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
('870616107', 'W11008090', 'W11008090', 'UT01', 'University Health Care', 'Patrick', 'B', 'Lang', 'PA', 'Family Practice', '', '', NULL, 'o', '7495 S State St', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', '8012139443', '7495 S State St', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', '8012139443', 'WISESTDU', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-07-11', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1285794552', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W11008125', 'W11008125', 'UT01', 'University Health Care', 'Ali', NULL, 'Salari', 'DO', 'Family Practice', '', '', NULL, 'O', '220 Millpond Rd Ste 100', 'Stansbury Park', 'Tooele', 'UT', '84074', '4358433000', NULL, '220 Millpond Rd Ste 100', 'Stansbury Park', 'Tooele', 'UT', '84074', '4358433000', '          ', 'WISESTDU', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2007-04-23', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598898579', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('870218917', 'W11008116', 'W11008116', 'UT01', 'Tanner Memorial Clinic', 'Benjamin', 'R', 'Humphreys', 'DO', 'Physical Medicine and Rehabilitation', 'Pain Medicine', '', NULL, 'O', '2038 W 1900 S', 'Syracuse', 'Davis', 'UT', '84075', '8017734840', '8017749219', '2038 W 1900 S', 'Syracuse', 'Davis', 'UT', '84075', '8017734840', '8017749219', 'WUTANNER5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-08-08', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1891728036', 0, 'N', 0, '2011-07-26', NULL, NULL, 41.0863, -112.065, NULL, NULL),
('870471677', 'W11008120', 'W11008120', 'UT01', 'Lone Peak Family Medicine', 'Timothy', 'J', 'Schaat', 'MD', 'Family Practice', '', '', NULL, 'O', '9829 S 1300 E Ste 101', 'Sandy', 'Salt Lake', 'UT', '84094', '8015768855', '8015769800', '9829 S 1300 E Ste 101', 'Sandy', 'Salt Lake', 'UT', '84094', '8015768855', '8015769800', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-08-08', NULL, 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1912032640', 0, 'N', 0, '2012-06-28', NULL, NULL, 40.5706, -111.857, NULL, NULL),
('942854057', 'W11008106', 'W11008106', 'UTPEHP', 'IHC Home Care of Utah County', '', '', 'IHC Home Care of Utah County', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '1165 S 800 E', 'Orem', 'Utah', 'UT', '84097', '8012250584', NULL, NULL, NULL, 'Utah', NULL, NULL, '8012250584', '', 'HH5', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-07-01', '2008-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006836', 0, 'N', 0, '2010-05-26', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008096', 'W11008096', 'UTPEHP', 'Intermountain Central Lab', '', '', 'Intermountain Central Lab', 'GROUP', 'Laboratory', '', '', NULL, 'O', '5252 S Intermountain Dr', 'Murray', 'Salt Lake', 'UT', '84107', '801262500', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'IHCLAB', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1720029960', 0, 'N', 0, '2010-05-17', NULL, NULL, 0, 0, NULL, NULL),
('412144134', 'W11008084', 'W11008084', 'UT01', 'University Health Care', 'Elke', 'A', 'Jarboe', 'MD', 'Pathology', '', '', NULL, 'O', '500 S Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015812507', NULL, '500 S Chipeta Wy', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015812507', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-17', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326229311', 0, 'Y', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('364586972', 'W11008094', 'W11008094', 'UT01', 'University Health Care', 'Katherine', 'R', 'Lavender', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621234', '8015877455', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621234', '8015877455', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2008-08-01', '2012-07-26', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326229550', 0, 'N', 0, '2012-07-27', NULL, NULL, 0, 0, NULL, NULL),
('743134266', 'W11008092', 'W11008092', 'UT01', 'University Health Care', 'Katherine', 'R', 'Lavender', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621234', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621234', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2008-08-01', '2012-07-30', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326229550', 0, 'N', 0, '2012-07-31', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008110', 'W11008110', 'UTPEHP', 'IHC Home Medical Equipment ', NULL, NULL, 'IHC Home Medical Equipment ', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '2250 S 1300 W Ste A', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8019779900', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-07-01', '2008-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104912732', 0, 'N', 0, '2009-07-01', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008099', 'W11008099', 'UTPEHP', 'IHC Home Health - Salt Lake City', '', '', 'IHC Home Health - Salt Lake City', 'GROUP', 'Home Health Agency', '', '', NULL, 'O', '2250 S 1300 W', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8019779900', NULL, '2250 S 1300 W', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8019779900', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-07-01', '2010-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1447344098', 0, 'N', 0, '2012-02-10', NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'W11008123', 'W11008123', 'UT01', 'University Health Care', 'William', 'J', 'Peche', 'MD', 'General Surgery', 'Colon and Rectal Surgery', '', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578766820', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W11008082', 'W11008082', 'UT01', 'University Health Care', 'Elke', 'A', 'Jarboe', 'MD', 'Pathology', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', '8015857376', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812507', '8015857376', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-17', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326229311', 0, 'Y', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870665299', 'W11008081', 'W11008081', 'UT01', 'University Heath Care', 'Aditya', NULL, 'Kaza', 'MD', 'General Surgery', 'Cardiovascular Disease', '', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891832150', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'W11008121', 'W11008121', 'UT01', 'University Health Care', 'Kristin', '', '(Memmott) Mosman', 'SLP CCC', 'Speech Pathology', '', '', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', '          ', '', '', '1', '0.00', '0.00', '0.00', 6, '2008-07-03', NULL, 0, 0, 0, '', '', '', '', 'HCFA|', '0000004883', 0, 'N', 0, '2014-02-04', NULL, NULL, 40.7685, -111.837, NULL, NULL),
('870443046', 'W11008128', 'W11008128', 'UT01', 'University Health Care', 'Paul', 'D', 'Thielking', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124036595', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'W11008086', 'W11008086', 'UT01', 'University Health Care', 'Jacqueline', NULL, 'Waring', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, '1', '0.00', '0.00', '0.00', 6, '2008-07-03', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '0000009511', 0, 'N', 0, '2008-08-09', NULL, NULL, 40.7685, -111.837, NULL, NULL),
('876000525', 'W11008126', 'W11008126', 'UT01', 'University Health Care', 'Ines', NULL, 'Schwemmer', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, '', NULL, '1', '0.00', '0.00', '0.00', 6, '2008-07-03', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '0000008632', 0, 'N', 0, '2008-08-12', NULL, NULL, 40.7685, -111.837, NULL, NULL),
('876151902', 'W11008089', 'W11008089', 'UT01', 'University of Utah Dept of Ophthalmology', 'Chang', 'H', 'Kim', 'MD', 'Ophthalmology', '', '', NULL, 'B', '65 Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, '65 Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 6, '2008-08-01', '2012-08-09', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1679787055', 0, 'N', 0, '2012-08-10', NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W11008088', 'W11008088', 'UT01', 'University Health Care', 'Chang', 'H', 'Kim', 'MD', 'Ophthalmology', '', '', NULL, 'o', '65 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, '65 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 6, '2008-08-01', '2012-08-09', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1679787055', 0, 'N', 0, '2012-08-10', NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'W11008127', 'W11008127', 'UT01', 'University Health Care', 'Ines', NULL, 'Schwemmer', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 510721 ', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015812121', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, '1', '0.00', NULL, NULL, 6, '2008-07-03', '2006-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W11008091', 'W11008091', 'UT01', 'University Health Care', 'Patrick', 'B', 'Lang', 'PA', 'Family Practice', '', '', NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876303', NULL, 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876303', '          ', 'WISESTDU', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-07-11', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1285794552', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'W11008122', 'W11008122', 'UT01', 'University of Utah Hospital', 'Kristin', '', '(Memmott) Mosman', 'SLP CCC', 'Speech Pathology', '', '', NULL, 'B', 'PO Box 510721', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015812121', NULL, 'PO Box 510721', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015812121', '          ', '', '', '1', '0.00', '0.00', '0.00', 6, '2008-07-03', '2008-07-03', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000004883', 0, 'N', 0, '2014-02-04', NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'W11008087', 