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
('742799731', 'W11002251', 'W11002251', 'TX01', 'Ortho Plus, Inc.', NULL, NULL, 'Ortho Plus, Inc.', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'B', 'PO Box 690633', 'San Antonio', 'Bexar', 'TX', '78269', '2105418568', NULL, 'PO Box 690633', 'San Antonio', '', 'TX', '78269', '', '', 'TXDME', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-09-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366407132', 0, 'y', 0, '2007-10-29', NULL, NULL, 0, 0, NULL, NULL),
('830291130', 'W11002252', 'W11002252', 'WY01', 'Gillette Chiropractic Center', 'Todd', 'A', 'Hildebrand', 'DC', 'Chiropractic', '', '', NULL, 'O', '1001 4-J Rd', 'Gillette', 'Campbell', 'WY', '82716', '3076862327', '3076871106', '1001 4-J Rd', 'Gillette', 'Campbell', 'WY', '82716', '3076862327', '3076871106', '', '', '5004', '0.00', '100.00', '0.00', 3, '2007-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1811906845', 0, 'N', 0, '2014-04-21', NULL, NULL, 44.2856, -105.51, NULL, NULL),
('840611484', 'W32000001', 'W32000001', 'UT01', 'LabCorp of America Holdings', '', '', 'LabCorp of America Holdings', 'GROUP', 'Laboratory', '', '', NULL, 'B', 'PO Box 2270', 'Burlington', 'Alamance', 'NC', '27216', '8004444522', NULL, 'PO Box 2270', 'Burlington', 'Alamance', 'NC', '27216', '8004444522', '', 'WULABCORP5', NULL, NULL, '0.00', '35.00', '0.00', 3, '1999-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1104829159', 0, 'Y', 0, '2013-10-30', NULL, NULL, 0, 0, NULL, NULL),
('510123924', 'W33000001', 'W33000001', 'ZZ19', 'Smith Nephew (Muscle Stimu', NULL, NULL, 'Smith Nephew Inc (Muscle Stimu', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', 'PO Box 22987', 'Chicago', 'Cook', 'IL', '60673', '8006374391', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2029', '0.00', NULL, NULL, 3, '2000-10-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '2531', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('582205984', 'W33000002', 'W33000002', 'UT01', 'Matria Healthcare', NULL, NULL, 'Matria Healthcare Inc', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '6095 Fashion Blvd Ste 150', 'Murray', 'Salt Lake', 'UT', '84107', '8012623003', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UMATRIA', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-11-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '583700', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('582205984', 'W33000003', 'W33000003', 'UT01', 'Matria Healthcare', NULL, NULL, 'Matria Healthcare Inc', NULL, 'Home Health Agency', NULL, NULL, NULL, 'B', 'PO Box 96782', 'Chicago', 'Cook', 'IL', '60693', '8012623003', '7707674614', NULL, NULL, '', NULL, NULL, '', '', 'UMATRIA', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-11-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '583700', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('631059483', 'W33000004', 'W33000004', 'UT01', 'Health South Park City Diagnos', NULL, NULL, 'Health South Park City Diagnos', NULL, 'Radiologist', NULL, NULL, NULL, 'O', '1850 Sidewinder Dr Ste 410', 'Park City', 'Summit', 'UT', '84060', '4356150250', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-02', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '607595', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('631059483', 'W33000005', 'W33000005', 'UT01', 'Health South Sandy Diagnostics', NULL, NULL, 'Health South Sandy Diagnostics', NULL, 'Radiologist', NULL, NULL, NULL, 'O', '10011 Centennial Pkwy Ste 150', 'Sandy', 'Salt Lake', 'UT', '84070', '8012566400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-02', '2005-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '607595', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('631059483', 'W33000006', 'W33000006', 'UT01', 'HealthSouth Diagnostic Centers', NULL, NULL, 'HealthSouth Diagnostic Centers', NULL, 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 281206', 'Atlanta', 'Fulton', 'GA', '30384', '4356150250', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-02', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '607595', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('631059483', 'W33000007', 'W33000007', 'UT01', 'HealthSouth Diagnostic Centers', NULL, NULL, 'HealthSouth Diagnostic Centers', NULL, 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 281206', 'Atlanta', 'Fulton', 'GA', '30384', '8012566400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-02', '2005-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '607595', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000008', 'W33000008', 'UT01', 'Praxair Healthcare Services', NULL, NULL, 'Praxair Healthcare Services', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '14 W Main St', 'Vernal', 'Uintah', 'UT', '84078', '4357899500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000009', 'W33000009', 'UT01', 'Praxair Healthcare Services', NULL, NULL, 'Praxair Healthcare Services', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '165 E 1400 N Ste D', 'Logan', 'Cache', 'UT', '84341', '4357522100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000010', 'W33000010', 'UT01', 'Praxair Healthcare Services', NULL, NULL, 'Praxair Healthcare Services', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '206 W 36th St', 'Ogden', 'Weber', 'UT', '84405', '8013944000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000011', 'W33000011', 'UT01', 'Praxair Healthcare Services', NULL, NULL, 'Praxair Healthcare Services', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '235 E 6100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012615100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000012', 'W33000012', 'UT01', 'Praxair Healthcare Services', NULL, NULL, 'Praxair Healthcare Services', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '400 N Geneva Rd', 'Lindon', 'Utah', 'UT', '84042', '8017851000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000013', 'W33000013', 'UT01', 'Praxair Healthcare Services', NULL, NULL, 'Praxair Healthcare Services', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '60 S 700 E Ste 1', 'Price', 'Carbon', 'UT', '84501', '4356379500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000014', 'W33000014', 'UT01', 'Praxair Healthcare Services In', NULL, NULL, 'Praxair Healthcare Services In', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'B', 'CH Dept 14104', 'Palatine', 'Cook', 'IL', '60055', '8012617184', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000015', 'W33000015', 'UT02', 'Praxair Healthcare Services', NULL, NULL, 'Praxair Healthcare Services', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '1509 S 270 E Ste 9', 'St George', 'Washington', 'UT', '84790', '4356733250', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000016', 'W33000016', 'UT02', 'Praxair Healthcare Services', NULL, NULL, 'Praxair Healthcare Services', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '198 N Main St', 'Cedar City', 'Iron', 'UT', '84720', '4355860379', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('450467418', 'W33000017', 'W33000017', 'UT02', 'Praxair Healthcare Services In', NULL, NULL, 'Praxair Healthcare Services In', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'B', 'CH Dept 14104', 'Palatine', 'Cook', 'IL', '60055', '4357522100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UPRAXAIR', NULL, NULL, NULL, '20.00', NULL, 3, '2003-01-01', '2006-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '676746', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870333048', 'W33000018', 'W33000018', 'UT01', 'Mountain View Hospital', NULL, NULL, 'Mountain View Hospital', NULL, 'Hospital', NULL, NULL, NULL, 'O', '1000 E 100 N', 'Payson', 'Utah', 'UT', '84651', '8014657000', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2099', '0.00', '32.00', NULL, 3, '2003-01-01', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487607669', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870333048', 'W33000019', 'W33000019', 'UT01', 'Mountain View Hospital', NULL, NULL, 'Mountain View Hospital', NULL, 'Hospital', NULL, NULL, NULL, 'B', 'PO Box 409636', 'Atlanta', 'Fulton', 'GA', '30384', '8014659201', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2099', '0.00', '32.00', NULL, 3, '2003-01-01', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487607669', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('270006645', 'W33000020', 'W33000020', 'UT01', 'Alpine Surgical Center', NULL, NULL, 'Alpine Surgical Center LLC', NULL, 'Facility', NULL, NULL, NULL, 'O', '4403 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8013873900', '8013873905', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2163', '0.00', '35.00', NULL, 3, '2002-12-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830846', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870566789', 'W33000021', 'W33000021', 'UT01', 'Central Utah Surgical Center', NULL, NULL, 'Central Utah Surgical Center', NULL, 'Facility', NULL, NULL, NULL, 'O', '1067 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013740354', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1685', '0.00', NULL, NULL, 3, '2003-03-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962463950', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870566789', 'W33000022', 'W33000022', 'UT01', 'Central Utah Surgical Center', NULL, NULL, 'Central Utah Surgical Center', NULL, 'Facility', NULL, NULL, NULL, 'B', 'PO Box 271472', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8013566002', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1685', '0.00', NULL, NULL, 3, '2003-03-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962463950', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('481272182', 'W33000023', 'W33000023', 'UT01', 'Eastern Utah Surgical Center', NULL, NULL, 'Eastern Utah Surgical Center', NULL, 'Facility', NULL, NULL, NULL, 'O', '200 N Fairgrounds Rd', 'Price', 'Carbon', 'UT', '84501', '4356371744', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1719', '0.00', NULL, NULL, 3, '2003-02-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619048170', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565798', 'W33000024', 'W33000024', 'UT01', 'Davis Surgical Center', NULL, NULL, 'Davis Surgical Center', NULL, 'Facility', NULL, NULL, NULL, 'O', '1544 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8017733339', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1692', '0.00', NULL, NULL, 3, '1998-01-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811973589', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565798', 