INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('111111111', 'RX0012238', 'RX0012238', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '721 BEVERLY PIKE', 'ELKINS', 'Randolph', 'WV', '26241', '3046363728', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548287675', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012239', 'RX0012239', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '550 EMILY DR', 'CLARKSBURG', 'Harrison', 'WV', '26301', '3046222784', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457378580', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012240', 'RX0012240', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '211 MARSHALL ST N', 'BENWOOD', 'Marshall', 'WV', '26031', '3042321482', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760416549', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012241', 'RX0012241', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '800 FOXCROFT AVE', 'MARTINSBURG', 'Berkeley', 'WV', '25401', '3042636030', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366469496', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012242', 'RX0012242', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '500 DELAWARE AVE', 'CHARLESTON', 'Kanawha', 'WV', '25302', '3043426916', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023042801', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012243', 'RX0012243', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RR 3 BOX 67J', 'WESTON', 'Lewis', 'WV', '26452', '3042692443', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275550303', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012244', 'RX0012244', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5 TYGART VALLEY MALL', 'FAIRMONT', 'Marion', 'WV', '26554', '3043669115', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1992722029', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012245', 'RX0012245', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '105 SOUTH STATE STREET', 'ATHENS', 'Mercer', 'WV', '24712', '3043847851', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1508969262', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012246', 'RX0012246', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '701 GRAND CENTRAL AVE', 'VIENNA', 'Wood', 'WV', '26105', '3044223526', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801813936', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012247', 'RX0012247', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2700 MOUNTAINEER BLVD', 'SOUTH CHARLESTON', 'Kanawha', 'WV', '25309', '3047461725', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710904842', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012248', 'RX0012248', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '400 THREE SPRINGS DR', 'WEIRTON', 'Hancock', 'WV', '26062', '3047233450', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629095757', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012249', 'RX0012249', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '215 FOUR H CAMP RD', 'MORGANTOWN', 'Monongalia', 'WV', '26508', '3042929887', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538186663', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012250', 'RX0012250', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '300 4TH AVE', 'MONTGOMERY', 'Fayette', 'WV', '25136', '3044422431', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417050170', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012251', 'RX0012251', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2323 MURDOCH AVE', 'PARKERSBURG', 'Wood', 'WV', '26101', '3044222884', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1326141086', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012252', 'RX0012252', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '800 20TH ST', 'HUNTINGTON', 'Cabell', 'WV', '25703', '3045221035', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235232992', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012253', 'RX0012253', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '447 WASHINGTON AVE', 'HUNTINGTON', 'Cabell', 'WV', '25701', '3045220045', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1144323809', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012254', 'RX0012254', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2901 FIFTH AVE', 'HUNTINGTON', 'Cabell', 'WV', '25702', '3046970366', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1053414714', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012255', 'RX0012255', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RR 1 BOX 197', 'CLARKSBURG', 'Harrison', 'WV', '26301', '3046240161', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1962505628', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012256', 'RX0012256', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '219 THE CROSSING MALL', 'ELKVIEW', 'Kanawha', 'WV', '25071', '3049650460', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1871696534', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012257', 'RX0012257', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'HC 63 BOX 2510', 'ROMNEY', 'Hampshire', 'WV', '26757', '3048228806', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1780787440', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012258', 'RX0012258', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'US RT 19 & LOCHGELLY RD', 'OAK HILL', 'Fayette', 'WV', '25901', '3044650321', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932133717', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012259', 'RX0012259', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3333 US ROUTE 60', 'HUNTINGTON', 'Cabell', 'WV', '25705', '3045254266', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1447277579', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012260', 'RX0012260', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '520 N JEFFERSON ST', 'LEWISBURG', 'Greenbrier', 'WV', '24901', '3046455291', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1356368484', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012261', 'RX0012261', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '450 11TH ST', 'ELKINS', 'Randolph', 'WV', '26241', '3046366891', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841224623', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012262', 'RX0012262', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '100 SAINT THOMAS DR', 'WEIRTON', 'Hancock', 'WV', '26062', '3047235108', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174557961', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012263', 'RX0012263', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'WEST PIKE AND SMITH STREETS', 'CLARKSBURG', 'Harrison', 'WV', '26301', '3046232598', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1881628592', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012264', 'RX0012264', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RT 4420 SOUTH', 'BUCKHANNON', 'Upshur', 'WV', '26201', '3044720715', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427082213', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012265', 'RX0012265', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2627 5TH AVE', 'HUNTINGTON', 'Cabell', 'WV', '25702', '3045296510', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1891729687', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012266', 'RX0012266', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RTE 220 S', 'KEYSER', 'Mineral', 'WV', '26726', '3047888170', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1265459390', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012267', 'RX0012267', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6860 US ROUTE 60', 'BARBOURSVILLE', 'Cabell', 'WV', '25504', '3047333370', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1336173129', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012268', 'RX0012268', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '74 W MAIN ST', 'BUCKHANNON', 'Upshur', 'WV', '26201', '3044730151', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1598868259', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012269', 'RX0012269', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4 CHARLES TOWN PLZ', 'CHARLES TOWN', 'Jefferson', 'WV', '25414', '3047282190', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912924051', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012270', 'RX0012270', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '77 NORMAN MORGAN BLVD', 'LOGAN', 'Logan', 'WV', '25601', '3047527459', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821015967', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012271', 'RX0012271', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1827 HARPER RD', 'BECKLEY', 'Raleigh', 'WV', '25801', '3042533088', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1407959166', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012272', 'RX0012272', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '200 MOUNT DE CHANTAL RD', 'WHEELING', 'Ohio', 'WV', '26003', '3042335485', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1245264035', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012273', 'RX0012273', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'MCGRAW & MAIN ST', 'RIPLEY', 'Jackson', 'WV', '25271', '3043725292', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154355949', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012274', 