'W11008087', 'UT01', 'University of Utah Hospital', 'Jacqueline', NULL, 'Waring', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 510721 ', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015812121', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, NULL, NULL, '1', '0.00', NULL, NULL, 6, '2008-07-03', '2006-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870665299', 'W11008080', 'W11008080', 'UT01', 'University Heath Care', 'Aditya', NULL, 'Kaza', 'MD', 'General Surgery', 'Cardiovascular Disease', '', NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891832150', 0, 'Y', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W11008083', 'W11008083', 'UT01', 'University Pathology Associates', 'Elke', 'A', 'Jarboe', 'MD', 'Pathology', '', '', NULL, 'B', 'PO Box 413037', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '8015853655', 'PO Box 413037', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '8015853655', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-17', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326229311', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('412144134', 'W11008085', 'W11008085', 'UT01', 'ARUP Pathology Associates', 'Elke', 'A', 'Jarboe', 'MD', 'Pathology', '', '', NULL, 'B', 'PO Box 413037', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413037', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-17', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326229311', 0, 'Y', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'W11008129', 'W11008129', 'UT01', 'University of Utah Medical Center -Psychiatry', 'Paul', 'D', 'Thielking', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'B', 'PO Box 413029', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012367790', NULL, 'PO Box 413029', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012367790', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124036595', 0, 'Y', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('364586972', 'W11008095', 'W11008095', 'UT01', 'University Health Care', 'Katherine', 'R', 'Lavender', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2008-08-01', '2012-07-26', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326229550', 0, 'N', 0, '2012-07-27', NULL, NULL, 0, 0, NULL, NULL),
('743134266', 'W11008093', 'W11008093', 'UT01', 'Pediatric Emergency Medicine-Department of University of Uta', 'Katherine', 'R', 'Lavender', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2008-08-01', '2012-07-30', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326229550', 0, 'N', 0, '2012-07-31', NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'W11008124', 'W11008124', 'UT01', 'University of Utah Surgical Associates', 'William', 'J', 'Peche', 'MD', 'General Surgery', 'Colon and Rectal Surgery', '', NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8015812121', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8015812121', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578766820', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008109', 'W11008109', 'UTPEHP', 'IHC Hospice of Salt Lake', '', '', 'IHC Hospice of Salt Lake', 'GROUP', 'Hospice', '', '', NULL, 'O', '2250 S 1300 W Ste A', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8019779900', NULL, '2250 S 1300 W Ste A', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8019779900', '', 'HH5', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-07-01', '2008-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1720153711', 0, 'N', 0, '2012-02-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008108', 'W11008108', 'UTPEHP', 'Logan Home Care', '', '', 'Logan Home Care', 'GROUP', 'Home Health Agency', '', '', NULL, 'O', '1400 N 550 E Ste G', 'Logan', 'Cache', 'UT', '84341', '4357165477', NULL, '1400 N 550 E Ste G', 'Logan', 'Cache', 'UT', '84341', '4357165477', '', 'HH5', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-07-01', '2008-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1558436980', 0, 'N', 0, '2012-02-10', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008100', 'W11008100', 'UTPEHP', 'IHC Home Health - McKay Dee', '', '', 'IHC Home Health - McKay Dee', 'GROUP', 'Home Health Agency', '', '', NULL, 'O', '3776 Wall Ave', 'Ogden', 'Weber', 'UT', '84405', '8019779900', NULL, '3776 Wall Ave', 'Ogden', 'Weber', 'UT', '84405', '8019779900', '', '', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-07-01', '2010-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1730254160', 0, 'N', 0, '2012-02-10', NULL, NULL, 0, 0, NULL, NULL),
('931239371', 'W11008113', 'W11008113', 'UT01', 'Peak Otolaryngology', 'Kirt', 'S', 'Beus', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '1055 N 300 W Ste 401', 'Provo', 'Utah', 'UT', '84604', '8013577499', NULL, '1055 N 300 W Ste 401', 'Provo', 'Utah', 'UT', '84604', '8013577499', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-08-08', '2009-03-31', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1396765871', 0, 'N', 0, '2011-12-20', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W11008103', 'W11008103', 'UTPEHP', 'IHC Home Care of Central Utah', '', '', 'IHC Home Care of Central Utah', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '126 S White Sage Ave', 'Delta', 'Millard', 'UT', '84624', '4358643530', NULL, NULL, NULL, 'Millard', NULL, NULL, '4358643530', '', 'HH5', NULL, NULL, '0.00', '10.00', '0.00', 8, '2008-07-01', '2008-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006834', 0, 'N', 0, '2010-05-26', NULL, NULL, 0, 0, NULL, NULL),
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('876151902', 'W11008158', 'W11008158', 'UT01', 'University of Utah Dept of Ophthalmology', 'Joann', 'C', 'Chang', 'MD', 'Ophthalmology', '', '', NULL, 'B', '65 Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, '65 Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 6, '2008-07-01', '2012-08-09', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730359100', 0, 'N', 0, '2012-08-10', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'W11008146', 'W11008146', 'UT01', 'University of Utah Emergency Physicians', 'Marion', 'C', 'McDevitt', 'MD', 'Emergency Medicine', '', '', NULL, 'B', 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876303', NULL, 'PO Box 510726', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876303', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1750307294', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870480520', 'W11008144', 'W11008144', 'UT01', 'Department of Neurology School of Medcine', 'Mengjing', 'Chloe', 'Huang', 'MD', 'Neurology', NULL, NULL, NULL, 'B', 'PO Box 413027', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', '2009-02-07', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447459151', 0, 'y', 0, '2008-08-13', NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'W11008142', 'W11008142', 'UT01', 'U-U General Medicine Division', 'Richard', NULL, 'Keller', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', '2009-09-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831319383', 0, 'y', 0, '2008-08-13', NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'W11008138', 'W11008138', 'UT01', 'University of Utah Dept of Ob/Gyn', 'Cara', 'C', 'Heuser', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 413028', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413028', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-10', '2012-08-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1568674208', 0, 'N', 0, '2012-08-20', NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W11008150', 'W11008150', 'UT01', 'University Pathology Associates', 'Kristi', 'J', 'Smock', 'MD', 'Pathology', 'Anatomic Pathology', '', NULL, 'B', 'PO Box 413037', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413037', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255510285', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('562627037', 'W11008136', 'W11008136', 'UT01', 'University of Utah Dept of OB/GYN', 'Yvonne', NULL, 'Hsu', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 413028', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-10', '2008-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760495055', 0, 'y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870480520', 'W11008154', 'W11008154', 'UT01', 'Dept of Neurology School of Medicine U of U', 'Kevin', 'D', 'Call', 'MD', 'Neurology', NULL, NULL, NULL, 'B', 'PO Box 413027', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', '2009-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437352135', 0, 'y', 0, '2008-08-13', NULL, NULL, 0, 0, NULL, NULL),
('743134250', 'W11008156', 'W11008156', 'UT01', 'Pediatric Critical Care-Department of University of Utah', 'Jared', 'W', 'Henricksen', 'MD', 'Pediatrics', 'Pediatric Critical Care', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2008-07-01', '2012-07-26', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1396762480', 0, 'N', 0, '2012-07-27', NULL, NULL, 0, 0, NULL, NULL),
('870410144', 'W11008148', 'W11008148', 'UT01', 'University of Utah Hospital Dept of Ob/Gyn', 'Jessica', 'R', 'Hunn', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 413028', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8015855172', NULL, 'PO Box 413028', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8015855172', '', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-01', '2012-08-19', 0, 0, 0, 'St Marks Hospital', '', '', '', 'HCFA|UB|', '1992978712', 0, 'N', 0, '2014-07-08', NULL, NULL, 0, 0, NULL, NULL),