'W33000025', 'W33000025', 'UT01', 'Davis Surgical Center', NULL, NULL, 'Davis Surgical Center', NULL, 'Facility', NULL, NULL, NULL, 'B', 'PO Box 271496', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8017733339', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1692', '0.00', NULL, NULL, 3, '1998-01-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811973589', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870460405', 'W33000026', 'W33000026', 'UT02', 'Dixie Eye Surgical Center', NULL, NULL, 'Dixie Eye Surgical Center', NULL, 'Facility', NULL, NULL, NULL, 'B', '1085 S Bluff St', 'St George', 'Washington', 'UT', '84770', '4356882020', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1711', '0.00', NULL, NULL, 3, '2003-12-15', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830853', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870460405', 'W33000027', 'W33000027', 'UT02', 'Dixie Eye Surgical Center', NULL, NULL, 'Dixie Eye Surgical Center', NULL, 'Facility', NULL, NULL, NULL, 'O', '1085 S Bluff St', 'St George', 'Washington', 'UT', '84770', '4356882020', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1711', '0.00', NULL, NULL, 3, '2003-12-15', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830853', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('631263129', 'W33000028', 'W33000028', 'UT01', 'HealthSouth Provo Surgical Cen', NULL, NULL, 'HealthSouth Provo Surgical Cen', NULL, 'Facility', NULL, NULL, NULL, 'O', '585 N 500 W', 'Provo', 'Utah', 'UT', '84601', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2114', '0.00', '10.00', NULL, 3, '2002-02-01', '2004-03-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830855', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('631190130', 'W33000029', 'W33000029', 'UT01', 'HealthSouth Surgery Center of ', NULL, NULL, 'HealthSouth Surgery Center of', NULL, 'Facility', NULL, NULL, NULL, 'O', '1820 Sidewinder Dr Ste 120', 'Park City', 'Summit', 'UT', '84060', '4356150240', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '3316', '0.00', NULL, NULL, 3, '2000-05-01', '2006-08-11', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830857', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('721342565', 'W33000030', 'W33000030', 'UT01', 'Mountain West Endoscopy', NULL, NULL, 'Mountain West Endoscopy', NULL, 'Facility', NULL, NULL, NULL, 'O', '6360 S 3000 E Ste 320', 'Salt Lake City', 'Salt Lake', 'UT', '84121', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, '2052', '0.00', NULL, NULL, 3, '2000-05-01', '2006-05-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830859', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543342', 'W33000031', 'W33000031', 'UT01', 'Allen Memorial Hospital', NULL, NULL, 'Allen Memorial Hospital', NULL, 'Hospital', NULL, NULL, NULL, 'O', '719 W 400 N', 'Moab', 'Grand', 'UT', '84532', '4352597191', '4352595172', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '10.00', NULL, 3, '2003-06-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770513236', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870543342', 'W33000032', 'W33000032', 'UT01', 'Allen Memorial Hospital', NULL, NULL, 'Allen Memorial Hospital', NULL, 'Hospital', NULL, NULL, NULL, 'B', 'PO Box 998', 'Moab', 'Grand', 'UT', '84532', '4352597191', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '10.00', NULL, 3, '2003-06-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770513236', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642125', 'W33000033', 'W33000033', 'UT01', 'Northern Utah Endoscopy Center', NULL, NULL, 'Northern Utah Endoscopy Center', NULL, 'Facility', NULL, NULL, NULL, 'O', '630 E 1400 N', 'Logan', 'Cache', 'UT', '84341', '4357870270', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1825', '0.00', '30.00', NULL, 3, '2000-12-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830861', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621762532', 'W33000034', 'W33000034', 'UT01', 'Ashley Valley Regional Medical', NULL, NULL, 'Ashley Valley Regional Medical', NULL, 'Hospital', NULL, NULL, NULL, 'O', '151 W 200 N', 'Vernal', 'Uintah', 'UT', '84078', '4357893342', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '7.00', NULL, 3, '2000-05-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830862', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('245710678', 'W33000035', 'W33000035', 'UT01', 'Physicians Surgical Centers DB', NULL, NULL, 'Physicians Surgical Centers DB', NULL, 'Facility', NULL, NULL, NULL, 'B', 'PO Box 2265', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8014951064', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1724', '0.00', NULL, NULL, 3, '2003-04-21', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830863', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('245710678', 'W33000036', 'W33000036', 'UT01', 'Physicians Surgical Centers DB', NULL, NULL, 'Physicians Surgical Centers DB', NULL, 'Facility', NULL, NULL, NULL, 'O', '151 E 5600 S Ste 104', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8014951064', NULL, '151 E 5600 S', 'Murray', '', 'UT', '84107', '', '', NULL, NULL, '1724', '0.00', NULL, NULL, 3, '2003-04-21', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830863', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467991', 'W33000037', 'W33000037', 'UT01', 'Salt Lake Endoscopy Center', NULL, NULL, 'Salt Lake Endoscopy Center', NULL, 'Facility', NULL, NULL, NULL, 'O', '24 S 1100 E Ste 103', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013552988', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USLCEND', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609896216', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870419324', 'W33000084', 'W33000084', 'UT01', 'Central Valley Medical Center', NULL, NULL, 'Central Valley Medical Center', NULL, 'Hospital', NULL, NULL, NULL, 'O', '48 W 1500 N', 'Nephi', 'Juab', 'UT', '84648', '4356233000', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '11.00', NULL, 3, '1998-01-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881658110', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870619248', 'W33000087', 'W33000087', 'UT01', 'Mountain West Medical Center', NULL, NULL, 'Mountain West Medical Center', NULL, 'Hospital', NULL, NULL, NULL, 'B', 'FILE 73619 Box 60000', 'San Francisco', 'San Francisco', 'CA', '94160', '4358433600', '4358433637', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1935', '0.00', NULL, NULL, 3, '2000-10-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830897', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870516752', 'W33000101', 'W33000101', 'UT01', 'East Lake Care Center', NULL, NULL, 'East Lake Care Center', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '1001 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013779661', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831928', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621304772', 'W33000102', 'W33000102', 'UT01', 'Garden Terrace', NULL, NULL, 'Garden Terrace', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '1201 E 4500 S', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012613664', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1792', '0.00', '30.00', NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831929', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742715684', 'W33000103', 'W33000103', 'UT01', 'Rocky Mountain Care-Clearfield', NULL, NULL, 'Rocky Mountain Care-Clearfield', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '1450 S 1500 E', 'Clearfield', 'Davis', 'UT', '84015', '8013974300', '8013974390', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '1999-09-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629075361', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('200290337', 'W33000104', 'W33000104', 'UT01', 'Heritage Woodland Park Care Ce', NULL, NULL, 'Heritage Woodland Park Care Ce', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '3855 S 700 E', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8012684766', '8012684893', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1743', '0.00', '30.00', NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831931', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200290337', 'W33000105', 'W33000105', 'UT01', 'Woodland Park Care Center', NULL, NULL, 'Woodland Park Care Center', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'B', 'PO Box 27648', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8012684766', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1743', '0.00', '30.00', NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336140094', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870257692', 'W33000106', 'W33000106', 'UT01', 'South Davis Community Hospital', NULL, NULL, 'South Davis Community Hospital', NULL, 'Skilled Nursing Facility', 'Home Health Agency', 'Hospice', NULL, 'O', '401 S 400 E', 'Bountiful', 'Davis', 'UT', '84010', '8012952361', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2161', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174566384', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621263541', 'W33000107', 'W33000107', 'UT01', 'Life Care of Bountiful', NULL, NULL, 'Life Care of Bountiful', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '460 W 2600 S', 'Bountiful', 'Davis', 'UT', '84010', '8012953135', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831933', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('631105917', 'W33000108', 'W33000108', 'UT01', 'Healthsouth Rehab of UT', NULL, NULL, 'Healthsouth Rehab of UT', NULL, 'Skilled Nursing Facility', 'Rehabilitation', NULL, NULL, 'O', '8074 S 1300 E', 'Sandy', 'Salt Lake', 'UT', '84094', '8015656577', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1754', '0.00', '30.00', NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831934', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522085558', 'W33000109', 'W33000109', 'UT01', 'Wasatch Care Center', NULL, NULL, 'Wasatch Care Center', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '3430 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8013995609', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '1999-09-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467472241', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522085558', 'W33000110', 'W33000110', 'UT01', 'Wasatch Valley Rehab', NULL, NULL, 'Wasatch Valley Rehab', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '2200 E 3300 S', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8014862096', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '2000-01-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831936', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522085558', 'W33000111', 'W33000111', 'UT01', 'Crosslands Rehab & Healthcare', NULL, NULL, 'Crosslands Rehab & Healthcare', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '575 E 11000 S', 'Sandy', 'Salt Lake', 'UT', '84070', '8015717600', '8015714875', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '2000-01-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831937', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870208619', 'W33000112', 'W33000112', 'UT01', 'Sunshine Terrace Foundation', NULL, NULL, 'Sunshine Terrace Foundation', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '225 N 200 W', 'Logan', 'Cache', 'UT', '84321', '4357520411', '4357521318', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '1999-09-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831938', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870208619', 'W33000113', 'W33000113', 'UT01', 'Sunshine Terrace Foundation', NULL, NULL, 'Sunshine Terrace Foundation', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'B', '225 N 200 W Attn: Merrill C Daines - Med Director', 'Logan', 'Cache', 'UT', '84321', '4357520411', '4357521318', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '1999-09-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831938', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W33000114', 'W33000114', 'UT01', 'San Juan Hospital - Pro Fees', '', '', 'San Juan Hospital', NULL, 'Hospital', NULL, NULL, NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '5.00', NULL, 3, '2002-01-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942251459', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W33000115', 'W33000115', 'UT01', 'San Juan Hospital - Pro Fees', '', '', 'San Juan Hospital', NULL, 'Hospital', NULL, NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '5.00', NULL, 3, '2002-01-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942251459', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W33000116', 'W33000116', 'UT01', 'UUHC Central Billing Office', NULL, NULL, 'UUHC Central Billing Office', NULL, 'Urgent Care', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831942', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W33000117', 'W33000117', 'UT01', 'UUHC Redwood Urgent Care', NULL, NULL, 'UUHC Redwood Urgent Care', NULL, 'Urgent Care', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831942', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795214', 'W33000118', 'W33000118', 'UT01', 'Salt Lake Regional Medical Ctr', NULL, NULL, 'Salt Lake Regional Medical Ctr', NULL, 'Outpatient Facility', NULL, NULL, NULL, 'O', '1050 E S Temple', 'Salt Lake City', 'Salt Lake', 'UT', '84102', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '42.00', 3, '2001-01-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831947', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795214', 'W33000119', 'W33000119', 'UT01', 'Salt Lake Regional Medical Ctr', NULL, NULL, 'Salt Lake Regional Medical Ctr', NULL, 'Outpatient Facility', NULL, NULL, NULL, 'B', 'PO Box 26935', 'Salt Lake City', 'Salt Lake', 'UT', '84126', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '42.00', 3, '2001-01-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831947', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841421787', 'W33000120', 'W33000120', 'UT01', 'Caresource Hospice', NULL, NULL, 'Caresource Hospice', NULL, 'Hospice', NULL, NULL, NULL, 'O', '1624 E 4500 S', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012667200', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1669', '0.00', NULL, NULL, 3, '2000-03-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831948', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870490507', 'W33000207', 'W33000207', 'UT01', 'Wasatch Speech and Language Ce', NULL, NULL, 'Wasatch Speech and Language Ce', NULL, 'Physical, Speech, Occup Therapy', NULL, NULL, NULL, 'O', '2120 E 3900 S Ste 100', 'Holladay', 'Salt Lake', 'UT', '84124', '8013080400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-05-01', '2004-05-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832996', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870490507', 'W33000208', 'W33000208', 'UT01', 'Wasatch Speech And Language Ce', NULL, NULL, 'Wasatch Speech And Language Ce', NULL, 'Physical, Speech, Occup Therapy', NULL, NULL, NULL, 'B', '2120 E 3900 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8013080400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-05-01', '2004-05-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832996', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('470901059', 'W33000209', 'W33000209', 'UT01', 'Anatomic Pathology Associates ', NULL, NULL, 'Anatomic Pathology Associates ', NULL, 'Laboratory', NULL, NULL, NULL, 'O', '1200 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8007348870', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-05-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558441485', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('470901059', 'W33000210', 'W33000210', 'UT01', 'Anatomic Pathology Associates ', NULL, NULL, 'Anatomic Pathology Associates ', NULL, 'Laboratory', NULL, NULL, NULL, 'B', 'PO Box 727', 'Brigham City', 'Box Elder', 'UT', '84302', '8007348870', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-05-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558441485', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870629575', 'W33000211', 'W33000211', 'UT01', 'Central Utah Pathology', NULL, NULL, 'Central Utah Pathology', NULL, 'Laboratory', NULL, NULL, NULL, 'O', 'PO Box 276', 'Midvale', 'Salt Lake', 'UT', '84047', '8012630810', '8012708170', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-05-01', '2006-05-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833020', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W33000212', 'W33000212', 'UT01', 'University Pathology Associate', NULL, NULL, 'University Pathology Associate', NULL, 'Laboratory', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812508', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-05-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833021', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W33000213', 'W33000213', 'UT01', 'University Pathology Associate', NULL, NULL, 'University Pathology Associate', NULL, 'Laboratory', NULL, NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015812508', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-05-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833021', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659347', 'W33000214', 'W33000214', 'UT01', 'Pediatric Pathology', NULL, NULL, 'Pediatric Pathology', NULL, 'Pathology', NULL, NULL, NULL, 'O', '100 N MEDICAL Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '4357340101', '4357340103', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-05-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833022', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659347', 'W33000215', 'W33000215', 'UT01', 'Pediatric Pathology', NULL, NULL, 'Pediatric Pathology', NULL, 'Pathology', NULL, NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367777', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-05-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833022', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653970', 'W33000216', 'W33000216', 'UT01', 'Anesthesia Specialist', NULL, NULL, 'Anesthesia Specialist', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '6778 S 1300 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8015669800', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833024', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870517888', 'W33000217', 'W33000217', 'UT01', 'Basin Anesthesia Associates', NULL, NULL, 'Basin Anesthesia Associates', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', 'PO Box 90164', 'Vernal', 'Uintah', 'UT', '84079', '4357811519', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833027', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656683', 'W33000218', 'W33000218', 'UT01', NULL, NULL, NULL, 'Carson MD PC Chad', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '1652 Wildcat Ln Ste 1', 'Ogden', 'Weber', 'UT', '84403', '8013932249', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833034', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870661563', 'W33000219', 'W33000219', 'UT01', 'Castle View Anesthesia', NULL, NULL, 'Castle View Anesthesia', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019939500', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1721', '0.00', '20.00', NULL, 3, '2004-05-01', '2004-05-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833035', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870661563', 'W33000220', 'W33000220', 'UT01', 'Castle View Anesthesia', NULL, NULL, 'Castle View Anesthesia', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '300 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', '8019939500', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1721', '0.00', '20.00', NULL, 3, '2004-05-01', '2004-05-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833035', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562302331', 'W33000221', 'W33000221', 'UT01', 'Central Utah Anesthesia', NULL, NULL, 'Central Utah Anesthesia', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '1067 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013740354', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578765533', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562302331', 'W33000222', 'W33000222', 'UT01', 'Central Utah Anesthesia', NULL, NULL, 'Central Utah Anesthesia', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 1727', 'Provo', 'Utah', 'UT', '84603', '8013740354', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578765533', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870372827', 'W33000223', 'W33000223', 'UT01', NULL, NULL, NULL, 'Diehl MD PC Paul J', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '10011 Centennial Pkwy', 'Sandy', 'Salt Lake', 'UT', '84070', '8019939527', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833037', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870372827', 'W33000224', 'W33000224', 'UT01', NULL, NULL, NULL, 'Diehl MD PC Paul J', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 107', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019939527', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833037', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870301231', 'W33000225', 'W33000225', 'UT01', NULL, NULL, NULL, 'Robinson MD PC John G', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', '8184 Highland Dr Ste C7', 'Sandy', 'Salt Lake', 'UT', '84093', '8019441022', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833038', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870301231', 'W33000226', 'W33000226', 'UT01', 'South Towne Surgery Center', NULL, NULL, 'South Towne Surgery Center', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '10011 Centennial Pkwy', 'Sandy', 'Salt Lake', 'UT', '84070', '8019441022', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598772634', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549673', 'W33000227', 'W33000227', 'UT01', NULL, NULL, NULL, 'Naisbitt MD PC Mark S', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', '1652 Wildcat Ln Ste 1', 'Ogden', 'Weber', 'UT', '84403', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833039', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549673', 'W33000228', 'W33000228', 'UT01', NULL, NULL, NULL, 'Naisbitt MD PC, Mark S', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '3460 Baker Dr', 'Ogden', 'Weber', 'UT', '84403', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833039', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200262965', 'W33000229', 'W33000229', 'UT02', 'Kinross Crna PC Shawn', NULL, NULL, 'Kinross Crna PC Shawn', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '1303 N Main St', 'Cedar City', 'Iron', 'UT', '84720', '4355866587', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833040', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('270041325', 'W33000231', 'W33000231', 'UT01', 'Pinnacle Anesthesia Associates', NULL, NULL, 'Pinnacle Anesthesia Associates', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 105', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8007484868', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144313669', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('270041325', 'W33000232', 'W33000232', 'UT01', 'Pinnacle Anesthesia Associates', NULL, NULL, 'Pinnacle Anesthesia Associates', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '300 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', '8007484868', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144313669', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870533611', 'W33000233', 'W33000233', 'UT01', 'North Davis Anesthesiology', NULL, NULL, 'North Davis Anesthesiology', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8017748992', '8015250347', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2006-05-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679525901', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870533611', 'W33000234', 'W33000234', 'UT01', 'North Davis Anesthesiology', NULL, NULL, 'North Davis Anesthesiology', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 160354', 'Clearfield', 'Davis', 'UT', '84016', '8017748992', '8015250347', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2006-05-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679525901', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870533611', 'W33000235', 'W33000235', 'UT01', 'North Davis Anesthesiology', NULL, NULL, 'North Davis Anesthesiology', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8014510858', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2006-05-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679525901', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870533611', 'W33000236', 'W33000236', 'UT01', 'North Davis Anesthesiology', NULL, NULL, 'North Davis Anesthesiology', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 98', 'Farmington', 'Davis', 'UT', '84025', '8017748992', '8015250347', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2006-05-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679525901', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870615475', 'W33000239', 'W33000239', 'UT01', NULL, NULL, NULL, 'Faber MD PC Daniel R', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', '3214 N University Ave Ste 312', 'Provo', 'Utah', 'UT', '84604', '8012234860', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833044', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870574267', 'W33000242', 'W33000242', 'UT01', 'The ER Group', NULL, NULL, 'The ER Group LLC', NULL, 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', '4056821586', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.01', NULL, 3, '2004-05-01', '2006-04-24', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833047', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870662864', 'W33000244', 'W33000244', 'UT01', 'Precision Medical Management', NULL, NULL, 'Precision Medical Management L', NULL, 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 1276', 'Salem', 'Utah', 'UT', '84653', '8014233306', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', NULL, NULL, '0.00', '20.00', NULL, 3, '2004-05-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833049', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870269438', 'W33000288', 'W33000288', 'UT01', 'Shields Orthotic Prosthetic Se', NULL, NULL, 'Shields Orthotic Prosthetic Se', NULL, 'Emergency Medicine', NULL, NULL, NULL, 'B', '2785 E 3300 S', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8014675483', '8014844591', NULL, NULL, '', NULL, NULL, '', '', 'UDME', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-08-01', '2006-09-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833570', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542585', 'W33000289', 'W33000289', 'UT01', 'Kolff Dialysis Center', NULL, NULL, 'Kolff Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '85 Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015817659', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326147422', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542585', 'W33000290', 'W33000290', 'UT01', 'Kolff Dialysis Center', NULL, NULL, 'Kolff Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326147422', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542579', 'W33000291', 'W33000291', 'UT01', 'South Valley Dialysis Center', NULL, NULL, 'South Valley Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '8750 Sandy Pkwy', 'Sandy', 'Salt Lake', 'UT', '84070', '8012338745', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508965625', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542579', 'W33000292', 'W33000292', 'UT01', 'South Valley Dialysis Center', NULL, NULL, 'South Valley Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508965625', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542584', 'W33000293', 'W33000293', 'UT01', 'Bonneville Dialysis Center', NULL, NULL, 'Bonneville Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '5575 S 500 E', 'Ogden', 'Weber', 'UT', '84405', '8014790351', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003915513', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542584', 'W33000294', 'W33000294', 'UT01', 'Bonneville Dialysis Center', NULL, NULL, 'Bonneville Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003915513', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542583', 'W33000295', 'W33000295', 'UT02', 'Dixie Dialysis Center', NULL, NULL, 'Dixie Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '720 S River Rd Ste D-1100', 'St George', 'Washington', 'UT', '84790', '4356560857', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326147844', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542583', 'W33000296', 'W33000296', 'UT02', 'Dixie Dialysis Center', NULL, NULL, 'Dixie Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326147844', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870576193', 'W33000297', 'W33000297', 'UT01', 'Lakeside Dialysis', NULL, NULL, 'Lakeside Dialysis', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833575', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870576193', 'W33000298', 'W33000298', 'UT01', 'Lakeside Dialysis Center', NULL, NULL, 'Lakeside Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '532 S 500 W', 'Bountiful', 'Davis', 'UT', '84010', '8012993470', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508965617', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542580', 'W33000299', 'W33000299', 'UT01', 'Provo Dialysis Center', NULL, NULL, 'Provo Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '1675 N Freedom Blvd', 'Provo', 'Utah', 'UT', '84604', '8013730167', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1194824201', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542580', 'W33000300', 'W33000300', 'UT01', 'Provo Dialysis Center', NULL, NULL, 'Provo Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1194824201', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870570546', 'W33000301', 'W33000301', 'UT01', 'Total Renal Care dba West Boun', NULL, NULL, 'Total Renal Care dba West Boun', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '724 W 500 S Ste 300', 'West Bountiful', 'Davis', 'UT', '84087', '8012969091', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2403', '0.00', '35.00', NULL, 3, '1999-09-01', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833577', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870570546', 'W33000302', 'W33000302', 'UT01', 'Total Renal Care dba West Boun', NULL, NULL, 'Total Renal Care dba West Boun', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 2076', 'Tacoma', 'Pierce', 'WA', '98401', '8012969091', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2403', '0.00', '35.00', NULL, 3, '1999-09-01', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833577', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('820588653', 'W33000303', 'W33000303', 'UT01', 'Jordan Valley Hospital LP Pro Fees', NULL, NULL, 'Jordan Valley Hospital LP Pro', NULL, 'Outpatient Facility', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015623112', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '42.00', 3, '1999-09-01', '2006-01-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833607', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('820588653', 'W33000304', 'W33000304', 'UT01', 'Jordan Valley Hospital LP Pro Fees', NULL, NULL, 'Jordan Valley Hospital LP Pro', NULL, 'Outpatient Facility', NULL, NULL, NULL, 'B', 'PO Box 26893', 'Salt Lake City', 'Salt Lake', 'UT', '84126', '8015623112', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '42.00', 