'RX0012274', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '133 BECKLEY CROSSING', 'BECKLEY', 'Raleigh', 'WV', '25801', '3042523480', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699709303', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012275', 'RX0012275', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RT 85, HOPKINS BRANCH RD', 'DANVILLE', 'Boone', 'WV', '25053', '3043699087', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1063446854', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012276', 'RX0012276', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '505 VIRGINIA AVE', 'SMITHERS', 'Fayette', 'WV', '25186', '3044422156', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972537769', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012319', 'RX0012319', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1209 JOSEPH ST', 'DODGEVILLE', 'Iowa', 'WI', '53533', '6089352365', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548287683', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012320', 'RX0012320', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '300 6TH ST', 'MONROE', 'Green', 'WI', '53566', '6083257805', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457378598', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012321', 'RX0012321', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '20 RIVERSIDE SQ', 'PRAIRIE DU CHIEN', 'Crawford', 'WI', '53821', '6083265103', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366469405', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012322', 'RX0012322', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '202 N EDWARDS BLVD', 'LAKE GENEVA', 'Walworth', 'WI', '53147', '2622483391', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275550311', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012323', 'RX0012323', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '222 W MCCOY BLVD', 'TOMAH', 'Monroe', 'WI', '54660', '6083727557', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184641227', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012324', 'RX0012324', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1535 E US HIGHWAY 151', 'PLATTEVILLE', 'Grant', 'WI', '53818', '6083484733', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1992722037', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012325', 'RX0012325', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1133 N MAIN ST', 'VIROQUA', 'Vernon', 'WI', '54665', '6086378514', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801813944', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012326', 'RX0012326', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '716 S BLACK RIVER ST', 'SPARTA', 'Monroe', 'WI', '54656', '6082697843', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710904859', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012327', 'RX0012327', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1525 BOHMANN DR', 'RICHLAND CENTER', 'Richland', 'WI', '53581', '6086478941', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629096318', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012328', 'RX0012328', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7202 WATTS RD', 'MADISON', 'Dane', 'WI', '53719', '6082769399', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629095765', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012329', 'RX0012329', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1800 HWY 51 WEST', 'STOUGHTON', 'Dane', 'WI', '53589', '6088739262', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1346268042', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012330', 'RX0012330', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4331 8TH ST S', 'WISCONSIN RAPIDS', 'Wood', 'WI', '54494', '7154238500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1508884206', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012331', 'RX0012331', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3500 BRUMBACK BLVD', 'KENOSHA', 'Kenosha', 'WI', '53144', '2626521458', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538186671', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012332', 'RX0012332', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1905 MCCOY RD', 'SUN PRAIRIE', 'Dane', 'WI', '53590', '6088374995', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1447277587', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012333', 'RX0012333', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '616 HWY 54 EAST', 'BLACK RIVER FALLS', 'Jackson', 'WI', '54615', '7152849115', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417975111', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012334', 'RX0012334', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1362 W MAIN ST', 'WHITEWATER', 'Walworth', 'WI', '53190', '2624737740', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003833153', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012335', 'RX0012335', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1536 EGG HARBOR RD', 'STURGEON BAY', 'Door', 'WI', '54235', '9207460412', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912924069', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012336', 'RX0012336', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3023 MILTON AVE', 'JANESVILLE', 'Rock', 'WI', '53545', '6087543030', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821015975', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012337', 'RX0012337', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '609 S TAYLOR DR', 'SHEBOYGAN', 'Sheboygan', 'WI', '53081', '9204598601', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730106881', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012338', 'RX0012338', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3500 E MAIN ST', 'MERRILL', 'Lincoln', 'WI', '54452', '7155365530', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558388603', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012339', 'RX0012339', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2222 CREST VIEW DR', 'HUDSON', 'Saint Croix', 'WI', '54016', '7153861345', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467479519', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012340', 'RX0012340', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4500 S 108TH ST', 'GREENFIELD', 'Milwaukee', 'WI', '53228', '4145294699', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376560425', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012341', 'RX0012341', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '920 HWY 12', 'BARABOO', 'Sauk', 'WI', '53913', '6083561779', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285651331', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012342', 'RX0012342', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '351 S WASHBURN ST', 'OSHKOSH', 'Winnebago', 'WI', '54904', '9202312219', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093732141', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012343', 'RX0012343', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2440 W MASON ST', 'GREEN BAY', 'Brown', 'WI', '54303', '9204992330', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902823057', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012344', 'RX0012344', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2800 PIONEER AVE', 'RICE LAKE', 'Barron', 'WI', '54868', '7152342997', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1265451272', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012345', 'RX0012345', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4115 CALUMET AVE', 'MANITOWOC', 'Manitowoc', 'WI', '54220', '9206845016', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811914963', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012346', 'RX0012346', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1717 N SHAWANO ST', 'NEW LONDON', 'Waupaca', 'WI', '54961', '9209827906', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720005879', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012347', 'RX0012347', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'W190N9855 APPLETON AVE', 'GERMANTOWN', 'Washington', 'WI', '53022', '2622555351', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639196785', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012348', 'RX0012348', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '857 S ROCHESTER ST', 'MUKWONAGO', 'Waukesha', 'WI', '53149', '2623638366', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548287691', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('111111111', 'RX0012349', 'RX0012349', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '825 E GREEN BAY AVE', 'SAUKVILLE', 'Ozaukee', 'WI', '53080', '2622849881', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457378507', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012350', 'RX0012350', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6701 S 27TH ST', 'FRANKLIN', 'Milwaukee', 'WI', '53132', '4147619571', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366469413', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012351', 'RX0012351', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '200 S WEST AVE', 'WAUKESHA', 'Waukesha', 'WI', '53186', '2625219204', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275550329', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012352', 'RX0012352', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3915 