('592852900', 'W11008134', 'W11008134', 'WY01', 'Lincare Wyoming', '', '', 'Lincare Wyoming', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'B', 'PO Box 2908', 'Spokane', 'Spokane', 'WA', '99220', '8002180777', NULL, 'PO Box 2908', 'Spokane', 'Spokane', 'WA', '99220', '8002180777', '          ', 'LINCAREWY', '', '', '0.00', '20.00', '0.00', 8, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007284', 0, 'Y', 0, '2012-09-28', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008209', 'W11008209', 'UT01', 'Cardiovascular Consultants of Utah', 'Wei', '', 'Peng', 'MD', 'Cardiovascular Disease', 'Hospitalist', 'Internal Medicine', NULL, 'B', '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', NULL, '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', '          ', 'WUSTDINT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-08-18', '2011-12-31', 0, 0, 0, 'Salt Lake Regional Medical Center', '', '', '', 'HCFA|UB|', '1295831865', 0, 'Y', 0, '2013-03-18', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008190', 'W11008190', 'UT01', 'Hyperbaric and Wound Care', 'Tommy', 'Lee', 'Love', 'MD', 'Hyperbaric Wound', NULL, NULL, NULL, 'B', 'PO Box 28141', 'Atlanta', 'Fulton', 'GA', '30384', '8016014420', NULL, '2132 N 1700 W', 'Layton', 'Fulton', 'UT', '84041', NULL, NULL, 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2009-04-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164491403', 0, 'Y', 0, '2008-08-15', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008194', 'W11008194', 'UT01', 'Davis Orthopedics', 'B', 'Thomas', 'Watson', 'MD', 'Orthopedic Surgery', 'Sports Medicine', NULL, NULL, 'B', '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', NULL, '2132 N 1700 W', 'Layton', 'Fulton', 'UT', '84041', NULL, NULL, 'WUSTDSURG5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1225129158', 0, 'Y', 0, '2008-08-15', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008188', 'W11008188', 'UT01', 'Physician Group of Utah Inc', '', '', 'Physician Group of Utah Inc', '', 'Clinic', '', '', NULL, 'B', '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', NULL, '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', '', 'WUSTDINT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-08-18', '2014-04-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1477676930', 0, 'Y', 0, '2014-04-29', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008187', 'W11008187', 'UT01', 'Legacy Point Family Medicine Center', 'Craig', 'K', 'Julien', 'MD', 'Family Practice', '', '', NULL, 'B', '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8019843418', '8019843479', '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8019843418', '8019843479', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2014-04-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245340173', 0, 'Y', 0, '2011-04-18', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008196', 'W11008196', 'UT01', 'Davis Orthopedics', 'Colleen', NULL, 'O''Donnell', 'PAC', 'Orthopedic Surgery', 'Sports Medicine', NULL, NULL, 'B', '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', NULL, '2132 N 1700 W', 'Layton', 'Fulton', 'UT', '84041', NULL, NULL, 'WUSTDSURG5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942290804', 0, 'Y', 0, '2008-08-15', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008185', 'W11008185', 'UT01', 'Rock Run Medical', 'Jeff', '', 'Anderson', 'PA', 'Family Practice', '', '', NULL, 'B', '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', NULL, '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2014-04-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1255398921', 0, 'Y', 0, '2011-03-24', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008197', 'W11008197', 'UT01', 'Davis Internal Medicine', 'John', 'K', 'Reis', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8016014420', NULL, 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8016014420', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2009-01-31', 0, 0, 0, 'Ogden Regional Medical Center', '', '', '', 'HCFA|UB|', '1588689095', 0, 'Y', 0, '2014-04-16', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008199', 'W11008199', 'UT01', 'Davis Internal Medicine', 'Marian', 'H', 'Pham', 'MD', 'Internal Medicine', 'Pediatrics', '', NULL, 'B', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8013529500', NULL, '1492 W Antelope Dr', 'Layton', 'Fulton', 'UT', '84041', NULL, NULL, 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2009-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1285667980', 0, 'Y', 0, '2009-04-03', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008192', 'W11008192', 'UT01', 'Hyperbaric and Wound Care', 'Stacey', 'A', 'Raybuck', 'DO', 'Family Practice', 'Hyperbaric Wound', NULL, NULL, 'B', '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', NULL, '2132 N 1700 W', 'Layton', 'Fulton', 'UT', '84041', NULL, NULL, 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2010-02-21', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1720020076', 0, 'Y', 0, '2008-08-15', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008204', 'W11008204', 'UT01', 'Davis Internal Medicine', 'Adam', 'C', 'Craner', 'FNP-C', 'Internal Medicine', 'Family Practice', '', NULL, 'B', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8013529500', NULL, 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8013529500', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2009-01-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1952326357', 0, 'Y', 0, '2012-06-25', NULL, NULL, 0, 0, NULL, NULL),
('870767026', 'W11008251', 'W11008251', 'ID01', 'Caldwell Internal Medicine Group', 'David', 'J', 'Kelly', 'MD', 'Family & Sports Medicine', '', '', NULL, 'B', 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', NULL, 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', '          ', 'IDCALDINT', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2008-09-01', '2010-09-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1194862417', 0, 'N', 0, '2011-12-19', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870767026', 'W11008250', 'W11008250', 'ID01', 'Caldwell Internal Medicine Group', 'Cheryl', 'K', 'Sobba', 'NP', 'Family Practice', '', '', NULL, 'B', 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', NULL, 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', '', 'IDCALDINT', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2008-09-01', '2010-08-31', 0, 0, 0, 'West Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1740235712', 0, 'y', 0, '2013-08-16', NULL, NULL, 0, 0, NULL, NULL),
('870767026', 'W11008249', 'W11008249', 'ID01', 'Caldwell Internal Medicine Group', 'Carolyn', '', 'Rees', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', NULL, 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', '', 'IDCALDINT', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2008-09-01', '2010-08-31', 0, 0, 0, 'West Valley Medical Center', '', '', '', 'HCFA|UB|', '1386683431', 0, 'y', 0, '2014-04-04', NULL, NULL, 0, 0, NULL, NULL),
('870767026', 'W11008248', 'W11008248', 'ID01', 'Caldwell Internal Medicine Group', 'Steven', 'B', 'Ollie', 'MD', 'Family Practice', '', '', NULL, 'B', 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', NULL, 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', '          ', 'IDCALDINT', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2008-09-01', '2010-09-01', 0, 0, 0, 'West Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1568432888', 0, 'N', 0, '2013-11-12', NULL, NULL, 0, 0, NULL, NULL),
('870767026', 'W11008247', 'W11008247', 'ID01', 'Caldwell Internal Medicine Group', 'Steven', 'T', 'Koga', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', NULL, 'PO Box 277976', 'Atlanta', 'Fulton', 'GA', '30384', '2084594667', '', 'IDCALDINT', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2008-09-01', '2010-08-31', 0, 0, 0, 'West Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1144275512', 0, 'y', 0, '2013-08-16', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008183', 'W11008183', 'UT01', 'Rock Run Medical', 'Brannick', 'B', 'Riggs', 'MD', 'Family Practice', '', '', NULL, 'B', '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', NULL, '406 W South Jordan Pkwy Ste 500', 'South Jordan', 'Salt Lake', 'UT', '84095', '8016014420', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2014-04-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1255324984', 0, 'Y', 0, '2013-12-03', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008202', 'W11008202', 'UT01', 'Davis Internal Medicine', 'Robert', 'R', 'Mohr', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8013529500', NULL, 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8013529500', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2009-01-13', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1750314480', 0, 'Y', 0, '2012-06-27', NULL, NULL, 0, 0, NULL, NULL),
('742927135', 'W11008238', 'W11008238', 'ID01', 'Mountain States Neonatology', 'Matthew', 'S', 'Sell', 'MD', 'Neonatology', '', '', NULL, 'B', 'PO Box 840532', 'Dallas', 'Dallas', 'TX', '75284', '2083677610', NULL, 'PO Box 840532', 'Dallas', 'Dallas', 'TX', '75284', '2083677610', '          ', 'IDNEONATE', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-01', '2012-11-01', 0, 0, 0, 'Saint Alphonsus Medical Center Nampa', NULL, NULL, NULL, 'HCFA|UB|', '1063434579', 0, 'N', 0, '2012-11-30', NULL, NULL, 0, 0, NULL, NULL),
('742927135', 'W11008239', 'W11008239', 'ID01', 'Mountain States Neonatology', 'Jennifer', 'R', 'Merchant', 'MD', 'Neonatology', '', '', NULL, 'B', 'PO Box 840532', 'Dallas', 'Dallas', 'TX', '75284', '2083677610', NULL, 'PO Box 840532', 'Dallas', 'Dallas', 'TX', '75284', '2083677610', '', 'IDNEONATE', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Saint Alphonsus Medical Center Nampa', '', '', '', 'HCFA|UB|', '1326002189', 0, 'y', 0, '2013-10-22', NULL, NULL, 0, 0, NULL, NULL),