3, '1999-09-01', '2006-01-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833607', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542403', 'W33000305', 'W33000305', 'UT01', 'Intermountain Anesthesia', NULL, NULL, 'Intermountain Anesthesia', NULL, 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 107', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019939506', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205865029', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542403', 'W33000306', 'W33000306', 'UT01', 'Intermountain Anesthesia', NULL, NULL, 'Intermountain Anesthesia', NULL, 'Anesthesiology', NULL, NULL, NULL, 'O', '3580 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8019939506', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '35.00', NULL, 3, '2004-05-01', '2004-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205865029', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'W33000307', 'W33000307', 'UT01', 'Mountain Medical Physician Spe', NULL, NULL, 'Mountain Medical Physician Spe', NULL, 'Radiologist', NULL, NULL, NULL, 'O', '5444 Green St', 'Salt Lake City', 'Salt Lake', 'UT', '84123', '8012628120', '8012627110', NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-06-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833693', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'W33000308', 'W33000308', 'UT01', 'Mountain Medical Physician Spe', NULL, NULL, 'Mountain Medical Physician Spe', NULL, 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 29684', 'Phoenix', 'Maricopa', 'AZ', '85038', '8017134402', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-06-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833693', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('061725406', 'W33000309', 'W33000309', 'UT01', 'Gentiva Rehab Without Walls LL', '', '', 'Gentiva Rehab Without Walls LLC', NULL, 'Home Health Agency', NULL, NULL, NULL, 'B', '70236 File', 'Los Angeles', 'Los Angeles', 'CA', '90074', '6022654844', '6022654984', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1729', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833759', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('061725406', 'W33000310', 'W33000310', 'UT01', 'Gentiva Rehab Without Walls LL', '', '', 'Gentiva Rehab Without Walls LLC', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '4590 Harrison Blvd Ste LL1', 'Ogden', 'Weber', 'UT', '84403', '8888253309', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1729', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833759', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('061725406', 'W33000311', 'W33000311', 'UT01', 'Gentiva Rehab Without Walls LL', '', '', 'Gentiva Rehab Without Walls LLC', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '488 E Winchester St Ste 150', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012640213', '8012640219', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1729', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833759', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('061725406', 'W33000312', 'W33000312', 'UT01', 'Gentiva Rehab Without Walls, L', '', '', 'Gentiva Rehab Without Walls LLC', NULL, 'Home Health Agency', NULL, NULL, NULL, 'B', '70236 File', 'Los Angeles', 'Los Angeles', 'CA', '90074', '6022654844', '6022654984', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1729', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833759', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('061725406', 'W33000313', 'W33000313', 'UT02', 'Gentiva Rehab Without Walls LL', '', '', 'Gentiva Rehab Without Walls LLC', NULL, 'Home Health Agency', NULL, NULL, NULL, 'B', '70236 File', 'Los Angeles', 'Los Angeles', 'CA', '90074', '6022654844', '6022654984', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1729', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833759', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('061725406', 'W33000314', 'W33000314', 'UT02', 'Gentiva Rehab Without Walls LL', '', '', 'Gentiva Rehab Without Walls LLC', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '50 E 100 S Ste 200', 'St George', 'Washington', 'UT', '84770', '8006600337', '4356730432', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1729', '0.00', NULL, NULL, 3, '1999-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833759', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('954446209', 'W33000315', 'W33000315', 'UT01', 'Coram Healthcare Corp Of Utah', NULL, NULL, 'Coram Healthcare Corp Of Utah', NULL, 'Home IV Infusion Agency', NULL, NULL, NULL, 'B', 'Harris Bank & Trust Lockbox 74805', 'Chicago', 'Cook', 'IL', '60606', '8007559710', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UINFUSE', NULL, '2184', '0.00', NULL, NULL, 3, '2003-01-01', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833762', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('954446209', 'W33000316', 'W33000316', 'UT01', 'Coram HealthCare Corporation o', NULL, NULL, 'Coram HealthCare Corporation o', NULL, 'Home IV Infusion Agency', NULL, NULL, NULL, 'O', '1149 W 2240 S Ste A', 'West Valley', 'Salt Lake', 'UT', '84119', '8007559710', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UINFUSE', NULL, '2184', '0.00', NULL, NULL, 3, '2003-01-01', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833762', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870524023', 'W33000317', 'W33000317', 'UT01', 'Specialized Prosthetic and Ort', NULL, NULL, 'Specialized Prosthetic and Ort', NULL, 'Emergency Medicine', NULL, NULL, NULL, 'O', '5292 College Dr Ste 103', 'Salt Lake City', 'Salt Lake', 'UT', '84123', '8012667768', '8012669570', NULL, NULL, '', NULL, NULL, '', '', 'UDME', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-08-01', '2006-09-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833763', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870559136', 'W33000318', 'W33000318', 'UT01', 'Eye Prosthetics of Utah       ', NULL, NULL, 'Eye Prosthetics of Utah       ', NULL, NULL, NULL, NULL, NULL, 'O', '7050 Highland Dr Ste 220', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019421600', '8019421717', NULL, NULL, '', NULL, NULL, '', '', 'WCSTEPU5', 'UEYEPUT', NULL, '0.00', '80.00', NULL, 3, '1999-11-01', '2006-06-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366475154', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567049', 'W33000319', 'W33000319', 'UT01', 'Jq Medical Supply', NULL, NULL, 'Jq Medical Supply Inc', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '2338 Fort Union Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019428582', '8019428069', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', NULL, NULL, 3, '2003-03-01', '2004-06-12', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833765', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870567049', 'W33000320', 'W33000320', 'UT01', 'Jq Medical Supply', NULL, NULL, 'Jq Medical Supply, Inc', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'B', 'PO Box 711637', 'Cottonwood ', 'Salt Lake', 'UT', '84171', '8019428582', '8019428069', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', NULL, NULL, 3, '2003-03-01', '2004-06-12', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833765', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('860808230', 'W33000321', 'W33000321', 'UT01', 'Vistacare of Utah', NULL, NULL, 'Vistacare of Utah', NULL, 'Hospice', NULL, NULL, NULL, 'O', '1011 W 400 N Ste B', 'Logan', 'Cache', 'UT', '84321', '8662764443', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1876', '0.00', NULL, NULL, 3, '1999-09-02', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833767', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('860808230', 'W33000322', 'W33000322', 'UT01', 'Vistacare of Utah', NULL, NULL, 'Vistacare of Utah', NULL, 'Hospice', NULL, NULL, NULL, 'B', 'PO Box 29148', 'Phoenix', 'Maricopa', 'AZ', '85038', '4806484548', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1876', '0.00', NULL, NULL, 3, '1999-09-02', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833767', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('860808230', 'W33000323', 'W33000323', 'UT01', 'Vistacare of Utah', NULL, NULL, 'Vistacare of Utah Inc', NULL, 'Hospice', NULL, NULL, NULL, 'O', '1111 Brickyard Rd Ste 107', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8017661515', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1876', '0.00', NULL, NULL, 3, '1999-09-02', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833767', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('860808230', 'W33000324', 'W33000324', 'UT01', 'Vistacare of Utah', NULL, NULL, 'Vistacare of Utah Inc', NULL, 'Hospice', NULL, NULL, NULL, 'O', '425 E 5350 S Ste 155', 'Ogden', 'Weber', 'UT', '84405', '8017661515', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1876', '0.00', NULL, NULL, 3, '1999-09-02', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833767', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870616107', 'W33000411', 'W33000411', 'UT01', 'UUHC Stansbury Center Lab', NULL, NULL, 'UUHC Stansbury Center Lab', NULL, 'Laboratory', NULL, NULL, NULL, 'O', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834128', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W33000412', 'W33000412', 'UT01', 'UUHC Redwood Center Radiology', NULL, NULL, 'UUHC Redwood Center Radiology', NULL, 'Radiologist', NULL, NULL, NULL, 'O', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834129', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W33000413', 'W33000413', 'UT01', 'UUHC Parkway Center Radiology', NULL, NULL, 'UUHC Parkway Center Radiology', NULL, 'Radiologist', NULL, NULL, NULL, 'O', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834130', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542582', 'W33000414', 'W33000414', 'ZZ19', 'Gem State Reg Dialysis Ctr', NULL, NULL, 'Gem State Reg Dialysis Ctr', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '2225 Teton Plz Ste A', 'Idaho Falls', 'Bonneville', 'ID', '83404', '2085224831', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UBONNEV', NULL, '2112', '0.00', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834140', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542582', 'W33000415', 'W33000415', 'ZZ19', 'Gem State Reg Dialysis Ctr', NULL, NULL, 'Gem State Reg Dialysis Ctr', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UBONNEV', NULL, '2112', '0.00', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834140', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542581', 'W33000416', 'W33000416', 