 'King', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007100', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003819', 'W73003819', 'UT01', 'Mountain West Medical Center Epic', 'Sharon', 'S', 'Kolber', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007134', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003820', 'W73003820', 'UT01', 'Mountain West Medical Center Epic', 'L', NULL, 'Lamph', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007186', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003821', 'W73003821', 'UT01', 'Mountain West Medical Center Epic', 'Brent', 'L', 'Larsen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007200', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003822', 'W73003822', 'UT01', 'Mountain West Medical Center Epic', 'Kathleen', '', 'Lawliss', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255397691', 0, 'Y', 0, '2011-07-19', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003823', 'W73003823', 'UT01', 'Mountain West Medical Center Epic', 'Brian', 'W', 'Loveridge', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007339', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003824', 'W73003824', 'UT01', 'Mountain West Medical Center Epic', 'Charles', '', 'Mallender', 'MD', 'Emergency Medicine', '', '', NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007407', 0, 'Y', 0, '2013-06-12', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003825', 'W73003825', 'UT01', 'Mountain West Medical Center Epic', 'Craig', NULL, 'Marsden', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007441', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003826', 'W73003826', 'UT01', 'Mountain West Medical Center Epic', 'John', 'A', 'Masaryk', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007458', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003827', 'W73003827', 'UT01', 'Mountain West Medical Center Epic', 'Mark', NULL, 'May', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007484', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003828', 'W73003828', 'UT01', 'Mountain West Medical Center Epic', 'Thomas', NULL, 'Macfarlane', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007375', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003829', 'W73003829', 'UT01', 'Mountain West Medical Center Epic', 'Jennifer', '', 'Mcglothlin', 'MD', 'Emergency Medicine', '', '', NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007516', 0, 'Y', 0, '2012-07-23', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003830', 'W73003830', 'UT01', 'Mountain West Medical Center Epic', 'Steven', NULL, 'Mimnaugh', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007631', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003831', 'W73003831', 'UT01', 'Mountain West Medical Center Epic', 'Cydney', NULL, 'Mortensen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007709', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003832', 'W73003832', 'UT01', 'Mountain West Medical Center Epic', 'Chad', NULL, 'Nichols', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000007873', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003833', 'W73003833', 'UT01', 'Mountain West Medical Center Epic', 'Bart', 'R', 'Nilson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000007883', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
('870629690', 'W73003834', 'W73003834', 'UT01', 'Mountain West Medical Center Epic', 'Lance', 'S', 'Owens', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '2055 N Main', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008021', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.5716, -112.295, NULL, NULL),
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('870629690', 'W73003909', 'W73003909', 'UT01', 'Epic', 'Sharon', 'S', 'Kolber', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007134', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003910', 'W73003910', 'UT01', 'Epic', 'L', NULL, 'Lamph', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007186', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003911', 'W73003911', 'UT01', 'Epic', 'Brent', 'L', 'Larsen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007200', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003912', 'W73003912', 'UT01', 'Epic', 'Kathleen', '', 'Lawliss', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255397691', 0, 'Y', 0, '2011-07-19', 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