('742927135', 'W11008240', 'W11008240', 'ID01', 'Mountain States Neonatology', 'Stewart', '', 'Lawrence', 'MD', 'Neonatology', '', '', NULL, 'B', 'PO Box 840532', 'Dallas', 'Dallas', 'TX', '75284', '2083677610', NULL, 'PO Box 840532', 'Dallas', 'Dallas', 'TX', '75284', '2083677610', '', 'IDNEONATE', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', NULL, 0, 0, 0, 'Saint Alphonsus Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1144269747', 0, 'y', 0, '2013-10-22', NULL, NULL, 0, 0, NULL, NULL),
('010724468', 'W11008173', 'W11008173', 'TX01', 'Lone Star Cancer', 'Devendra', 'Kumar', 'Bhachawat', 'MD', 'Hematology and Oncology', 'Oncology', '', NULL, 'O', '515 N King St Ste 104', 'Seguin', 'Guadalupe', 'TX', '78155', '83030031121', NULL, '515 N King St Ste 104', 'Seguin', 'Guadalupe', 'TX', '78155', '83030031121', '', 'TXONCOL', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-01-01', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1053338731', 0, 'N', 0, '2013-04-05', NULL, NULL, 29.5734, -97.95, NULL, NULL),
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('680541263', 'W11008230', 'W11008230', 'ID02', 'Idaho Pediatric Gastroenterology PA', 'Henry', 'R', 'Thompson', 'MD (Recognized but not Contracted)', 'Pediatric Gastroenterology', '', '', NULL, 'O', '100 E Idaho Ste 316', 'Boise', 'Ada', 'ID', '83712', '2083817310', NULL, '100 E Idaho Ste 316', 'Boise', 'Ada', 'ID', '83712', '2083817310', '          ', 'IDPEDGAS', 'WUSTDHCPC5', '', '0.00', '30.00', '0.00', 3, '2008-08-01', '2011-02-28', 0, 0, 1, '', NULL, '', '', 'HCFA|UB|', '1306898051', 0, 'Y', 0, '2012-01-04', NULL, NULL, 43.6123, -116.194, NULL, NULL),
('820483795', 'W11008339', 'W11008339', 'ID02', 'Boise Speech and Hearing Clinic', 'Alesia', 'J', 'Hitchcock', 'SLP', 'Speech Therapy', '', '', NULL, 'O', '13176 Persimmon Ln Ste 120', 'Boise', 'Ada', 'ID', '83713', '2083763591', NULL, '13176 Persimmon Ln Ste 120', 'Boise', 'Ada', 'ID', '83713', '2083763591', '', 'IDSPEECH', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', NULL, 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1679796585', 0, 'n', 0, '2011-09-28', NULL, NULL, 0, 0, NULL, NULL),
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('870800272', 'W11008218', 'W11008218', 'UT01', 'Mountain West Ear Nose and Throat', 'Karen', 'L', 'Walker', 'AUD', 'Audiology', '', '', NULL, 'O', '1660 W Antelope Dr Ste 315', 'Layton', 'Davis', 'UT', '84041', '8017762180', NULL, '1660 W Antelope Dr Ste 315', 'Layton', 'Davis', 'UT', '84041', '8017762180', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-08-08', '2011-09-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1629102553', 0, 'N', 0, '2011-09-21', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008201', 'W11008201', 'UT01', 'Davis Internal Medicine', 'Robert', 'R', 'Mohr', 'MD', 'Internal Medicine', '', '', NULL, 'O', '1492 W Antelope Dr Ste 203', 'Layton', 'Davis', 'UT', '84041', '8017737500', NULL, '1492 W Antelope Dr Ste 203', 'Layton', 'Davis', 'UT', '84041', '8017737500', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2009-01-13', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1750314480', 0, 'N', 0, '2012-06-27', NULL, NULL, 0, 0, NULL, NULL),
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('870800272', 'W11008217', 'W11008217', 'UT01', 'Mountain West Ear Nose and Throat', 'Tel', 'S', 'Boman', 'AUD', 'Audiology', '', '', NULL, 'O', '1660 W Antelope Dr Ste 315', 'Layton', 'Davis', 'UT', '84041', '8017762180', NULL, '1660 W Antelope Dr Ste 315', 'Layton', 'Davis', 'UT', '84041', '8017762180', '', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-08-08', '2011-09-22', 0, 0, 0, 'Ogden Regional Medical Center', '', '', '', 'HCFA|UB|', '1972531028', 0, 'N', 0, '2014-05-08', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008195', 'W11008195', 'UT01', 'Davis Orthopedics', 'Colleen', NULL, 'O''Donnell', 'PAC', 'Orthopedic Surgery', 'Sports Medicine', NULL, NULL, 'O', '2132 N 1700 W Ste 230', 'Layton', 'Davis', 'UT', '84041', '8017733900', NULL, '2132 N 1700 W', 'Layton', 'Davis', 'UT', '84041', NULL, NULL, 'WUSTDSURG5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942290804', 0, 'N', 0, '2008-08-15', NULL, NULL, 41.0892, -111.997, 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
('621801973', 'W11008198', 'W11008198', 'UT01', 'Davis Internal Medicine', 'John', 'K', 'Reis', 'MD', 'Internal Medicine', '', '', NULL, 'O', '1492 W Antelope Dr Ste 203', 'Layton', 'Davis', 'UT', '84041', '8017737500', NULL, '1492 W Antelope Dr Ste 203', 'Layton', 'Davis', 'UT', '84041', '8017737500', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2009-01-31', 0, 0, 0, 'Ogden Regional Medical Center', '', '', '', 'HCFA|UB|', '1588689095', 0, 'N', 0, '2014-04-16', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008200', 'W11008200', 'UT01', 'Davis Internal Medicine', 'Marian', 'H', 'Pham', 'MD', 'Internal Medicine', 'Pediatrics', '', NULL, 'O', '1492 W Antelope Dr Ste 203', 'Layton', 'Davis', 'UT', '84041', '8017737500', NULL, '1492 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', NULL, NULL, 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2009-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1285667980', 0, 'N', 0, '2009-04-03', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008203', 'W11008203', 'UT01', 'Davis Internal Medicine', 'Adam', 'C', 'Craner', 'FNP-C', 'Internal Medicine', 'Family Practice', '', NULL, 'O', '1492 W Antelope Dr Ste 203', 'Layton', 'Davis', 'UT', '84041', '8017737500', NULL, '1492 W Antelope Dr Ste 203', 'Layton', 'Davis', 'UT', '84041', '8017737500', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2009-01-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1952326357', 0, 'N', 0, '2012-06-25', NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W11008180', 'W11008180', 'UT01', 'University Health Care', 'Joseph', 'B', 'Webster', 'MD', 'Physical Medicine and Rehabilitation', '', '', NULL, 'o', '145 W University Pkwy', 'Orem', 'Utah', 'UT', '84058', '8012348600', NULL, '145 W University Pkwy', 'Orem', 'Utah', 'UT', '84058', '8012348600', '          ', 'WISESTDU', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2007-08-01', '2012-09-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386734978', 0, 'N', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('260817300', 'W11008174', 'W11008174', 'UT01', 'Utah Vein Specialists', 'Peter', 'E', 'Jensen', 'MD', 'Vascular Surgery', 'Cardiovascular Disease', '', NULL, 'O', '1820 Sidewinder Dr Ste 115', 'Park City', 'Summit', 'UT', '84060', '4356458346', NULL, '1820 Sidewinder Dr Ste 115', 'Park City', 'Summit', 'UT', '84060', '4356458346', '          ', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-07-30', '2011-10-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1033215686', 0, 'N', 0, '2012-02-08', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008186', 'W11008186', 'UT01', 'Legacy Point Family Medicine Center', 'Craig', 'K', 'Julien', 'MD', 'Family Practice', '', '', NULL, 'O', '3110 W 300 N Ste A', 'West Point', 'Davis', 'UT', '84015', '8016145140', '8016145144', '3110 W 300 N Ste A', 'West Point', 'Davis', 'UT', '84015', '8016145140', '8016145144', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2014-04-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245340173', 0, 'N', 0, '2011-04-18', NULL, NULL, 41.1181, -112.086, NULL, NULL),
('621801973', 'W11008182', 'W11008182', 'UT01', 'Rock Run Medical', 'Brannick', 'B', 'Riggs', 'MD', 'Family Practice', '', '', NULL, 'O', '5991 S 3500 W Ste 400', 'Roy', 'Weber', 'UT', '84067', '8017732838', NULL, '5991 S 3500 W Ste 400', 'Roy', 'Weber', 'UT', '84067', '8017732838', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2014-04-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1255324984', 0, 'N', 0, '2013-12-03', NULL, NULL, 41.1545, -112.064, NULL, NULL),
('621801973', 'W11008184', 'W11008184', 'UT01', 'Rock Run Medical', 'Jeff', '', 'Anderson', 'PA', 'Family Practice', '', '', NULL, 'O', '5991 S 3500 W Ste 400', 'Roy', 'Weber', 'UT', '84067', '8017732838', NULL, '5991 S 3500 W Ste 400', 'Roy', 'Weber', 'UT', '84067', '8017732838', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-18', '2014-04-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1255398921', 0, 'N', 0, '2011-03-24', NULL, NULL, 41.1545, -112.064, NULL, NULL),
('261906096', 'W11008210', 'W11008210', 'UT01', 'Gut  Whisperer', 'Umaprasanna', 'S', 'Karnam', 'MD', 'Gastroenterology', 'Internal Medicine', '', NULL, 'O', '3584 W 9000 S Ste 300', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015635121', '8015663926', '3584 W 9000 S Ste 300', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015635121', '8015663926', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', NULL, 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1689623852', 0, 'n', 0, '2011-08-16', NULL, NULL, 40.5879, -111.976, NULL, NULL),
('942854057', 'W11008168', 'W11008168', 'UTIHCPHY', 'Central ENT Head-Neck Surgery', 'R', 'Kim', 'Davis', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '5169 S Cottonwood Ste 640', 'Murray', 'Salt Lake', 'UT', '84107', '8015073680', NULL, '5169 S Cottonwood Ste 640', 'Murray', 'Salt Lake', 'UT', '84107', '8015073680', '          ', 'USTDMULT', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 8, '2008-07-21', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1992962757', 0, 'N', 0, '2010-10-28', NULL, NULL, 40.659, -111.894, NULL, NULL),