'UT01', 'Castleview Dialysis Center', NULL, NULL, 'Castleview Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '230 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', '4356378696', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083713598', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870542581', 'W33000417', 'W33000417', 'UT01', 'Castleview Dialysis Center', NULL, NULL, 'Castleview Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '12360', '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083713598', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'W33000418', 'W33000418', 'UT01', 'University Hospital Physicians', NULL, NULL, 'University Hospital Physicians', NULL, 'Outpatient Facility', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834143', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'W33000419', 'W33000419', 'UT01', 'University Hospital Physicians', NULL, NULL, 'University Hospital Physicians', NULL, 'Outpatient Facility', NULL, NULL, NULL, 'B', 'PO Box 510721', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015717505', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834143', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'W33000420', 'W33000420', 'UT01', 'University Orthopedic Center', NULL, NULL, 'University Orthopedic Center', NULL, 'Outpatient Facility', NULL, NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834143', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468703', 'W33000421', 'W33000421', 'UT01', 'Rocky Mountain Care-West Valle', NULL, NULL, 'Rocky Mountain Care-West Valle', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'B', '4150 W 3375 S', 'West Valley', 'Salt Lake', 'UT', '84120', '8013974401', '8013974490', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '1999-09-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834206', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468703', 'W33000422', 'W33000422', 'UT01', 'Rocky Mountain Care-West Valle', NULL, NULL, 'Rocky Mountain Care-West Valle', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '4150 W 3375 S', 'West Valley', 'Salt Lake', 'UT', '84120', '8013974400', '8013974490', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '1999-09-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834206', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870636552', 'W33000423', 'W33000423', 'UT01', 'Wasatch Orthotics & Pedorthoti', NULL, NULL, 'Wasatch Orthotics & Pedorthoti', NULL, NULL, NULL, NULL, NULL, 'O', '339 E 3900 S Ste 104', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012938777', '8012930231', NULL, NULL, '', NULL, NULL, '', '', 'UDME', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-08-02', '2006-09-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834240', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870636552', 'W33000424', 'W33000424', 'UT01', 'Wasatch Orthotics & Pedorthoti', NULL, NULL, 'Wasatch Orthotics & Pedorthoti', NULL, 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 540383', 'North Salt Lake', 'Davis', 'UT', '84054', '8012938777', '8012930231', NULL, NULL, '', NULL, NULL, '', '', 'UDME', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-08-02', '2002-08-02', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834240', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870638363', 'W33000425', 'W33000425', 'UT01', 'Work Care', NULL, NULL, 'Work Care', NULL, 'Urgent Care', NULL, NULL, NULL, 'O', '601 N 1200 W', 'Orem', 'Utah', 'UT', '84057', '8012244211', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834331', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870638363', 'W33000426', 'W33000426', 'UT01', 'Work Care - Orem', NULL, NULL, 'Work Care - Orem, LLC', NULL, 'Urgent Care', NULL, NULL, NULL, 'B', 'PO Box 26692', 'Salt Lake City', 'Salt Lake', 'UT', '84126', '8012244211', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834331', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000312', 'W33000427', 'W33000427', 'UT01', 'Utah County Health Department', NULL, NULL, 'Utah County Health Department', NULL, 'Family Practice', NULL, NULL, NULL, 'O', '151 S University Ave Ste 1900', 'Provo', 'Utah', 'UT', '84601', '8018517024', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891865010', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870630100', 'W33000428', 'W33000428', 'UT01', 'Debra Lynns Mastectomy Specia', NULL, NULL, 'Debra Lynn''s Mastectomy Specia', NULL, 'Emergency Medicine', NULL, NULL, NULL, 'O', '160 W 36th St', 'Ogden', 'Weber', 'UT', '84405', '8013932885', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WCSTDLMS5', NULL, NULL, '0.00', '0.01', NULL, 3, '2004-01-01', '2006-08-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834354', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870387026', 'W33000429', 'W33000429', 'UT01', 'Uintah Basin Dialysis Center', NULL, NULL, 'Uintah Basin Dialysis Center', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '384 N 200 W', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357225056', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1663', '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834360', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742152396', 'W33000430', 'W33000430', 'ZZ19', 'KCI USA (Wound Care Produc', NULL, NULL, 'KCI USA Inc (Wound Care Produc', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', 'PO Box 203084', 'Houston', 'Harris', 'TX', '77216', '8882754524', '8882452295', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1779', '0.00', '15.00', NULL, 3, '2003-12-01', '2003-12-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834374', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W33000431', 'W33000431', 'UT01', 'UUHC Park City Summit Lab', NULL, NULL, 'UUHC Park City Summit Lab', NULL, 'Laboratory', NULL, NULL, NULL, 'O', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUHC', NULL, NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2005-08-29', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834399', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653643', 'W33000432', 'W33000432', 'UT01', 'National DME', NULL, NULL, 'National DME', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '310 E 4500 S Ste 550', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8006442968', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UDME', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-08-01', '2006-09-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487646360', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870566763', 'W33000433', 'W33000433', 'UT01', '*The Wound Clinic Of Utah - 87', NULL, NULL, '*The Wound Clinic Of Utah - 87', NULL, 'Wound Care', NULL, NULL, NULL, 'B', '1250 E 3900 S Ste 300', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012931109', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UWCAREC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-02-01', '2004-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834434', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870566763', 'W33000434', 'W33000434', 'UT01', 'The Wound Clinic of Utah', NULL, NULL, 'The Wound Clinic of Utah', NULL, 'Wound Care', NULL, NULL, NULL, 'O', '1250 E 3900 S Ste 301', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012931109', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UWCAREC', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-02-01', '2004-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834434', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870521827', 'W33000435', 'W33000435', 'UT01', 'University Neuropsychiatric In', '', '', 'University Health Care Neuropsychiatric Institute', NULL, 'Pathology', NULL, NULL, NULL, 'B', '501 Chipeta Way BUSINESS OFFICE', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015842130', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2434', '0.00', '30.00', NULL, 3, '2000-01-01', '2005-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834441', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870521827', 'W33000436', 'W33000436', 'UT01', 'University Neuropsychiatric In', '', '', 'University Health Care Neuropsychiatric Institute', NULL, 'Pathology', NULL, NULL, NULL, 'O', '501 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015842130', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2434', '0.00', '30.00', NULL, 3, '2000-01-01', '2005-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834441', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656518', 'W33000437', 'W33000437', 'UT01', 'Diabetes Specialty Center', '', '', 'Diabetes Specialty Center', NULL, NULL, NULL, NULL, NULL, 'O', '3793 S State St', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014831100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WCSTDSC5', 'UDIAPS', NULL, '0.00', '65.00', NULL, 3, '2003-03-01', '2006-12-31', 0, NULL, 0, '', NULL, NULL, NULL, 'HCFA|UB|', '1841279155', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W33000438', 'W33000438', 'UT01', 'Central Valley Medical Center ', NULL, NULL, 'Central Valley Medical Center', NULL, 'Emergency Medicine', NULL, NULL, NULL, 'O', '48 W 1500 N', 'Nephi', 'Juab', 'UT', '84648', '4356230775', '4356233180', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '11.00', NULL, 3, '1999-09-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881658110', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870419324', 'W33000439', 'W33000439', 'UT01', 'Central Valley Medical Center ', NULL, NULL, 'Central Valley Medical Center', NULL, 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 412', 'Nephi', 'Juab', 'UT', '84648', '4356230775', '4356233180', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '11.00', NULL, 3, '1999-09-01', '2006-10-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881658110', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W33000440', 'W33000440', 'UT01', 'Garfield Memorial Hospital - P', '', '', 'Garfield Memorial Clinic', NULL, 'Clinic', NULL, NULL, NULL, 'O', '200 N 400 E', 'Panguitch', 'Garfield', 'UT', '84759', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834487', 0, 'Y', 0, NULL, NULL, NULL, 37.8258, -112.428, NULL, NULL),