GATEWAY DR', 'EAU CLAIRE', 'Eau Claire', 'WI', '54701', '7158345966', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184641235', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012353', 'RX0012353', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2500 LAKE SHORE DR E', 'ASHLAND', 'Ashland', 'WI', '54806', '7156823660', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1992722045', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012354', 'RX0012354', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2863 HERITAGE DR', 'DELAFIELD', 'Waukesha', 'WI', '53018', '2626463535', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801813951', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012355', 'RX0012355', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '377 N ROLLING MEADOWS DR', 'FOND DU LAC', 'Fond Du Lac', 'WI', '54937', '9209219591', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710904867', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012356', 'RX0012356', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1210 CROSSING MEADOWS DR', 'ONALASKA', 'La Crosse', 'WI', '54650', '6087818355', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629095773', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012437', 'RX0012437', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2149 PRAIRIE AVE', 'BELOIT', 'Rock', 'WI', '53511', '6083621767', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114172400', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012438', 'RX0012438', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7050 WATTS RD', 'MADISON', 'Dane', 'WI', '53719', '6082744061', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1407098213', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012439', 'RX0012439', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6200 REGENCY WEST DR', 'RACINE', 'Racine', 'WI', '53406', '2626546854', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1396970489', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012440', 'RX0012440', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5220 W RAWSON AVE', 'FRANKLIN', 'Milwaukee', 'WI', '53132', '4144235257', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013144971', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012441', 'RX0012441', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1130 W SUNSET DR', 'WAUKESHA', 'Waukesha', 'WI', '53189', '2624465169', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235362328', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012442', 'RX0012442', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '17165 BLUEMOUND RD', 'BROOKFIELD', 'Waukesha', 'WI', '53005', '2627979074', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1336463124', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012443', 'RX0012443', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2 SOUTH BEDFORD ST', 'MADISON', 'Dane', 'WI', '53703', '6082516047', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467772673', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012444', 'RX0012444', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'W159S6530 MOORLAND RD', 'MUSKEGO', 'Waukesha', 'WI', '53150', '4142090324', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1851608806', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012445', 'RX0012445', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3710 57TH AVE', 'KENOSHA', 'Kenosha', 'WI', '53144', '2626521474', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124326764', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012446', 'RX0012446', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '901 S GREEN BAY RD', 'NEENAH', 'Winnebago', 'WI', '54956', '9207291448', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639464886', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012447', 'RX0012447', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '930 MAIN ST', 'GREEN BAY', 'Brown', 'WI', '54301', '9204369382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306134655', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012448', 'RX0012448', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '605 W COTTAGE GROVE RD', 'COTTAGE GROVE', 'Dane', 'WI', '53527', '6088393704', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1952678591', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012449', 'RX0012449', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7552 W OKLAHOMA AVE', 'WEST ALLIS', 'Milwaukee', 'WI', '53219', '4143218236', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1225305865', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012450', 'RX0012450', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6701 MINERAL POINT RD', 'MADISON', 'Dane', 'WI', '53705', '6088334588', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467720037', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012451', 'RX0012451', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'N83 W1550 APPLETON AVE', 'MENOMONEE FALLS', 'Waukesha', 'WI', '53051', '2622535056', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1396014908', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012452', 'RX0012452', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4001 GATEWAY DR', 'EAU CLAIRE', 'Eau Claire', 'WI', '54701', '7158391094', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922364330', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012453', 'RX0012453', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3850 N 124TH ST', 'WAUWATOSA', 'Milwaukee', 'WI', '53222', '4142034367', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1962768382', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012454', 'RX0012454', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7025 W MAIN ST', 'MILWAUKEE', 'Milwaukee', 'WI', '53214', '4142030683', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1134480676', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012455', 'RX0012455', 'HDRX', 'CITY MARKET PHARMACY', NULL, NULL, 'CITY MARKET PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '602 N HIGLEY BLVD', 'RAWLINS', 'Carbon', 'WY', '82301', '3073243084', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1053347245', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012456', 'RX0012456', 'HDRX', 'SMITH''S PHARMACY', NULL, NULL, 'SMITH''S PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '70 YELLOW CREEK RD', 'EVANSTON', 'Uinta', 'WY', '82930', '3077890535', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659396281', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012457', 'RX0012457', 'HDRX', 'SMITH''S PHARMACY', NULL, NULL, 'SMITH''S PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '905 BRIDGER DR', 'GREEN RIVER', 'Sweetwater', 'WY', '82935', '3078757841', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568487197', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012458', 'RX0012458', 'HDRX', 'SMITH''S PHARMACY', NULL, NULL, 'SMITH''S PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2405 CY AVE', 'CASPER', 'Natrona', 'WY', '82604', '3072666250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477578003', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012459', 'RX0012459', 'HDRX', 'SMITH''S PHARMACY', NULL, NULL, 'SMITH''S PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1200 W MAIN ST', 'RIVERTON', 'Fremont', 'WY', '82501', '3078564934', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386669919', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('111111111', 'RX0012460', 'RX0012460', 'HDRX', 'SMITH''S PHARMACY', NULL, NULL, 'SMITH''S PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2531 FOOTHILL BLVD', 'ROCK SPRINGS', 'Sweetwater', 'WY', '82901', '3073621841', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194740720', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012461', 'RX0012461', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2032 DELL RANGE BLVD', 'CHEYENNE', 'Laramie', 'WY', '82009', '3076347433', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093732224', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012462', 'RX0012462', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4308 E GRAND AVE', 'LARAMIE', 'Albany', 'WY', '82070', '3077456112', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902823131', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012463', 'RX0012463', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1733 N FEDERAL BLVD', 'RIVERTON', 'Fremont', 'WY', '82501', '3078563269', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811914047', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012464', 'RX0012464', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '120 BECKERS CIR', 'EVANSTON', 'Uinta', 'WY', '82930', '3077890020', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720005952', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012465', 'RX0012465', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '201 GATEWAY BLVD', 'ROCK SPRINGS', 'Sweetwater', 'WY', '82901', '3073621967', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639196868', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012466', 'RX0012466', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1695 COFFEEN AVE', 'SHERIDAN', 'Sheridan', 'WY', '82801', '3076747417', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548287774', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012467', 