('942854057', 'W11008169', 'W11008169', 'UTIHCPHY', 'Sandy ENT', 'Craig', 'N', 'Stevens', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '9690 S1300 E Ste 200', 'Sandy', 'Salt Lake', 'UT', '84094', '8015014310', NULL, '9690 S1300 E Ste 200', 'Sandy', 'Salt Lake', 'UT', '84094', '8015014310', '          ', 'USTDMULT', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 8, '2008-07-01', '2010-06-13', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1780606194', 0, 'N', 0, '2011-04-28', NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W11008208', 'W11008208', 'UT01', 'Cardiovascular Consultants of Utah', 'Wei', '', 'Peng', 'MD', 'Cardiovascular Disease', 'Hospitalist', 'Internal Medicine', NULL, 'O', '82 S 1100 E Ste 103', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8017464440', NULL, '82 S 1100 E Ste 103', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8017464440', '          ', 'WUSTDINT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-08-18', '2011-11-21', 0, 0, 0, 'Salt Lake Regional Medical Center', '', '', '', 'HCFA|UB|', '1295831865', 0, 'N', 0, '2013-03-18', NULL, NULL, 0, 0, NULL, NULL),
('261906096', 'W11008211', 'W11008211', 'UT01', 'Gut  Whisperer', 'Umaprasanna', 'S', 'Karnam', 'MD', 'Gastroenterology', 'Internal Medicine', '', NULL, 'O', '24 S 1100 E Ste 103', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015635121', '8015663926', '24 S 1100 E Ste 103', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015635121', '8015663926', 'WISESTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', NULL, 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1689623852', 0, 'n', 0, '2011-08-16', NULL, NULL, 40.7689, -111.86, NULL, NULL),
('870483582', 'W11008326', 'W11008326', 'UT01', 'University Health Care', 'Jane', 'S', 'Tan', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'o', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-08-11', '2009-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558587915', 0, 'N', 0, '2008-08-20', NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W11008327', 'W11008327', 'UT01', 'University of Utah Orthopedic Consultants', 'Jane', 'S', 'Tan', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 58108', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015813998', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-08-11', '2009-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558587915', 0, 'y', 0, '2008-08-20', NULL, NULL, 0, 0, NULL, NULL),
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('731576907', 'W11011050', 'W11011050', 'OKDT01', 'Gentle Dental Edmond', 'Deanna', NULL, 'Berry', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '515 S Broadway', 'Edmond', 'Oklahoma', 'OK', '73034', '4053405150', NULL, NULL, NULL, 'Oklahoma', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005278', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('161684881', 'W11010961', 'W11010961', 'OKDT01', NULL, 'Sam', 'P', 'Jones', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '1218 E 9Th Ste 7', 'Edmond', 'Oklahoma', 'OK', '73034', '4052857466', NULL, NULL, NULL, 'Oklahoma', NULL, NULL, NULL, NULL, '4OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006994', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('731576907', 'W11011053', 'W11011053', 'OKDT01', 'Gentle Dental Edmond', 'Caroll', 'J', 'Davis', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '515 S Broadway', 'Edmond', 'Oklahoma', 'OK', '73034', '4053405150', NULL, NULL, NULL, 'Oklahoma', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005901', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731576907', 'W11011048', 'W11011048', 'OKDT01', 'Gentle Dental Edmond', 'Richard', 'L', 'Fentem', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '515 S Broadway', 'Edmond', 'Oklahoma', 'OK', '73034', '4053405150', NULL, NULL, NULL, 'Oklahoma', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006223', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('730780553', 'W11011162', 'W11011162', 'OKDT01', NULL, 'Thomas', 'E', 'Haller', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '9 E First St', 'Edmond', 'Oklahoma', 'OK', '73034', '4053413232', NULL, NULL, NULL, 'Oklahoma', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006539', 0, 'N', 0, '2008-08-25', 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
('731592215', 'W11011096', 'W11011096', 'OKDT01', NULL, 'Christinna', 'Renee', 'Fairchild', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2005 Parkview Dr', 'El Reno', 'Canadian', 'OK', '73036', '4052621919', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-07-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006190', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731334270', 'W11011052', 'W11011052', 'OKDT01', NULL, 'James', 'Vance', 'Seamans', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '324 N 19Th St Ste 2', 'Guthrie', 'Logan', 'OK', '73044', '4052822530', NULL, NULL, NULL, 'Logan', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008643', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731387179', 'W11011144', 'W11011144', 'OKDT01', 'Frye Health Care', 'Bruce', 'A', 'Frye', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '505 S Main St', 'Lindsay', 'Garvin', 'OK', '73052', '4057562908', NULL, NULL, NULL, 'Garvin', NULL, NULL, NULL, NULL, '4OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006328', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731222543', 'W11011101', 'W11011101', 'OKDT01', NULL, 'John', 'R', 'Ainsworth', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '500 N Financial Ctr Terrace Ste D', 'MuStang', 'Canadian', 'OK', '73064', '4053762072', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004941', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('141981193', 'W11010896', 'W11010896', 'OKDT01', 'Contemporary Family Dentistry', 'Seth', 'Michael', 'Evetts', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1117 Nw 32Nd St', 'NewCastle', 'Mcclain', 'OK', '73065', '4053879300', NULL, NULL, NULL, 'Mcclain', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006173', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('141981193', 'W11010897', 'W11010897', 'OKDT01', 'Contemporary Family Dentistry', 'Neil', 'William', 'Ayers', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1117 Nw 32Nd St', 'NewCastle', 'Mcclain', 'OK', '73065', '4053879300', NULL, NULL, NULL, 'Mcclain', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005134', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('201837152', 'W11011007', 'W11011007', 'OKDT01', 'Norman Surgical Arts', 'M', 'Edmund', 'Braly', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '640 24Th Ave Sw', 'Norman', 'Cleveland', 'OK', '73069', '4053646777', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '4OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005400', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731623879', 'W11011130', 'W11011130', 'OKDT01', 'Oral And Maxillofacial Surgeons', 'Perry', 'Lee', 'Brooks', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '613 24Th Ave Sw Ste 100', 'Norman', 'Cleveland', 'OK', '73069', '4053646777', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '4OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005435', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731547094', 'W11010914', 'W11010914', 'OKDT01', NULL, 'Donna', 'A', 'Galier', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2001 W Lindsey', 'Norman', 'Cleveland', 'OK', '73069', '4053296556', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-05-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006344', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731547094', 'W11010911', 'W11010911', 'OKDT01', NULL, 'Mark', 'T', 'Kelly', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2001 W Lindsey', 'Norman', 'Cleveland', 'OK', '73069', '4053296556', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007059', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731547094', 'W11010910', 'W11010910', 'OKDT01', NULL, 'Erin', 'M', 'Mccall', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2001 W Lindsey', 'Norman', 'Cleveland', 'OK', '73069', '4053296556', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007492', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('752990727', 'W11011059', 'W11011059', 'OKDT01', NULL, 'Ngoc', 'M', 'Tran', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '515 S University Blvd', 'Norman', 'Cleveland', 'OK', '73069', '4053216564', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009161', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731623879', 'W11011131', 'W11011131', 'OKDT01', 'Oral And Maxillofacial Surgeons', 'Kevin', 'Stewart', 'Smith', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '613 24Th Ave Sw Ste 100', 'Norman', 'Cleveland', 'OK', '73069', '4053646777', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '4OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008765', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731547094', 'W11010915', 'W11010915', 'OKDT01', NULL, 'Sean', NULL, 'Mcdonald', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2001 W Lindsey', 'Norman', 'Cleveland', 'OK', '73069', '4053296556', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-05-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007504', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('752811161', 'W11010975', 'W11010975', 'OKDT01', 'Oklahoma Dental', 'Adam', 'M', 'Stepniewski', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3750 W Main St', 'Norman', 'Cleveland', 'OK', '73072', '4053216403', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '8GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008906', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('752811161', 'W11010978', 'W11010978', 'OKDT01', 'Oklahoma Dental', 'Martin', 'J', 'Shedeck', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3750 W Main St', 'Norman', 'Cleveland', 'OK', '73072', '4053216403', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '8GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008688', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('752811161', 'W11010974', 'W11010974', 'OKDT01', 'Oklahoma Dental', 'Caroll', 'J', 'Davis', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3750 