('870629690', 'W73003913', 'W73003913', 'UT01', 'Epic', 'Brian', 'W', 'Loveridge', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007339', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003914', 'W73003914', 'UT01', 'Epic', 'Charles', '', 'Mallender', 'MD', 'Emergency Medicine', '', '', NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007407', 0, 'Y', 0, '2013-06-12', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003915', 'W73003915', 'UT01', 'Epic', 'Craig', NULL, 'Marsden', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007441', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003916', 'W73003916', 'UT01', 'Epic', 'John', 'A', 'Masaryk', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007458', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003917', 'W73003917', 'UT01', 'Epic', 'Mark', NULL, 'May', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007484', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003918', 'W73003918', 'UT01', 'Epic', 'Thomas', NULL, 'Macfarlane', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007375', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003919', 'W73003919', 'UT01', 'Epic', 'Jennifer', '', 'Mcglothlin', 'MD', 'Emergency Medicine', '', '', NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007516', 0, 'Y', 0, '2012-07-23', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003920', 'W73003920', 'UT01', 'Epic', 'Steven', NULL, 'Mimnaugh', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007631', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003921', 'W73003921', 'UT01', 'Epic', 'Cydney', NULL, 'Mortensen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000007709', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003922', 'W73003922', 'UT01', 'Epic', 'Chad', NULL, 'Nichols', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000007873', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003923', 'W73003923', 'UT01', 'Epic', 'Bart', 'R', 'Nilson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000007883', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003924', 'W73003924', 'UT01', 'Epic', 'Lance', 'S', 'Owens', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008021', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003925', 'W73003925', 'UT01', 'Epic', 'Ann', NULL, 'Page', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000008031', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003926', 'W73003926', 'UT01', 'Epic', 'David', 'G', 'Pease', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000008102', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003927', 'W73003927', 'UT01', 'Epic', 'Roger', 'S', 'Perry', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008142', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003928', 'W73003928', 'UT01', 'Epic', 'Bo', 'S', 'Poulson', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000008242', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003929', 'W73003929', 'UT01', 'Epic', 'Cathy', 'A', 'Putnam', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000008288', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003930', 'W73003930', 'UT01', 'Epic', 'Trent', NULL, 'Rassmussen', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008327', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003931', 'W73003931', 'UT01', 'Epic', 'L', 'Val', 'Rollins', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000008467', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003932', 'W73003932', 'UT01', 'Epic', 'Jennifer', 'L', 'Ross', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008487', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003933', 'W73003933', 'UT01', 'Epic', 'Diane', 'S', 'Ruschke', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000008511', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003934', 'W73003934', 'UT01', 'Epic', 'Adam', NULL, 'Saperston', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008593', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003935', 'W73003935', 'UT01', 'Epic', 'Marian', 'H', 'Serra', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008660', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003936', 'W73003936', 'UT01', 'Epic', 'William', NULL, 'Sheffield', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000008690', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003937', 'W73003937', 'UT01', 'Epic', 'David', 'V', 'Shewell', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Evanston Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000008700', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003938', 'W73003938', 'UT01', 'Epic', 'Robert', NULL, 'Simmons', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000008722', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003939', 'W73003939', 'UT01', 'Epic', 'Richard', NULL, 'Spence', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000008860', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003940', 'W73003940', 'UT01', 'Epic', 'Connie', NULL, 'Teteberg', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009034', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003941', 'W73003941', 'UT01', 'Epic', 'Richard', NULL, 'Thurman', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009096', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003942', 'W73003942', 'UT01', 'Epic', 'Trenten', 'D', 'Thorn', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000009085', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003943', 'W73003943', 'UT01', 'Epic', 'Craig', 'A', 'Turner', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '0000009205', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003944', 'W73003944', 'UT01', 'Epic', 'Quinn', NULL, 'Weber', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000009553', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