'RX0012467', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2300 S DOUGLAS HWY', 'GILLETTE', 'Campbell', 'WY', '82718', '3076865166', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457378689', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012468', 'RX0012468', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4400 E 2ND ST', 'CASPER', 'Natrona', 'WY', '82609', '3072370994', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366469595', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012469', 'RX0012469', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '321 YELLOWSTONE AVE', 'CODY', 'Park', 'WY', '82414', '3075275746', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275550402', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012470', 'RX0012470', 'HDRX', 'SMITH''S PHARMACY', NULL, NULL, 'SMITH''S PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '906 CAMEL DR', 'GILLETTE', 'Campbell', 'WY', '82716', '3076821217', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003831637', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012471', 'RX0012471', 'HDRX', 'KING SOOPERS PHARMACY', NULL, NULL, 'KING SOOPERS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3702 DELL RANGE BLVD', 'CHEYENNE', 'Laramie', 'WY', '82009', '3076380192', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1962438150', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012472', 'RX0012472', 'HDRX', 'SMITH''S PHARMACY', NULL, NULL, 'SMITH''S PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1425 SOUTH HIGHWAY 89', 'JACKSON HOLE', 'Teton', 'WY', '83001', '3077338746', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912922543', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012474', 'RX0012474', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1080 SPERRY AVE', 'PATTERSON', 'Stanislaus', 'CA', '95363', '2098925584', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902849177', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012557', 'RX0012557', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '175 N ILLINOIS ST', 'INDIANAPOLIS', 'Marion', 'IN', '46204', '3176366664', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1205939923', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012558', 'RX0012558', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9550 ALLISONVILLE RD', 'INDIANAPOLIS', 'Marion', 'IN', '46250', '3178424458', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1437252889', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012559', 'RX0012559', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10 N STATE ST', 'NORTH VERNON', 'Jennings', 'IN', '47265', '8123461200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114020831', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012560', 'RX0012560', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '860 W MORGAN ST', 'SPENCER', 'Owen', 'IN', '47460', '8128292484', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023111747', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012561', 'RX0012561', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '703 E MAIN ST', 'VEVAY', 'Switzerland', 'IN', '47043', '8124273777', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932202652', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012562', 'RX0012562', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '665 E STATE ROAD 64', 'ENGLISH', 'Crawford', 'IN', '47118', '8123383686', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841393568', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012563', 'RX0012563', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3701 NATIONAL RD E', 'RICHMOND', 'Wayne', 'IN', '47374', '7659352074', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124191747', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012564', 'RX0012564', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6336 OAKLANDON RD', 'INDIANAPOLIS', 'Marion', 'IN', '46236', '3178236829', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1346343795', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012565', 'RX0012565', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5026 W US HIGHWAY 52', 'NEW PALESTINE', 'Hancock', 'IN', '46163', '3178614838', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669575387', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012566', 'RX0012566', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '924 WESTERN AVE', 'CLINTON', 'Vermillion', 'IN', '47842', '7658322431', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750484473', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012567', 'RX0012567', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4445 E 10TH ST', 'INDIANAPOLIS', 'Marion', 'IN', '46201', '3173591638', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033282652', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012568', 'RX0012568', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8405 SOUTHEASTERN AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46239', '3178622414', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487757100', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012569', 'RX0012569', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '528 S COLLEGE AVE', 'BLOOMINGTON', 'Monroe', 'IN', '47403', '8123365118', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942373568', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012570', 'RX0012570', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '905 N GREEN ST', 'BROWNSBURG', 'Hendricks', 'IN', '46112', '3178523340', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1851464473', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012571', 'RX0012571', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1930 E MAIN ST', 'PLAINFIELD', 'Hendricks', 'IN', '46168', '3178395149', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760555387', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('111111111', 'RX0012572', 'RX0012572', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2956 E 10TH ST', 'JEFFERSONVILLE', 'Clark', 'IN', '47130', '8122889245', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1043244858', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012573', 'RX0012573', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5611 GEORGETOWN RD', 'INDIANAPOLIS', 'Marion', 'IN', '46254', '3172999596', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811090327', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012574', 'RX0012574', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3425 W 16TH ST', 'INDIANAPOLIS', 'Marion', 'IN', '46222', '3176396374', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720181233', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012575', 'RX0012575', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '713 S WASHINGTON ST', 'CRAWFORDSVILLE', 'Montgomery', 'IN', '47933', '7653622831', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639272149', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012576', 'RX0012576', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4401 E 10TH ST', 'INDIANAPOLIS', 'Marion', 'IN', '46201', '3173532178', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639272156', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012577', 'RX0012577', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2 S BROADWAY', 'PERU', 'Miami', 'IN', '46970', '7654724367', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295838910', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012578', 'RX0012578', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1910 MAIN ST', 'ROCHESTER', 'Fulton', 'IN', '46975', '5742234304', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104929827', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012579', 'RX0012579', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2500 E STATE ROAD 44', 'SHELBYVILLE', 'Shelby', 'IN', '46176', '3173924947', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295752590', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012580', 'RX0012580', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '16865 CLOVER RD', 'NOBLESVILLE', 'Hamilton', 'IN', '46060', '3177731065', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104843408', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012581', 'RX0012581', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2363 OLD STATE RD 135 N', 'CORYDON', 'Harrison', 'IN', '47112', '8127381294', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013934314', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012582', 'RX0012582', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '218 E PETTIT AVE', 'FORT WAYNE', 'Allen', 'IN', '46806', '2194564736', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679646293', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012583', 'RX0012583', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '305 E LEWIS AND CLARK PKWY', 'CLARKSVILLE', 'Clark', 'IN', '47129', '8122833630', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1952335762', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012584', 'RX0012584', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1217 E IRELAND RD', 'SOUTH BEND', 'St Joseph', 'IN', '46614', '2192910740', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588737100', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012585', 'RX0012585', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '402 W BROADWAY ST', 'LOOGOOTEE', 'Martin', 