W Main St', 'Norman', 'Cleveland', 'OK', '73072', '4053216403', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '8GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005901', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('752811161', 'W11010973', 'W11010973', 'OKDT01', 'Oklahoma Dental', 'Charles', 'T', 'Scott', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3750 W Main St', 'Norman', 'Cleveland', 'OK', '73072', '4053216403', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '8GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008634', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('752811161', 'W11010977', 'W11010977', 'OKDT01', 'Oklahoma Dental', 'Robert', 'B', 'Watson', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3750 W Main St', 'Norman', 'Cleveland', 'OK', '73072', '4053216403', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '8GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-06-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009532', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('752811161', 'W11010970', 'W11010970', 'OKDT01', 'Oklahoma Dental', 'Srishti', NULL, 'Mehta', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '3750 W Main St', 'Norman', 'Cleveland', 'OK', '73072', '4053216403', NULL, NULL, NULL, 'Cleveland', NULL, NULL, NULL, NULL, '8OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007553', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('443381112', 'W11010881', 'W11010881', 'OKDT01', NULL, 'Robert', 'Kent', 'Rickey', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '104 Piedmont Rd', 'Piedmont', 'Canadian', 'OK', '73078', '4053730126', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-02-28', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008395', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731579232', 'W11010954', 'W11010954', 'OKDT01', 'Hernco Healthcare', 'James', 'N', 'Herndon', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '425 W Truman Place', 'Purcell', 'Mcclain', 'OK', '73080', '4055277070', NULL, NULL, NULL, 'Mcclain', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006690', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731579232', 'W11010953', 'W11010953', 'OKDT01', 'Hernco Healthcare', 'Khanhlam', NULL, 'Phan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '425 W Truman Place', 'Purcell', 'Mcclain', 'OK', '73080', '4055277070', NULL, NULL, NULL, 'Mcclain', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008181', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731542109', 'W11010937', 'W11010937', 'OKDT01', 'Yukon Mixillo Facial Surgery Center', 'M', 'Edmund', 'Braly', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '404 S Mustang Rd', 'Yukon', 'Canadian', 'OK', '73099', '4055777744', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '4OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005400', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731542109', 'W11010938', 'W11010938', 'OKDT01', 'Yukon Mixillo Facial Surgery Center', 'Alan', 'Akio', 'Miyake', 'MD', 'Oral Surgeon', NULL, NULL, NULL, 'O', '404 S Mustang Rd', 'Yukon', 'Canadian', 'OK', '73099', '4055777744', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '4OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007649', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('203970652', 'W11010976', 'W11010976', 'OKDT01', NULL, 'Rick', 'Lynn', 'Willingham', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1700 Professional Circle', 'Yukon', 'Canadian', 'OK', '73099', '4053544893', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009638', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('752811161', 'W11010984', 'W11010984', 'OKDT01', 'Oklahoma Dental Centers', 'Chao Hsiang', 'Sean', 'Wang', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1300 Health Ctr Pkwy', 'Yukon', 'Canadian', 'OK', '73099', '4053541147', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '8GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009496', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('261919038', 'W11010925', 'W11010925', 'OKDT01', NULL, 'Grant', 'D', 'Pitt', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '701 Shedeck Pkwy', 'Yukon', 'Canadian', 'OK', '73099', '4053501133', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008214', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('752811161', 'W11010982', 'W11010982', 'OKDT01', 'Oklahoma Dental Centers', 'Mark', 'A', 'Mesikep', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1300 Health Ctr Pkwy', 'Yukon', 'Canadian', 'OK', '73099', '4053541147', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '8GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-05-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007581', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('203970652', 'W11010981', 'W11010981', 'OKDT01', NULL, 'David', 'Randal', 'Reiter', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1700 Professional Circle', 'Yukon', 'Canadian', 'OK', '73099', '4053544893', NULL, NULL, NULL, 'Canadian', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008356', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('731591645', 'W11011056', 'W11011056', 'OKDT01', NULL, 'Julia', 'Mary', 'Norris', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '8317 S Wern Ave', 'Oklahoma City', 'Oklahoma', 'OK', '73139', '4057213068', NULL, NULL, NULL, 'Oklahoma', NULL, NULL, NULL, NULL, '4OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007898', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731547094', 'W11010916', 'W11010916', 'OKDT01', NULL, 'Andrew', NULL, 'Walker', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '6616 S Wern', 'Oklahoma City', 'Oklahoma', 'OK', '73139', '4056017852', NULL, NULL, NULL, 'Oklahoma', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009484', 0, 'N', 0, '2008-08-25', 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
('731547094', 'W11010921', 'W11010921', 'OKDT01', NULL, 'Cory', 'J', 'Chambers', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '6616 S Wern', 'Oklahoma City', 'Oklahoma', 'OK', '73139', '4056017852', NULL, NULL, NULL, 'Oklahoma', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-06-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005634', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('731452779', 'W11011140', 'W11011140', 'OKDT01', 'Endodontic Specialists Of Northeast Oklahoma', 'Kenneth', 'T', 'Bezan', 'DMD', 'Endodontist', NULL, NULL, NULL, 'O', '5555 E 71St St Ste 9210', 'Tulsa', 'Tulsa', 'OK', '74136', '9185243366', NULL, NULL, NULL, 'Tulsa', NULL, NULL, NULL, NULL, '4EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005288', 0, 'N', 0, '2008-08-25', 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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('731303346', 'W11011098', 'W11011098', 'OKDT01', NULL, 'Kirk', NULL, 'Gammell', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '7320 S Yale Ste B', 'Tulsa', 'Tulsa', 'OK', '74136', '9184962499', NULL, NULL, NULL, 'Tulsa', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006354', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731452779', 'W11011135', 'W11011135', 'OKDT01', 'Endodontic Specialists Of Northeast Oklahoma', 'John', 'C', 'Warden', 'DMD', 'Endodontist', NULL, NULL, NULL, 'O', '5555 E 71St St Ste 9210', 'Tulsa', 'Tulsa', 'OK', '74136', '9185243366', NULL, NULL, NULL, 'Tulsa', NULL, NULL, NULL, NULL, '4EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009510', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731563803', 'W11011064', 'W11011064', 'OKDT01', NULL, 'Michael', 'John', 'Hosier', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '9101 S Toledo Ave', 'Tulsa', 'Tulsa', 'OK', '74137', '9185234999', NULL, NULL, NULL, 'Tulsa', NULL, NULL, NULL, NULL, '4OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006779', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731501287', 'W11010894', 'W11010894', 'OKDT01', NULL, 'Max', 'Dwayne', 'Bird', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '10124 S Sheridan Rd Ste A', 'Tulsa', 'Tulsa', 'OK', '74137', '9185286555', NULL, NULL, NULL, 'Tulsa', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005312', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731405579', 'W11011070', 'W11011070', 'OKDT01', NULL, 'Donal', 'R', 'Woodward', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '6143 E 91St St', 'Tulsa', 'Tulsa', 'OK', '74137', '9184926994', NULL, NULL, NULL, 'Tulsa', NULL, NULL, NULL, NULL, '4OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009670', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('201700722', 'W11010946', 'W11010946', 'OKDT01', NULL, 'Benjamin', 'James', 'Gerkin', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '5424 S Memorial Bldg A', 'Tulsa', 'Tulsa', 'OK', '74145', '9184931005', NULL, NULL, NULL, 'Tulsa', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006401', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('731068114', 'W11011145', 'W11011145', 'OKDT01', NULL, 'William', 'Robert', 'Evans', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8149 E 31St St Ste D', 'Tulsa', 'Tulsa', 'OK', '74145', '9186652676', NULL, NULL, NULL, 'Tulsa', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006168', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('730784897', 'W11011167', 'W11011167', 'OKDT01', NULL, 'Larry', 'Lee', 'Williams', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4528 S Sheridan Ste 112', 'Tulsa', 'Tulsa', 'OK', '74145', '9186643366', NULL, NULL, NULL, 'Tulsa', NULL, NULL, NULL, NULL, '4GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009631', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('079448097', 'W11008406', 'W11008406', 'ID01', 'Green Leaves Counseling', 'Dana', 'H', 'Unruh', 'LCPC', 'Mental Health', 'Counseling', '', NULL, 'B', 'PO Box 1217', 'Meridian', 'Ada', 'ID', '83680', '2088552295', NULL, 'PO Box 1217', 'Meridian', 'Ada', 'ID', '83680', '2088552295', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', '2009-10-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1851306500', 0, 'y', 0, '2011-09-29', NULL, NULL, 0, 0, NULL, NULL),