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('245710270', 'W73003983', 'W73003983', 'UT01', 'Epic Associates for Inpatient Medicine', 'Srinivas', NULL, 'Chakravarthy', 'MD', 'Pulmonary', 'Hospitalist', '', NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', '', 'OK', '73143', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005628', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003984', 'W73003984', 'UT01', 'Epic Associates for Inpatient Medicine', 'Andre', NULL, 'Crouch', 'MD', 'Hospitalist', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', '', 'OK', '73143', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255357927', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003985', 'W73003985', 'UT01', 'Epic Associates for Inpatient Medicine', 'Grant', NULL, 'Fletcher', 'MD', 'Hospitalist', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', '', 'OK', '73143', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154354371', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003986', 'W73003986', 'UT01', 'Epic Associates for Inpatient Medicine', 'Mohammed', NULL, 'Hammad', 'MD', 'Hospitalist', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', '', 'OK', '73143', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1235148982', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003987', 'W73003987', 'UT01', 'Epic Associates for Inpatient Medicine', 'Richard', '', 'Herold', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', '          ', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', '          ', 'UTHCAPS', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', '', '', '', 'HCFA|UB|', '1891799318', 0, 'Y', 0, '2014-07-14', NULL, NULL, 0, 0, NULL, NULL),
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('245710270', 'W73003989', 'W73003989', 'UT01', 'Epic Associates for Inpatient Medicine', 'Susan', 'Carol', 'Hustad', 'MD', 'Internal Medicine', 'Hospitalist', NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', '', 'OK', '73143', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770589145', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003990', 'W73003990', 'UT01', 'Epic Associates for Inpatient Medicine', 'Laura', NULL, 'Keeter', 'MD', 'Hospitalist', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', '', 'OK', '73143', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962428631', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003991', 'W73003991', 'UT01', 'Epic Associates for Inpatient Medicine', 'Seth', 'R', 'Lewis', 'MD', 'Internal Medicine', 'Hospitalist', NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1851409544', 0, 'Y', 0, '2011-11-10', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003992', 'W73003992', 'UT01', 'Epic Associates for Inpatient Medicine', 'Wei', '', 'Peng', 'MD', 'Cardiovascular Disease', 'Hospitalist', 'Internal Medicine', NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Salt Lake Regional Medical Center', '', '', '', 'HCFA|UB|', '1295831865', 0, 'Y', 0, '2013-03-18', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003993', 'W73003993', 'UT01', 'Epic Associates for Inpatient Medicine', 'Smitha', '', 'Sadiq', 'MD', 'Internal Medicine', 'Pediatrics', 'Family Practice', NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', '', 'WUSTDINT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, 'Ogden Regional Medical Center', '', '', '', 'HCFA|UB|', '1962490201', 0, 'Y', 0, '2014-07-10', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003994', 'W73003994', 'UT01', 'Epic Associates for Inpatient Medicine', 'Antonia', NULL, 'Salud', 'MD', 'Hospitalist', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8013529502', NULL, 'PO Box 96398', 'Oklahoma City', '', 'OK', '73143', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093811655', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W73003995', 'W73003995', 'UT01', 'Epic Associates for Inpatient Medicine', 'Frank', 'E', 'Tilaro', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 708064', 'Sandy', 'Salt Lake', 'UT', '84070', '8013529502', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', '2008-06-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821027525', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'W73003996', 'W73003996', 'UT01', 'Epic', NULL, NULL, 'Epic', 'GROUP', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Salt Lake', 'OK', '84103', '8014083900', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', NULL, 3, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006137', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870470731', 'W73003997', 'W73003997', 'UT01', 'Ungricht Eye Associates', 'Thomas', 'E', 'Gayer', 'OD', 'Optometry', '', '', NULL, 'O', '5770 S 250 E Ste 410', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8013144420', NULL, '5770 S 250 E Ste 410', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8013144420', '', 'WUTALBERT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1275624751', 0, 'N', 0, '2012-05-29', NULL, NULL, 40.6452, -111.884, NULL, NULL),