'IN', '47553', '8122954600', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013010735', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012586', 'RX0012586', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2125 N MORTON ST', 'FRANKLIN', 'Johnson', 'IN', '46131', '3177384387', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922025220', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012587', 'RX0012587', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RR 5 BOX 774', 'SPENCER', 'Owen', 'IN', '47460', '8128292289', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831116136', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012588', 'RX0012588', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5925 E 71ST ST', 'INDIANAPOLIS', 'Marion', 'IN', '46220', '3178459072', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1255434601', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012589', 'RX0012589', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RR 1', 'LINTON', 'Greene', 'IN', '47441', '8128478648', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1740207042', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012590', 'RX0012590', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RR 2', 'CLINTON', 'Vermillion', 'IN', '47842', '7658323539', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659398956', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012591', 'RX0012591', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3200 JOHN WILLIAMS BLVD', 'BEDFORD', 'Lawrence', 'IN', '47421', '8122750415', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1346268760', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012592', 'RX0012592', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '880 WEST EADS PARKWAY', 'LAWRENCEBURG', 'Dearborn', 'IN', '47025', '8125327360', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1861426678', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012593', 'RX0012593', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8321 W STATE ROAD 56', 'WEST BADEN SPRINGS', 'Orange', 'IN', '47469', '8129367272', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922101641', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012676', 'RX0012676', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5718 CRAWFORDSVILLE RD', 'INDIANAPOLIS', 'Marion', 'IN', '46224', '3172405007', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841363363', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012677', 'RX0012677', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5802 S ANTHONY BLVD', 'FORT WAYNE', 'Allen', 'IN', '46816', '2604565518', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669575395', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012678', 'RX0012678', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '115 STATE ROAD 930 E', 'NEW HAVEN', 'Allen', 'IN', '46774', '2604931514', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578666202', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012679', 'RX0012679', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3050 MERIDIAN ST', 'ANDERSON', 'Madison', 'IN', '46016', '7656442421', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750454278', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012680', 'RX0012680', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1145 WASHINGTON AVE', 'EVANSVILLE', 'Vanderburgh', 'IN', '47714', '8124688257', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538262050', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012681', 'RX0012681', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4700 LINCOLN AVE', 'EVANSVILLE', 'Vanderburgh', 'IN', '47714', '8124775396', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1447353966', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012682', 'RX0012682', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1034 STATE ROAD 229', 'BATESVILLE', 'Ripley', 'IN', '47006', '8129330447', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689608499', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('111111111', 'RX0012683', 'RX0012683', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1900 APPLEWOOD CENTER DR', 'ANDERSON', 'Madison', 'IN', '46013', '7656498026', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669545182', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012684', 'RX0012684', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5325 E THOMPSON RD', 'INDIANAPOLIS', 'Marion', 'IN', '46237', '3177813566', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578636098', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012685', 'RX0012685', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1750 INDIANAPOLIS RD', 'GREENCASTLE', 'Putnam', 'IN', '46135', '7656536575', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1447278304', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012686', 'RX0012686', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2401 E WABASH ST', 'FRANKFORT', 'Clinton', 'IN', '46041', '7656544056', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114944337', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012687', 'RX0012687', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1920 E MARKLAND AVE', 'KOKOMO', 'Howard', 'IN', '46901', '7654563641', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023035243', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012688', 'RX0012688', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '200 NEW ALBANY PLZ', 'NEW ALBANY', 'Floyd', 'IN', '47150', '8129482701', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902821788', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012689', 'RX0012689', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9835 FALL CREEK RD', 'INDIANAPOLIS', 'Marion', 'IN', '46256', '3175773486', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487727905', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012690', 'RX0012690', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '175 W EADS PKWY', 'LAWRENCEBURG', 'Dearborn', 'IN', '47025', '8125375711', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487757118', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012691', 'RX0012691', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2505 N OAK RD', 'PLYMOUTH', 'Marshall', 'IN', '46563', '5749359006', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932126158', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012692', 'RX0012692', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '905 S COLLEGE AVE', 'RENSSELAER', 'Jasper', 'IN', '47978', '2198660466', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841217064', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012693', 'RX0012693', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '201 S TILLOTSON AVE', 'MUNCIE', 'Delaware', 'IN', '47304', '7652870074', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1356444871', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012694', 'RX0012694', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1600 S OHIO ST', 'MARTINSVILLE', 'Morgan', 'IN', '46151', '7653426213', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295808715', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012695', 'RX0012695', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3585 W STATE RT 45', 'BLOOMINGTON', 'Monroe', 'IN', '47403', '8123350060', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760400626', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012696', 'RX0012696', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2001 N MICHIGAN ST', 'PLYMOUTH', 'Marshall', 'IN', '46563', '2199362040', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104999622', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012697', 'RX0012697', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1217 S RANGE LINE RD', 'CARMEL', 'Hamilton', 'IN', '46032', '3178434431', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922171446', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012698', 'RX0012698', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1571 N STATE ST', 'GREENFIELD', 'Hancock', 'IN', '46140', '3174678981', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831262351', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012699', 'RX0012699', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '333 BOYD BLVD', 'LAPORTE', 'La Porte', 'IN', '46350', '2193253426', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679591531', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012700', 'RX0012700', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '209 CHICAGO AVE', 'GOSHEN', 'Elkhart', 'IN', '46526', '2195349223', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1740353267', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012701', 'RX0012701', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '680 TWIN AIRE DR', 'INDIANAPOLIS', 'Marion', 'IN', '46203', '3172641762', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659444172', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012702', 'RX0012702', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8150 ROCKVILLE RD', 'INDIANAPOLIS', 'Marion', 'IN', '46214', '3172731349', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568535086', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012703', 'RX0012703', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1000 N COLLEGE AVE', 'BLOOMINGTON', 'Monroe', 