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('820532649', 'W11008396', 'W11008396', 'ID01', NULL, 'David', 'A', 'Teed', 'LSCW', 'Mental Health', 'Social Worker', '', NULL, 'O', '1407 N 13th St', 'Boise', 'Ada', 'ID', '83702', '2084243105', NULL, '1407 N 13th St', 'Boise', 'Ada', 'ID', '83702', '2084243105', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1437261401', 0, 'n', 0, '2013-02-22', NULL, NULL, 0, 0, NULL, NULL),
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('721540179', 'W11008445', 'W11008445', 'ID01', NULL, 'Bok', '', 'Chung', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '413 N Allumbaugh Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', NULL, '413 N Allumbaugh Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', '', 'IDMD', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, 'Saint Alphonsus Medical Center Nampa', '', '', '', 'HCFA|UB|', '1386680353', 0, 'n', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
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('943022654', 'W11008414', 'W11008414', 'ID01', NULL, 'Charles', 'C', 'Novak', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '413 N Allumbaugh St Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', NULL, '413 N Allumbaugh St Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', '', 'IDMD', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', '2013-02-14', 0, 0, 0, 'Saint Alphonsus Medical Center Nampa', '', '', '', 'HCFA|UB|', '1770511743', 0, 'n', 0, '2013-02-19', NULL, NULL, 43.6086, -116.268, NULL, NULL),
('201180479', 'W11008411', 'W11008411', 'ID01', NULL, 'Richard', 'A', 'Montgomery', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '413 N Allumbaugh Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', NULL, '413 N Allumbaugh Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', '', 'IDMD', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, 'Saint Alphonsus Medical Center Nampa', '', '', '', 'HCFA|UB|', '1275567638', 0, 'n', 0, '2013-03-27', NULL, NULL, 0, 0, NULL, NULL),
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('721540179', 'W11008444', 'W11008444', 'ID01', NULL, 'Bok', '', 'Chung', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '413 N Allumbaugh Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', NULL, '413 N Allumbaugh Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', '', 'IDMD', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', '2013-02-14', 0, 0, 0, 'Saint Alphonsus Medical Center Nampa', '', '', '', 'HCFA|UB|', '1386680353', 0, 'n', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('770636659', 'W11008393', 'W11008393', 'ID01', NULL, 'Diane', '', 'Barnhill', 'PSYD MED', 'Mental Health', 'Counseling', '', NULL, 'B', '2010 N Fry St', 'Boise', 'Ada', 'ID', '83704', '2086028867', NULL, '2010 N Fry St', 'Boise', 'Ada', 'ID', '83704', '2086028867', '', 'IDPHD', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1770596249', 0, 'y', 0, '2011-12-20', NULL, NULL, 0, 0, NULL, NULL),
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('204486078', 'W11008418', 'W11008418', 'ID01', '', 'Eric', '', 'Gilbreath', 'MD', 'Mental Health', 'Psychiatry', '', NULL, 'O', '413 N Allumbaugh St Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', '', '413 N Allumbaugh St Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', '', 'IDMD', '', '', '0.00', '35.00', '0.00', 3, '2008-09-01', '2013-02-14', 0, 0, 0, 'Saint Alphonsus Regional Medical Center', '', '', '', 'HCFA|UB|', '1548290711', 0, 'n', 0, '2014-07-23', NULL, NULL, 43.6086, -116.268, NULL, NULL),
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('300135212', 'W11011176', 'W11011176', 'UTDT01', NULL, 'Steven', NULL, 'Braithwaite', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '218 N W State Rd', 'American Fork', 'Utah', 'UT', '84003', '8017637737', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2005-02-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005399', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870332707', 'W11011178', 'W11011178', 'UTDT01', 'Young Family Dental', 'William', '', 'Cerny', 'DDS', 'Dentist', '', '', NULL, 'O', '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017567173', NULL, '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017567173', '', 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2005-07-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '1346381498', 0, 'N', 0, '2013-10-16', NULL, NULL, 0, 0, NULL, NULL),
('870617336', 'W11011179', 'W11011179', 'UTDT01', NULL, 'Robert', '', 'Chidester', 'DDS', 'Dentist', '', '', NULL, 'O', '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017565522', NULL, '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017565522', '', 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '0000005671', 0, 'N', 0, '2012-09-12', NULL, NULL, 0, 0, NULL, NULL),
('870352863', 'W11011189', 'W11011189', 'UTDT01', NULL, 'Joseph D', NULL, 'Liddle', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '120 N Ctr St', 'American Fork', 'Utah', 'UT', '84003', '8017563377', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '1995-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007273', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870549520', 'W11011181', 'W11011181', 'UTDT01', 'Willow Creek Dental', 'Curtis', NULL, 'Cutler', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '183 S 500 E', 'American Fork', 'Utah', 'UT', '84003', '8017639080', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', NULL, 8, '2001-01-24', '2007-07-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'DEN|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870332707', 'W11011193', 'W11011193', 'UTDT01', 'Young Family Dental', 'Kwang', '', 'Park', 'DDS', 'Dentist', '', '', NULL, 'O', '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017567173', NULL, '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017567173', '', 'UT000A', NULL, '', '0.00', '20.00', '0.00', 8, '2008-02-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '1215078365', 0, 'N', 0, '2014-05-23', NULL, NULL, 0, 0, NULL, NULL),
('841430407', 'W11011188', 'W11011188', 'UTDT01', NULL, 'Jack', NULL, 'Jorgenson', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '262-N W State Rd', 'American Fork', 'Utah', 'UT', '84003', '8017637737', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '1998-09-06', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007003', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870490551', 'W11011192', 'W11011192', 'UTDT01', '', 'Bruce T', '', 'Murdock', 'DDS', 'Dentist', '', '', NULL, 'O', '356 E 20 S', 'American Fork', 'Utah', 'UT', '84003', '8017564595', NULL, '356 E 20 S', 'American Fork', 'Utah', 'UT', '84003', '8017564595', '          ', 'UT000A', '', '', '0.00', '20.00', '0.00', 8, '1996-01-29', '2011-07-01', 0, 0, 0, '', '', '', '', 'DEN|', '0000007766', 0, 'N', 0, '2012-01-20', NULL, NULL, 0, 0, NULL, NULL),
('870332707', 'W11011191', 'W11011191', 'UTDT01', 'Young Family Dental', 'Blaine', NULL, 'Milne', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017567173', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2005-07-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007629', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870332707', 'W11011180', 'W11011180', 'UTDT01', 'Young Family Dental', 'Joseph', NULL, 'Christensen', 'DMD', 'Dentist', 'Endodontist', NULL, NULL, 'O', '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017567173', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2005-07-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005698', 0, 'N', 0, '2009-04-24', 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
('870332707', 'W11011190', 'W11011190', 'UTDT01', NULL, 'Michael', '', 'Loeser', 'DMD', 'Dentist', '', '', NULL, 'O', '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017567173', NULL, '483 E 200 S', 'American Fork', 'Utah', 'UT', '84003', '8017567173', '', 'UT000A', NULL, '', '0.00', '20.00', '0.00', 8, '2005-07-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '1467595157', 0, 'N', 0, '2014-05-23', NULL, NULL, 0, 0, NULL, NULL),
('870634850', 'W11011183', 'W11011183', 'UTDT01', NULL, 'David', NULL, 'Erekson', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '186 S 1100 E', 'American Fork', 'Utah', 'UT', '84003', '8017565136', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2007-04-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006143', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('260357579', 'W11011186', 'W11011186', 'UTDT01', '', 'Roger', NULL, 'Harding', 'DDS', 'Dentist', '', '', NULL, 'O', '183 S 500 E', 'American Fork', 'Utah', 'UT', '84003', '8017639080', NULL, '183 S 500 E', 'American Fork', 'Utah', 'UT', '84003', '8017639080', '          ', 'UT000A', '', '', '0.00', '20.00', '0.00', 8, '2007-07-01', '2012-11-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006580', 0, 'N', 0, '2012-11-21', NULL, NULL, 0, 0, NULL, NULL),