('870470731', 'W73003998', 'W73003998', 'UT01', 'Ungricht Eye Associates', 'Craig', 'W', 'VanLeeuwen', 'OD', 'Optometry', '', '', NULL, 'O', '5770 S 250 E Ste 410', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8013144420', NULL, '5770 S 250 E Ste 410', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8013144420', '', 'WUTALBERT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1427149905', 0, 'N', 0, '2012-05-29', NULL, NULL, 40.6452, -111.884, NULL, NULL),
('621801973', 'W73003999', 'W73003999', 'UT01', 'Internal Medicine Specialist Hospital', 'Abdul', 'F', 'Saidi', 'MD', 'Internal Medicine', 'Hospitalist', NULL, NULL, 'O', '3460 S Pioneer Parkway', 'West Valley', 'Salt Lake', 'UT', '84120', '8019643100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2007-01-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336246230', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W73004000', 'W73004000', 'UT01', 'Pioneer Valley Hospital Physicians', 'Abdul', 'F', 'Saidi', 'MD', 'Internal Medicine', 'Hospitalist', NULL, NULL, 'B', 'PO Box 95970 ', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2007-01-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336246230', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870283576', 'W73004001', 'W73004001', 'UT01', 'Excel Eye Center', 'W', 'Scott', 'Lohner', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1735 N State St ', 'Provo', 'Utah', 'UT', '84604', '8013741818', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-06-01', '2006-06-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992764187', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870687383', 'W73004002', 'W73004002', 'UT01', 'Western Neurological Associates', 'Linda', 'A', 'Marden', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '1151 E 3900 S Ste B150', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012623441', NULL, '1151 E 3900 S', 'Salt Lake City', '', 'UT', '84124', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-05-01', '2007-06-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('352163112', 'W73004003', 'W73004003', 'UT01', 'Southwest Utah Community Health', 'David', 'G', 'Grygla', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '168 N 100 E', 'St George', 'Washington', 'UT', '84770', '4359862565', NULL, '168 N 100 E', 'St George', 'Washington', 'UT', '84770', '4359862565', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-09-01', '2011-11-01', 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1518075415', 0, 'N', 0, '2013-09-09', NULL, NULL, 0, 0, NULL, NULL),
('870342259', 'W73004004', 'W73004004', 'UT01', 'Wayne Community Health Centers', 'Leland', 'J', 'Chappell', NULL, 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 303 ', 'Bicknell', 'Wayne', 'UT', '84715', '4354253744', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2006-10-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870342259', 'W73004005', 'W73004005', 'UT01', 'Wayne Community Health Centers', 'Leland', 'J', 'Chappell', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '128 S 300 W ', 'Bicknell', 'Wayne', 'UT', '84715', '4354253744', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2006-10-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('202963453', 'W73004006', 'W73004006', 'UT01', 'Alpine Vision Center', 'Steven', NULL, 'Weaver', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '1307 N Commerce Dr Ste 100', 'Lehi', 'Utah', 'UT', '84043', '8017681900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUTALBERT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2006-10-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487630588', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('203908830', 'W73004007', 'W73004007', 'UT01', 'Clear Vue', 'David', 'K', 'Morrill', 'OD', 'Optometry', '', '', NULL, 'B', 'PO Box 1140', 'Tooele', 'Tooele', 'UT', '84074', '4358438333', '4358438334', 'PO Box 1140', 'Tooele', 'Tooele', 'UT', '84074', '4358438333', '4358438334', 'WUTALBERT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-10-01', '2009-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1528085016', 0, 'Y', 0, '2014-05-15', NULL, NULL, 0, 0, NULL, NULL),
('870355954', 'W73004008', 'W73004008', 'UT01', 'Hoopes-Alldredge-Vision Institute', 'Claron', 'D', 'Alldredge', 'MD', 'Ophthalmology', '', '', NULL, 'O', '10011 Centennial Pkwy Ste 400', 'Sandy', 'Salt Lake', 'UT', '84070', '8015680200', NULL, '10011 Centennial Pkwy Ste 400', 'Sandy', 'Salt Lake', 'UT', '84070', '8015680200', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1841200284', 0, 'N', 0, '2013-04-05', NULL, NULL, 40.5696, -111.895, NULL, NULL),