'IN', '47404', '8123392233', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1265535785', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012704', 'RX0012704', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '621 COUNTRY SIDE DR', 'COLUMBIA CITY', 'Whitley', 'IN', '46725', '2192443290', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003989526', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012705', 'RX0012705', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2800 WAL MART DR', 'HUNTINGTON', 'Huntington', 'IN', '46750', '2603588610', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750308979', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012706', 'RX0012706', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1233 N STATE ST', 'GREENFIELD', 'Hancock', 'IN', '46140', '3174627713', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295838928', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012707', 'RX0012707', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '111 LAKEVIEW DR', 'NOBLESVILLE', 'Hamilton', 'IN', '46060', '3177738100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174626691', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012708', 'RX0012708', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4721 E 126TH ST', 'CARMEL', 'Hamilton', 'IN', '46033', '3178482824', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104929835', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012709', 'RX0012709', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9805 GEIST CROSSING DR', 'INDIANAPOLIS', 'Marion', 'IN', '46256', '3175771353', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013010743', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012710', 'RX0012710', 'HDRX', 'KROGER SAVON PHCY', NULL, NULL, 'KROGER SAVON PHCY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '100 FOREST PARK PLZ', 'BRAZIL', 'Clay', 'IN', '47834', '8124426700', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912070434', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012711', 'RX0012711', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '650 W VOTAW ST', 'PORTLAND', 'Jay', 'IN', '47371', '2607263782', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669499885', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012712', 'RX0012712', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2029 W WASHINGTON ST', 'INDIANAPOLIS', 'Marion', 'IN', '46222', '3176384805', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1619070133', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012756', 'RX0012756', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '130 E CLEVELAND RD', 'GRANGER', 'St Joseph', 'IN', '46530', '5742472221', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972600468', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012757', 'RX0012757', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '400 W NORTHFIELD DR', 'BROWNSBURG', 'Hendricks', 'IN', '46112', '3178581415', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1851318224', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012758', 'RX0012758', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2100 N MAIN ST', 'BLUFFTON', 'Wells', 'IN', '46714', '2608240546', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760409130', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012759', 'RX0012759', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2272 N MAIN ST', 'CROWN POINT', 'Lake', 'IN', '46307', '2196615601', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1073617924', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012760', 'RX0012760', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1088 W BROADWAY ST', 'MONTICELLO', 'White', 'IN', '47960', '5745833250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679590046', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012761', 'RX0012761', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7325 N KEYSTONE AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46240', '3172029731', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588681951', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012762', 'RX0012762', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3405 RIDGE RD', 'HIGHLAND', 'Lake', 'IN', '46322', '2199727131', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1881791374', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012763', 'RX0012763', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1299 W SOUTHPORT RD', 'INDIANAPOLIS', 'Marion', 'IN', '46217', '3178595881', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699872184', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012764', 'RX0012764', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '525 E CLIFTY DR', 'MADISON', 'Jefferson', 'IN', '47250', '8122733343', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497789200', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012765', 'RX0012765', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2629 E 65TH ST', 'INDIANAPOLIS', 'Marion', 'IN', '46220', '3172525333', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1992878417', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012767', 'RX0012767', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1330 W SOUTHPORT RD', 'INDIANAPOLIS', 'Marion', 'IN', '46217', '3178844250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1710050232', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012768', 'RX0012768', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1828 E 165TH ST', 'HAMMOND', 'Lake', 'IN', '46320', '2199890275', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1396762761', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012769', 'RX0012769', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5805 ROCKVILLE RD', 'INDIANAPOLIS', 'Marion', 'IN', '46224', '3172411141', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1205853678', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012770', 'RX0012770', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10859 E WASHINGTON ST', 'INDIANAPOLIS', 'Marion', 'IN', '46229', '3178955745', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114944584', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012771', 'RX0012771', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11101 PENDLETON PIKE', 'INDIANAPOLIS', 'Marion', 'IN', '46236', '3178233245', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1629141148', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012772', 'RX0012772', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1101 WINDHORST WAY', 'GREENWOOD', 'Johnson', 'IN', '46143', '3178870093', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023035490', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012773', 'RX0012773', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3015 W 86TH ST', 'INDIANAPOLIS', 'Marion', 'IN', '46268', '3178723544', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932126307', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012774', 'RX0012774', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6445 CALUMET AVE', 'HAMMOND', 'Lake', 'IN', '46324', '2199378521', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1982708830', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012775', 'RX0012775', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '610 W MARKLAND AVE', 'KOKOMO', 'Howard', 'IN', '46901', '7654574407', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1508963091', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012776', 'RX0012776', 'HDRX', 'KROGER SAVON PHARMACY', NULL, NULL, 'KROGER SAVON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1001 W 7TH ST', 'AUBURN', 'De Kalb', 'IN', '46706', '2199202170', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1538232053', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012777', 'RX0012777', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8850 S EMERSON AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46237', '3178843325', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104999416', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012778', 'RX0012778', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '18TH ST & SR 25', 'ROCHESTER', 'Fulton', 'IN', '46975', '2192236347', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1447323969', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012779', 'RX0012779', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '516 W 30TH ST', 'CONNERSVILLE', 'Fayette', 'IN', '47331', '7658275302', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306870118', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012780', 'RX0012780', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6700 E VIRGINIA ST', 'EVANSVILLE', 'Vanderburgh', 'IN', '47715', '8124735892', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841217213', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012781', 'RX0012781', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3205 W STATE ROAD 45', 'BLOOMINGTON', 'Monroe', 'IN', '47403', '8123338903', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104843697', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012782', 'RX0012782', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10005 E 116TH ST', 'FISHERS', 'Hamilton', 'IN', '46038', '3179135505', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1346313665', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012783', 'RX0012783', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2200 