('876000309', 'W33000441', 'W33000441', 'UT01', 'Garfield Memorial Hospital - P', '', '', 'Garfield Memorial Clinic', NULL, 'Clinic', NULL, NULL, NULL, 'B', 'PO Box 389', 'Panguitch', 'Garfield', 'UT', '84759', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, NULL, '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834487', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522085558', 'W33000442', 'W33000442', 'UT02', 'St George Care & Rehab Center', NULL, NULL, 'St George Care & Rehab Center', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'B', '1032 E 100 S', 'St George', 'Washington', 'UT', '84770', '8016280488', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '2000-01-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834500', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522085558', 'W33000443', 'W33000443', 'UT02', 'St George Care & Rehab Center', NULL, NULL, 'St George Care & Rehab Center', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '1032 E 100 S', 'St George', 'Washington', 'UT', '84770', '4356280488', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '2000-01-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834500', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870544640', 'W33000444', 'W33000444', 'UT01', 'Heritage Brookside Home Care (', NULL, NULL, 'Heritage Brookside Home Care (', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '4950 Highland Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8008160450', '8012779733', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1651', '0.00', '35.00', NULL, 3, '2000-11-01', '2005-07-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834537', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870544640', 'W33000445', 'W33000445', 'UT01', 'Heritage Brookside Infusion', NULL, NULL, 'Heritage Brookside Infusion', NULL, 'Home Health Agency', 'Home IV Infusion Agency', NULL, NULL, 'O', '4950 Highland Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012771617', '8012779733', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1991', '0.00', NULL, NULL, 3, '2000-11-01', '2005-04-06', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834538', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795216', 'W33000446', 'W33000446', 'UT01', 'Pioneer Valley Hospital Pro Fees', NULL, NULL, 'Pioneer Valley Hospital Pro Fe', NULL, 'Outpatient Facility', NULL, NULL, NULL, 'O', '3460 Pioneer Pkwy', 'West Valley', 'Salt Lake', 'UT', '84120', '8019643100', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '42.00', 3, '1999-09-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834557', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795216', 'W33000447', 'W33000447', 'UT01', 'Pioneer Valley Hospital Pro Fees', NULL, NULL, 'Pioneer Valley Hospital Pro Fe', NULL, 'Outpatient Facility', NULL, NULL, NULL, 'B', 'PO Box 27448', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8019643111', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '42.00', 3, '1999-09-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834557', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('201066535', 'W33000521', 'W33000521', 'UT01', 'Millcreek Imaging Center', NULL, NULL, 'Millcreek Imaging Center', NULL, 'Radiologist', NULL, NULL, NULL, 'O', '3738 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8013131955', '8013131965', NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-07-01', '2006-03-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '904605', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870286381', 'W33000523', 'W33000523', 'UT01', 'Ogden Clinic', NULL, NULL, 'Ogden Clinic', NULL, 'Primary Care with Extended Hours', 'Urgent Care', NULL, NULL, 'B', '4650 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8014794621', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UOGDCLIN', NULL, NULL, '0.00', '35.00', NULL, 3, '1998-01-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578550083', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870286381', 'W33000524', 'W33000524', 'UT01', 'Ogden Clinic - Canyon View', '', '', 'Ogden Clinic - Canyon View', NULL, 'Urgent Care', NULL, NULL, NULL, 'O', '1159 12th St', 'Ogden', 'Weber', 'UT', '84404', '8013343000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UOGDCLIN', NULL, NULL, '0.00', '35.00', NULL, 3, '1998-01-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '904878', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870286381', 'W33000525', 'W33000525', 'UT01', 'Ogden Clinic Urgent Care', '', '', 'Ogden Clinic - Canyon View', NULL, 'Urgent Care', NULL, NULL, NULL, 'O', '4650 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8014794621', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UOGDCLIN', NULL, NULL, '0.00', '35.00', NULL, 3, '1998-01-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '904878', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870286381', 'W33000526', 'W33000526', 'UT01', 'Roy Family Medicine', '', '', 'Ogden Clinic - Canyon View', NULL, 'Urgent Care', NULL, NULL, NULL, 'O', '5430 S 1900 W', 'Roy', 'Weber', 'UT', '84067', '8017799975', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UOGDCLIN', NULL, NULL, '0.00', '35.00', NULL, 3, '1998-01-01', '2006-07-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '904878', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W33000527', 'W33000527', 'UT01', 'Associates for Inpatient Medic', NULL, NULL, 'Associates for Inpatient Medic', NULL, 'Other', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-09-01', '2006-08-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '905532', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'W33000528', 'W33000528', 'UT01', 'Pioneer Valley Hospital', NULL, NULL, 'Pioneer Valley Hospital', NULL, 'Other', NULL, NULL, NULL, 'O', '3460 Pioneer Pkwy', 'Salt Lake City', 'Salt Lake', 'UT', '84120', NULL, NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-09-01', '2006-08-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '905532', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870684406', 'W33000616', 'W33000616', 'UT01', 'Highland Care Outpatient Rehab', NULL, NULL, 'Highland Care Outpatient Rehab', NULL, 'General Practice', 'Geriatric Medicine', 'Psychiatric Outpatient', NULL, 'O', '4578 Highland Dr Ste 190', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012725008', '8012725009', NULL, NULL, '', NULL, NULL, '', '', 'USTDHCPC', NULL, '10100', '0.00', NULL, NULL, 3, '2005-10-17', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '944911', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('770594555', 'W33000617', 'W33000617', 'UT01', 'Avalon Care Center', NULL, NULL, 'Avalon Care Center', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '523 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8019512273', '8019511700', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '2005-07-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '944917', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('020572077', 'W33000618', 'W33000618', 'UT02', 'Coral Desert Rehabilitation', NULL, NULL, 'Coral Desert Rehabilitation', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '1490 E Foremaster Dr Bldg B', 'St George', 'Washington', 'UT', '84790', '4356745195', '4357739495', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '2005-10-28', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '945586', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000299', 'W33000619', 'W33000619', 'UT01', 'Wasatch County Health Department', NULL, NULL, 'Wasatch County Health Department', NULL, 'Family Practice', NULL, NULL, NULL, 'O', '55 S 500 E', 'Heber City', 'Wasatch', 'UT', '84032', '4356542700', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-09-28', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891721577', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('841432944', 'W33000621', 'W33000621', 'UT02', 'Zion Eye Institute', NULL, NULL, 'Zion Eye Institute', NULL, 'Facility', NULL, NULL, NULL, 'O', '1791 E 280 N', 'St George', 'Washington', 'UT', '84790', '4356562020', '4356734131', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '10760', '0.00', '35.00', NULL, 3, '2005-12-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831182799', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200793782', 'W33000622', 'W33000622', 'UT02', 'Coral Desert Imaging Center', NULL, NULL, 'Coral Desert Imaging Center', NULL, 'Radiologist', NULL, NULL, NULL, 'O', '1490 E Foremaster Dr Bldg C', 'St George', 'Washington', 'UT', '84790', '4359862238', '4359862237', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '10980', '0.00', NULL, NULL, 3, '2005-11-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174642102', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870547967', 'W33000625', 'W33000625', 'UT01', 'Alpine Home Care', NULL, NULL, 'Alpine Home Care', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '1172 E 100 N Ste D', 'Payson', 'Utah', 'UT', '84651', '8014654401', '8014654366', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1700', '0.00', '30.00', NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870547967', 'W33000626', 'W33000626', 'UT01', 'Alpine Home Care', NULL, NULL, 'Alpine Home Care', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '1970 S 200 E', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014632500', '8014632001', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1700', '0.00', '30.00', NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870547967', 'W33000627', 'W33000627', 'UT01', 'Alpine Home Care', NULL, NULL, 'Alpine Home Care', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '259 S Orem Blvd', 'Orem', 'Utah', 'UT', '84058', '8012210669', '8012251529', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1700', '0.00', '30.00', NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870547967', 'W33000628', 'W33000628', 'UT01', 'Alpine Home Care', NULL, NULL, 'Alpine Home Care', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '395 E 1400 N Ste D', 'Logan', 'Cache', 'UT', '84341', '4357537001', '4352329918', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1700', '0.00', '30.00', NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870547967', 'W33000629', 'W33000629', 'UT01', 'Alpine Home Care', NULL, NULL, 'Alpine Home Care', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '792 24th St', 'Ogden', 'Weber', 'UT', '84401', '8013928880', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1700', '0.00', NULL, NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870547967', 'W33000630', 'W33000630', 'UT01', 'Alpine Home Care', NULL, NULL, 'Alpine Home Care', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '97 N 100 E', 'Brigham City', 'Box Elder', 'UT', '84302', '4357341300', '4357537088', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1700', '0.00', '30.00', NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870547967', 'W33000631', 'W33000631', 'UT01', 'Alpine Home