('870581690', 'W11011185', 'W11011185', 'UTDT01', '', 'Clayton M', NULL, 'Hansen', 'DDS', 'Dentist', '', '', NULL, 'O', '356 E 20 S', 'American Fork', 'Utah', 'UT', '84003', '8017562809', NULL, '356 E 20 S', 'American Fork', 'Utah', 'UT', '84003', '8017562809', '          ', 'UT000A', '', '', '0.00', '20.00', '0.00', 8, '1998-07-21', '2009-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006564', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('528685521', 'W11011184', 'W11011184', 'UTDT01', NULL, 'Neal', NULL, 'Evans', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '290 N 300 E', 'American Fork', 'Utah', 'UT', '84003', '8017562346', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', NULL, 8, '1995-11-29', '2006-10-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'DEN|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870617336', 'W11011926', 'W11011926', 'UTDT01', 'Monarch Dental', 'Ryan', NULL, 'Vanmoorlehem', 'DMD', 'Endodontist', NULL, NULL, NULL, 'O', '476 N 900 W Ste A', 'American Fork', 'Utah', 'UT', '84003', '8017565522', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT0SPA', NULL, NULL, '0.00', '20.00', '0.00', 8, '2008-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009418', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870555800', 'W11011170', 'W11011170', 'UTDT01', NULL, 'Randall', NULL, 'Stucki', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '75 W Main St Ct Ste 200', 'Alpine', 'Utah', 'UT', '84004', '8014927778', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2004-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008942', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('800070142', 'W11011169', 'W11011169', 'UTDT01', NULL, 'Grant T', NULL, 'Stucki', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '20 W Main St', 'Alpine', 'Utah', 'UT', '84004', '8017563570', NULL, NULL, NULL, 'Utah', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2005-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008941', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870650523', 'W11011221', 'W11011221', 'UTDT01', NULL, 'Fred', NULL, 'Luedtke', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1260 S 500 W', 'Bountiful', 'Davis', 'UT', '84010', '8012946174', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007358', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870617336', 'W11011226', 'W11011226', 'UTDT01', 'Monarch Dental', 'Richard', '', 'Steele', 'DDS', 'Dentist', '', '', NULL, 'O', '24 S 500 W Ste A', 'Bountiful', 'Davis', 'UT', '84010', '8012961606', NULL, '24 S 500 W Ste A', 'Bountiful', 'Davis', 'UT', '84010', '8012961606', '', 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2007-06-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '0000008893', 0, 'N', 0, '2012-11-21', NULL, NULL, 0, 0, NULL, NULL),
('870617336', 'W11012117', 'W11012117', 'UTDT01', 'Monarch Dental', 'Richard', '', 'Rizzo', 'DDS', 'Periodontist', '', '', NULL, 'O', '24 S 500 W Ste A', 'Bountiful', 'Davis', 'UT', '84010', '8012961606', NULL, '24 South 500 W Ste A', 'Bountiful', 'Davis', 'UT', '84010', '8012961606', '', 'UT0SPA', NULL, NULL, '0.00', '20.00', '0.00', 8, '2007-06-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '0000008415', 0, 'N', 0, '2011-05-12', NULL, NULL, 0, 0, NULL, NULL),
('519203664', 'W11011228', 'W11011228', 'UTDT01', NULL, 'Sydney E', NULL, 'Wray', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '395 E 500 S', 'Bountiful', 'Davis', 'UT', '84010', '8012958881', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '1998-08-03', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009680', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870503647', 'W11011227', 'W11011227', 'UTDT01', NULL, 'Kent J', NULL, 'Toone', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '460 S 400 E', 'Bountiful', 'Davis', 'UT', '84010', '8012955585', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '1995-09-14', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009137', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('900054203', 'W11011216', 'W11011216', 'UTDT01', NULL, 'David L', NULL, 'Flynn', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '460 S 400 E', 'Bountiful', 'Davis', 'UT', '84010', '8012921304', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2004-02-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006273', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870617336', 'W11011927', 'W11011927', 'UTDT01', 'Monarch Dental', 'Curtis', '', 'Brimley', 'DMD', 'Endodontist', '', '', NULL, 'O', '24 S 500 W Ste A', 'Bountiful', 'DAVIS', 'UT', '84010', '8012961606', NULL, '24 S 500 W Ste A', 'Bountiful', 'DAVIS', 'UT', '84010', '8012961606', '', 'UT0SPA', NULL, NULL, '0.00', '20.00', '0.00', 8, '2007-06-01', '2008-08-01', 0, 0, 0, '', '', '', '', 'DEN|', '0000005420', 0, 'N', 0, '2012-01-23', NULL, NULL, 0, 0, NULL, NULL),
('870617336', 'W11011220', 'W11011220', 'UTDT01', 'Monarch Dental', 'Benjamin', NULL, 'Leaver', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '24 S 500 W  Ste A', 'Bountiful', 'Davis', 'UT', '84010', '8012961606', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', NULL, 8, '2007-06-01', '2007-07-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'DEN|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('261182282', 'W11011206', 'W11011206', 'UTDT01', NULL, 'Matthew', NULL, 'Brinkerhoff', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '469 E Medical Dr Ste 108', 'Bountiful', 'Davis', 'UT', '84010', '8012987728', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2008-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005421', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('528481635', 'W11011208', 'W11011208', 'UTDT01', NULL, 'A Paul', NULL, 'Adams', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '311 E 500 S', 'Bountiful', 'Davis', 'UT', '84010', '8012955796', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2005-03-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004901', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870617336', 'W11011212', 'W11011212', 'UTDT01', 'Monarch Dental', 'Robert', '', 'Chidester', 'DDS', 'Dentist', '', '', NULL, 'O', '24 S 500 W Ste A', 'Bountiful', 'Davis', 'UT', '84010', '8012961606', NULL, '24 S 500 W Ste A', 'Bountiful', 'Davis', 'UT', '84010', '8012961606', '', 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2008-08-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '0000005671', 0, 'N', 0, '2012-09-12', NULL, NULL, 0, 0, NULL, NULL),
('870429383', 'W11011213', 'W11011213', 'UTDT01', '', 'John', '', 'Christensen', 'DDS', 'Dentist', '', '', NULL, 'O', '1480 S Orchard Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012954551', NULL, '1480 S Orchard Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012954551', '          ', 'UT000A', '', '', '0.00', '20.00', '0.00', 8, '2006-01-01', '2006-01-01', 0, 0, 0, '', '', '', '', 'DEN|', '0000005697', 0, 'N', 0, '2010-10-01', NULL, NULL, 0, 0, NULL, NULL),
('870537717', 'W11011214', 'W11011214', 'UTDT01', NULL, 'Mark', NULL, 'Edwards', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '469 E Medical Dr  Ste 108', 'Bountiful', 'Davis', 'UT', '84010', '8012987728', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', NULL, 8, '1995-12-06', '2007-11-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'DEN|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870617336', 'W11011211', 'W11011211', 'UTDT01', 'Monarch Dental', 'Kevin', '', 'Cahoon', 'DDS', 'Dentist', '', '', NULL, 'O', '24 S 500 W Ste A', 'Bountiful', 'DAVIS', 'UT', '84010', '8012961606', NULL, '24 S 500 W Ste A', 'Bountiful', 'DAVIS', 'UT', '84010', '8012961606', '', 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2007-06-01', '2008-08-01', 0, 0, 0, '', '', '', '', 'DEN|', '0000005521', 0, 'N', 0, '2010-10-12', NULL, NULL, 0, 0, NULL, NULL),
('203073014', 'W11011207', 'W11011207', 'UTDT01', NULL, 'Clinton', NULL, 'Blackwood', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '55 E 2200 S', 'Bountiful', 'Davis', 'UT', '84010', '8012955115', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2006-01-01', '2009-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005325', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('562365279', 'W11011210', 'W11011210', 'UTDT01', NULL, 'Anthony', NULL, 'Baird', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1455 S 500 W Ste D', 'Bountiful', 'Davis', 'UT', '84010', '8012924009', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2007-04-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005155', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('743093715', 'W11011219', 'W11011219', 'UTDT01', NULL, 'Paul C', NULL, 'Larsen', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '395 E 500 S', 'Bountiful', 'Davis', 'UT', '84010', '8012958881', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2003-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007204', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('870617336', 'W11011205', 'W11011205', 'UTDT01', 'Monarch Dental', 'Blythe', NULL, 'Arrington', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '24 S 500 W Ste A', 'Bountiful', 'Davis', 'UT', '84010', '8012961606', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2007-06-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005089', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('519500341', 'W11011217', 'W11011217', 'UTDT01', NULL, 'James', NULL, 'Hartvigsen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '460 S 400 E', 'Bountiful', 'Davis', 'UT', '84010', '8012921221', NULL, NULL, NULL, 'Davis', NULL, NULL, NULL, NULL, 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '1998-06-25', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006607', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('562340846', 'W11011318', 'W11011318', 'UTDT01', NULL, 'Kelly', '', 'Egan', 'DMD', 'Dentist', '', '', NULL, 'O', '70 W Gordon Ave', 'Layton', 'Davis', 'UT', '84041', '8015443844', NULL, '70 W Gordon Ave', 'Layton', 'Davis', 'UT', '84041', '8015443844', '', 'UT000A', NULL, NULL, '0.00', '20.00', '0.00', 8, '2007-02-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '1538253349', 0, 'N', 0, '2013-10-23', NULL, NULL, 0, 0, NULL, NULL);