INDEPENDENCE DR', 'GREENWOOD', 'Johnson', 'IN', '46143', '3178834145', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1356414874', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012784', 'RX0012784', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4935 S ARLINGTON AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46237', '3177913822', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1255434775', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012785', 'RX0012785', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8100 E. 96TH STREET', 'INDIANAPOLIS', 'Marion', 'IN', '46250', '3175859387', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750308128', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012786', 'RX0012786', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3134 E 79TH AVE', 'MERRILLVILLE', 'Lake', 'IN', '46410', '2199473789', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669499034', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012787', 'RX0012787', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4025 S OLD STATE ROAD 37', 'BLOOMINGTON', 'Monroe', 'IN', '47401', '8128245205', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013080324', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012788', 'RX0012788', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2910 GRANT LINE RD', 'NEW ALBANY', 'Floyd', 'IN', '47150', '8129441214', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578580940', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012789', 'RX0012789', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4350 DIXIE BEE RD', 'TERRE HAUTE', 'Vigo', 'IN', '47802', '8122385572', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013934504', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012790', 'RX0012790', 'HDRX', 'PAYLESS PHARMACY', NULL, NULL, 'PAYLESS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1032 SAGAMORE PKWY W', 'WEST LAFAYETTE', 'Tippecanoe', 'IN', '47906', '7654641456', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1265505788', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012791', 'RX0012791', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '13098 PUBLISHERS DR', 'FISHERS', 'Hamilton', 'IN', '46038', '3175984409', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1164525689', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012792', 'RX0012792', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3280 E STATE ROAD 32 E', 'WESTFIELD', 'Hamilton', 'IN', '46074', '3178674577', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003919739', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012793', 'RX0012793', 'HDRX', 'JAY C PLUS PHARMACY', NULL, NULL, 'JAY C PLUS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2631 W 16TH ST', 'BEDFORD', 'Lawrence', 'IN', '47421', '8122758167', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215961024', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('111111111', 'RX0012794', 'RX0012794', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5173 W WASHINGTON ST', 'INDIANAPOLIS', 'Marion', 'IN', '46241', '3173819659', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1174696694', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012795', 'RX0012795', 'HDRX', 'JAY C PLUS PHARMACY', NULL, NULL, 'JAY C PLUS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '815 HIGHLANDER POINT DR', 'FLOYDS KNOBS', 'Floyd', 'IN', '47119', '8129239013', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124052931', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012796', 'RX0012796', 'HDRX', 'PAYLESS PHARMACY', NULL, NULL, 'PAYLESS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '65 BECK LN', 'LAFAYETTE', 'Tippecanoe', 'IN', '47909', '7654748269', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1891868311', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012797', 'RX0012797', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10735 PENDLETON PIKE', 'INDIANAPOLIS', 'Marion', 'IN', '46236', '3178231819', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487671855', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012798', 'RX0012798', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2864 CHARLESTOWN RD', 'NEW ALBANY', 'Floyd', 'IN', '47150', '8129480953', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811912694', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012799', 'RX0012799', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6610 LIMA RD', 'FORT WAYNE', 'Allen', 'IN', '46818', '2604900638', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295752665', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012800', 'RX0012800', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10420 MAYSVILLE RD', 'FORT WAYNE', 'Allen', 'IN', '46835', '2604925799', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1104843572', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012801', 'RX0012801', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9500 E US HIGHWAY 36', 'AVON', 'Hendricks', 'IN', '46123', '3172098204', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013934488', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012802', 'RX0012802', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '102 E US HIGHWAY 20', 'MIDDLEBURY', 'Elkhart', 'IN', '46540', '5748252485', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417054909', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012803', 'RX0012803', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1309 N CASS ST', 'WABASH', 'Wabash', 'IN', '46992', '2605631612', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1700959228', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012804', 'RX0012804', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3430 TAYLOR AVE', 'EVANSVILLE', 'Vanderburgh', 'IN', '47714', '8124714968', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922025394', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012805', 'RX0012805', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1440 DARLINGTON AVE', 'CRAWFORDSVILLE', 'Montgomery', 'IN', '47933', '7653621904', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922171230', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012806', 'RX0012806', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3805 S KEYSTONE AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46227', '3177863820', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831116201', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012807', 'RX0012807', 'HDRX', 'OWENS PHARMACY', NULL, NULL, 'OWENS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2718 GUILFORD ST', 'HUNTINGTON', 'Huntington', 'IN', '46750', '2606976498', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1619040136', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012808', 'RX0012808', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1301 VETERANS PKWY', 'CLARKSVILLE', 'Clark', 'IN', '47129', '8122180447', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1740207117', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012809', 'RX0012809', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8010 E 38TH ST', 'INDIANAPOLIS', 'Marion', 'IN', '46226', '3178956016', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568489938', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012810', 'RX0012810', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11700 OLIO RD', 'FISHERS', 'Hamilton', 'IN', '46038', '3175988515', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1528131042', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012811', 'RX0012811', 'HDRX', 'JAY C PLUS PHARMACY', NULL, NULL, 'JAY C PLUS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2325 N STATE HIGHWAY 3', 'NORTH VERNON', 'Jennings', 'IN', '47265', '8123521780', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033143847', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012812', 'RX0012812', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '17447 CAREY RD', 'WESTFIELD', 'Hamilton', 'IN', '46074', '3178673022', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1437222957', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012813', 'RX0012813', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4650 S EMERSON AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46203', '3177831484', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477570844', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012814', 'RX0012814', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7930 MADISON AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46227', '3178852360', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1326145814', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012815', 'RX0012815', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2715 MERCHANT MILE', 'COLUMBUS', 'Bartholomew', 'IN', '47201', '8123739273', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386661759', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012816', 'RX0012816', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11591 OLIO RD', 'FISHERS', 'Hamilton', 'IN', '46037', '3175852702', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1851499693', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012817', 'RX0012817', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1074 N STATE ROAD 267', 'AVON', 'Hendricks', 'IN', '46123', '3172722133', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235236720', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012818', 