Care', NULL, NULL, 'Alpine Home Care', NULL, 'Home Health Agency', NULL, NULL, NULL, 'B', 'PO Box 65788', 'Salt Lake City', 'Salt Lake', 'UT', '84165', '8014862348', '8014668961', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1700', '0.00', NULL, NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870547967', 'W33000632', 'W33000632', 'UT01', 'Alpine Home Health', NULL, NULL, 'Alpine Home Health', NULL, 'Home Health Agency', NULL, NULL, NULL, 'B', 'PO Box 65788', 'Salt Lake City', 'Salt Lake', 'UT', '84165', '8014862348', '8014668961', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1700', '0.00', '30.00', NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949546', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('043687810', 'W33000633', 'W33000633', 'UT01', 'Alpine Hospice', NULL, NULL, 'Alpine Hospice Inc', NULL, 'Hospice', NULL, NULL, NULL, 'O', '1970 S 200 E', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014632500', '8014862001', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1997', '0.00', NULL, NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('043687810', 'W33000634', 'W33000634', 'UT01', 'Alpine Hospice', NULL, NULL, 'Alpine Hospice Inc', NULL, 'Hospice', NULL, NULL, NULL, 'O', '259 S Orem Blvd', 'Orem', 'Utah', 'UT', '84058', '8012210669', '8012251529', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1997', '0.00', NULL, NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('043687810', 'W33000635', 'W33000635', 'UT01', 'Alpine Hospice', NULL, NULL, 'Alpine Hospice Inc', NULL, 'Hospice', NULL, NULL, NULL, 'O', '395 E 1400 N Ste D', 'Logan', 'Cache', 'UT', '84341', '4357537001', '4352329918', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1997', '0.00', NULL, NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('043687810', 'W33000636', 'W33000636', 'UT01', 'Alpine Hospice', NULL, NULL, 'Alpine Hospice Inc', NULL, 'Hospice', NULL, NULL, NULL, 'O', '792 24th St', 'Ogden', 'Weber', 'UT', '84401', '8013958880', '8013952498', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1997', '0.00', NULL, NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('043687810', 'W33000637', 'W33000637', 'UT01', 'Alpine Hospice', NULL, NULL, 'Alpine Hospice Inc', NULL, 'Hospice', NULL, NULL, NULL, 'O', '97 N 100 E', 'Brigham City', 'Box Elder', 'UT', '84302', '4357341300', '4357537088', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1997', '0.00', NULL, NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('043687810', 'W33000638', 'W33000638', 'UT01', 'Alpine Hospice', NULL, NULL, 'Alpine Hospice Inc', NULL, 'Hospice', NULL, NULL, NULL, 'B', 'PO Box 65788', 'Salt Lake City', 'Salt Lake', 'UT', '84165', '8014632500', '8014668961', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '1997', '0.00', NULL, NULL, 3, '2005-12-05', '2006-09-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('203506626', 'W33000639', 'W33000639', 'UT01', 'First Med North', NULL, NULL, 'First Med North LLC', NULL, 'Urgent Care', NULL, NULL, NULL, 'O', '214 W 1500 S', 'Bountiful', 'Davis', 'UT', '84010', '8012956483', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-11-28', '2006-06-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '950509', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('203506626', 'W33000640', 'W33000640', 'UT01', 'First Med North', NULL, NULL, 'First Med North LLC', NULL, 'Urgent Care', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-11-28', '2006-06-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '950509', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('651098293', 'W33000641', 'W33000641', 'UT01', 'Oquirrh Artificial Kidney Cent', NULL, NULL, 'Oquirrh Artificial Kidney Cent', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '2496 W 4700 S', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8014179900', '8014179904', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '10840', '0.00', NULL, NULL, 3, '2006-01-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '951375', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('651098293', 'W33000642', 'W33000642', 'UT01', 'Oquirrh Artificial Kidney Cent', NULL, NULL, 'Oquirrh Artificial Kidney Cent', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'POV 931706', 'Atlanta', 'Fulton', 'GA', '31193', '9146449276', '9146449376', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '10840', '0.00', NULL, NULL, 3, '2006-01-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '951375', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('651098291', 'W33000643', 'W33000643', 'UT01', 'Wasatch Artificial Kidney Cent', NULL, NULL, 'Wasatch Artificial Kidney Cent', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '650 E 4500 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8017470880', '8017470884', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '10722', '0.00', '35.00', NULL, 3, '2006-01-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '951377', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('651098291', 'W33000644', 'W33000644', 'UT01', 'Wasatch Artificial Kidney Cent', NULL, NULL, 'Wasatch Artificial Kidney Cent', NULL, 'Dialysis', NULL, NULL, NULL, 'B', 'PO Box 931733', 'Atlanta', 'Fulton', 'GA', '31193', '9146449276', '9146449376', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '10722', '0.00', '35.00', NULL, 3, '2006-01-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '951377', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200796158', 'W33000645', 'W33000645', 'UT01', 'South Mountain Dialysis', NULL, NULL, 'South Mountain Dialysis', NULL, 'Dialysis', NULL, NULL, NULL, 'O', '10969 River Front Pkwy', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012539696', '8012533303', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '10700', '0.00', '35.00', NULL, 3, '2006-01-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '951380', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200796158', 'W33000646', 'W33000646', 'UT01', 'South Mountain Dialysis', NULL, NULL, 'South Mountain Dialysis', NULL, 'Dialysis', NULL, NULL, NULL, 'B', '222 Bloomingdale Rd', 'White Plains', 'Westchester', 'NY', '10605', '9146449276', '9146449376', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '10700', '0.00', '35.00', NULL, 3, '2006-01-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '951380', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('112645333', 'W33000725', 'W33000725', 'UT01', 'Horizon Home Health (Carbon, I', '', '', 'Gentiva Health Services USA INC', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '204 W 540 N', 'Orem', 'Utah', 'UT', '84057', '8008160450', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '16280', '0.00', NULL, NULL, 3, '1999-09-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '607346', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('112645333', 'W33000726', 'W33000726', 'UT01', 'Heritage Brookside Home Care (', '', '', 'Gentiva Health Services USA INC', NULL, 'Home Health Agency', NULL, NULL, NULL, 'O', '2970 S Main St Ste 301', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8008160450', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '16280', '0.00', NULL, NULL, 3, '1999-09-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '607346', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('810582329', 'W33000727', 'W33000727', 'UT01', 'Good Shepherd Home Care and Ho', NULL, NULL, 'Good Shepherd Home Care and Ho', NULL, 'Home Health Agency', 'Hospice', NULL, NULL, 'O', '4625 S 2300 E Ste 101', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012776474', '8012776475', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '17140', '0.00', NULL, NULL, 3, '2006-02-21', '2006-11-30', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '955576', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870301532', 'W33000728', 'W33000728', 'UT01', 'Avalon Valley Rehabilitation C', NULL, NULL, 'Avalon Valley Rehabilitation C', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '2472 S 300 E', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014662211', '8014661061', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '2006-01-30', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '934642', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('770633673', 'W33000878', 'W33000878', 'MN01', 'Respir Tech', NULL, NULL, 'Respir Tech', NULL, 'Diabetic Durable Medical Equipment', NULL, NULL, NULL, 'O', '1380 Energy Ln Ste 113', 'St Paul', 'Ramsey', 'MN', '55108', '8007931261', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '17160', '0.00', NULL, NULL, 3, '2006-09-01', '2006-12-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '998015', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870271937', 'W33000879', 'W33000879', 'UT01', 'Beaver Valley Home Health and ', NULL, NULL, 'Beaver Valley Home Health and', NULL, 'Hospice', 'Home Health Agency', NULL, NULL, 'O', '1109 N 100 W', 'Beaver', 'Beaver', 'UT', '84713', '4354385481', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '17500', '0.00', NULL, NULL, 3, '2003-06-01', '2006-10-31', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '906229', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870563433', 'W33000880', 'W33000880', 'UT01', 'Alpine Home Medical', NULL, NULL, 'Alpine Home Medical', NULL, 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '1260 N State St', 'Provo', 'Utah', 'UT', '84604', '8006867993', '8014754727', NULL, NULL, '', NULL, NULL, '', '', 'UDME', NULL, NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '420', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('561643910', 'W37000086', 'W37000086', 'UT01', 'Healthtronics University Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('561643910', 'W37000088', 'W37000088', 'UT01', 'Healthtronics Northwest Ambulatory Services', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000089', 'W37000089', 'UT01', 'Healthtronics Inc', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', '', '', NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', '', '', NULL, '6', '0.00', '100.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006635', 0, 'Y', 0, '2011-06-24', NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000090', 'W37000090', 'UT01', 'Healthtronics Memorial Hospital of Sweetwater Co', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000091', 'W37000091', 'UT01', 'Healthtronics Memorial Hospital of Sheridan Co', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000092', 'W37000092', 'UT01', 'Healthtronics Riverton Memorial Hospital', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