('870355954', 'W73004009', 'W73004009', 'UT01', 'Rocky Mountain Eye Center', 'Claron', 'D', 'Alldredge', 'MD', 'Ophthalmology', '', '', NULL, 'O', '4400 S 700 E Ste 140', 'Murray', 'Salt Lake', 'UT', '84107', '8012880067', NULL, '4400 S 700 E Ste 140', 'Murray', 'Salt Lake', 'UT', '84107', '8012880067', '', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1841200284', 0, 'N', 0, '2013-04-05', NULL, NULL, 40.6758, -111.871, 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
('870403523', 'W73004010', 'W73004010', 'UT01', 'West Valley Foot & Ankle', 'Craig', 'A', 'McManama', 'DPM', 'Podiatry', '', '', NULL, 'O', '513 W 2600 S', 'Bountiful', 'Davis', 'UT', '84010', '8019663556', NULL, '513 W 2600 S', 'Bountiful', 'Davis', 'UT', '84010', '8019663556', '', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, 'Pioneer Valley Hospital', '', '', '', 'HCFA|UB|', '1659430254', 0, 'N', 0, '2014-06-16', NULL, NULL, 40.8616, -111.893, NULL, NULL),
('870403523', 'W73004011', 'W73004011', 'UT01', 'West Valley Foot & Ankle', 'Craig', 'A', 'McManama', 'DPM', 'Podiatry', '', '', NULL, 'O', '225 Skyhawk Dr', 'Wendover', 'Tooele', 'UT', '84083', '8019663556', NULL, '225 Skyhawk Dr', 'Wendover', 'Tooele', 'UT', '84083', '8019663556', '', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, 'Pioneer Valley Hospital', '', '', '', 'HCFA|UB|', '1659430254', 0, 'N', 0, '2014-06-16', NULL, NULL, 40.7373, -114.036, NULL, NULL),
('731672377', 'W73004012', 'W73004012', 'UT01', NULL, 'Charles', 'D', 'White', 'MD', 'Family Practice', '', '', NULL, 'O', '1551 Renaissance Towne Dr Ste 460', 'Bountiful', 'Davis', 'UT', '84010', '8012940191', NULL, '1551 Renaissance Towne Dr Ste 460', 'Bountiful', 'Davis', 'UT', '84010', '8012940191', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1366486805', 0, 'N', 0, '2014-01-17', NULL, NULL, 40.8737, -111.888, NULL, NULL),
('621795215', 'W73004013', 'W73004013', 'UT01', 'Center for Orthopedic & Rehabilitation Excellence', 'S', 'Charles', 'Marshall', 'MD', 'Sports Medicine', NULL, NULL, NULL, 'O', '8785 Jordan Valley Way Ste B', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015683480', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD3', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2007-01-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795215', 'W73004014', 'W73004014', 'UT01', 'Center for Orthopedic & Rehabilitation Excellence', 'Wade', ' ', 'Sessions', 'MD', 'Sports Medicine', NULL, NULL, NULL, 'O', '8785 Jordan Valley Way Ste B', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015683480', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD3', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2007-01-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795215', 'W73004015', 'W73004015', 'UT01', 'Center for Orthopedic & Rehabilitation Excellence', 'Michael', 'G', 'Henderson', 'PA-C', 'Emergency Medicine', 'Physician Assistant', 'Neurosurgery', NULL, 'O', '8785 Jordan Valley Way Ste B', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015683480', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD3', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2007-01-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265423594', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795215', 'W73004016', 'W73004016', 'UT01', 'Jordan Valley Surgical Specialists', 'Matthew', 'B', 'Johnson', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '3590 W 9000 S Ste 105', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015623150', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD3', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2007-01-31', 0, NULL, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1699787770', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('876000616', 'W73004087', 'W73004087', 'UT01', 'Blanding Medical Clinic', 'Marcus', 'T', 'Higi', 'MD', 'Family Practice', 'Emergency Medicine', NULL, NULL, 'O', '804 N 400 W ', 'Blanding', 'San Juan', 'UT', '84511', '4356782254', NULL, 'PO Box 308', 'Monticello', '', 'UT', '84535', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-11-01', '2007-03-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1437125200', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W73004088', 'W73004088', 'UT01', 'San Juan Hospital', 'Lloyd', 'V', 'Jones', 'MD', 'Family Practice', 'Emergency Medicine', NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', NULL, 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-11-01', NULL, 0, 0, 0, 'Blue Mountain Hospital', '', '', '', 'HCFA|', '1932102514', 0, 'y', 0, '2013-11-06', NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W73004089', 'W73004089', 'UT01', 'San Juan Hospital', 'Lloyd', 'V', 'Jones', 'MD', 'Family Practice', 'Emergency Medicine', NULL, NULL, 'O', '380 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', NULL, '380 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-11-01', NULL, 0, 0, 0, 'Blue Mountain Hospital', '', '', '', 'HCFA|', '1932102514', 0, 'Y', 0, '2013-11-06', NULL, NULL, 37.8741, -109.348, NULL, NULL),
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