'RX0012818', 'HDRX', 'JAY C PLUS PHARMACY', NULL, NULL, 'JAY C PLUS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9501 HIGHWAY 403', 'CHARLESTOWN', 'Clark', 'IN', '47111', '8122562943', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942234752', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012819', 'RX0012819', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1133 N EMERSON AVE', 'GREENWOOD', 'Johnson', 'IN', '46143', '3178850139', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194742569', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012820', 'RX0012820', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1501 E 29TH ST', 'MUNCIE', 'Delaware', 'IN', '47302', '7652820578', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922025410', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012821', 'RX0012821', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '14800 HAZEL DELL XING', 'NOBLESVILLE', 'Hamilton', 'IN', '46062', '3178441185', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760410328', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012822', 'RX0012822', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '670 MARGARET AVE', 'TERRE HAUTE', 'Vigo', 'IN', '47802', '8122323916', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033153499', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012823', 'RX0012823', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '512 SAGAMORE PKWY W', 'WEST LAFAYETTE', 'Tippecanoe', 'IN', '47906', '7654973551', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033150958', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012824', 'RX0012824', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '510 S COLLEGE MALL RD', 'BLOOMINGTON', 'Monroe', 'IN', '47401', '8123360279', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942241864', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012825', 'RX0012825', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '50 SAGAMORE PKWY S', 'LAFAYETTE', 'Tippecanoe', 'IN', '47905', '7654481325', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1164463063', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012826', 'RX0012826', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1030 N ARLINGTON AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46219', '3173538106', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942245949', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012827', 'RX0012827', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3350 N HIGH SCHOOL RD', 'INDIANAPOLIS', 'Marion', 'IN', '46224', '3172931223', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821039728', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012828', 'RX0012828', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6509 N KEYSTONE AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46220', '3172537063', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679514590', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012829', 'RX0012829', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1725 SALEM ST', 'LAFAYETTE', 'Tippecanoe', 'IN', '47904', '7654471276', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932143393', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012830', 'RX0012830', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3910 W 3RD ST', 'BLOOMINGTON', 'Monroe', 'IN', '47404', '8123394006', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730120635', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012831', 'RX0012831', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3835 45TH ST', 'HIGHLAND', 'Lake', 'IN', '46322', '2199222723', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649211541', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012832', 'RX0012832', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2440 WABASH AVE', 'TERRE HAUTE', 'Vigo', 'IN', '47807', '8122354322', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558302455', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012833', 'RX0012833', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1333 PORTAGE AVE', 'SOUTH BEND', 'St Joseph', 'IN', '46616', '5742347190', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669416020', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012835', 'RX0012835', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '502 W MCKINLEY AVE', 'MISHAWAKA', 'St Joseph', 'IN', '46545', '5742565559', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487698841', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012836', 'RX0012836', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1421 S RANGE LINE RD', 'CARMEL', 'Hamilton', 'IN', '46032', '3178442775', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013951474', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012837', 'RX0012837', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11627 FOX RD', 'INDIANAPOLIS', 'Marion', 'IN', '46236', '3178230824', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1396786216', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012838', 'RX0012838', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2021 FORT HARRISON RD', 'TERRE HAUTE', 'Vigo', 'IN', '47804', '8124666052', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1205877123', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012839', 'RX0012839', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2051 S BEND AVE', 'SOUTH BEND', 'St Joseph', 'IN', '46637', '5742730080', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114968039', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012840', 'RX0012840', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '316 N BITTERSWEET RD', 'MISHAWAKA', 'St Joseph', 'IN', '46544', '5742554729', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588607881', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012841', 'RX0012841', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7240 E 82ND ST', 'INDIANAPOLIS', 'Marion', 'IN', '46256', '3178498150', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922042381', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012842', 'RX0012842', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1616 E 86TH ST', 'INDIANAPOLIS', 'Marion', 'IN', '46240', '3175690387', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831133297', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012843', 'RX0012843', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '119 W 56TH ST', 'INDIANAPOLIS', 'Marion', 'IN', '46208', '3172519518', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659315018', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012844', 'RX0012844', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5208 W WASHINGTON ST', 'INDIANAPOLIS', 'Marion', 'IN', '46241', '3174869667', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568406924', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012845', 'RX0012845', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2806 US 231 SOUTH', 'LAFAYETTE', 'Tippecanoe', 'IN', '47905', '7654776666', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841231768', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012846', 'RX0012846', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '51467 INDIANA STATE ROUTE 933', 'SOUTH BEND', 'St Joseph', 'IN', '46637', '5742430904', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1699719955', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012847', 'RX0012847', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8295 E 116TH ST', 'FISHERS', 'Hamilton', 'IN', '46038', '3175708571', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1295779668', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012848', 'RX0012848', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5920 MADISON AVE', 'INDIANAPOLIS', 'Marion', 'IN', '46227', '3177890256', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760427769', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012849', 'RX0012849', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '130 W HIVELY AVE', 'ELKHART', 'Elkhart', 'IN', '46517', '5742946092', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841211653', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012850', 'RX0012850', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2399 S STATE ROAD 46', 'TERRE HAUTE', 'Vigo', 'IN', '47803', '8128722533', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841308236', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012851', 'RX0012851', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2025 MERCHANT MILE', 'COLUMBUS', 'Bartholomew', 'IN', '47201', '8123769385', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578576203', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012852', 'RX0012852', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7502 SOUTHTOWN CROSSING BLVD', 'FT WAYNE', 'Allen', 'IN', '46816', '2604417083', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942211461', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012853', 'RX0012853', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6975 N PENDLETON PIKE', 'INDIANAPOLIS', 'Marion', 'IN', '46226', '3175427304', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518064823', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012854', 'RX0012854', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2347 E 350 S', 'LAFAYETTE', 'Tippecanoe', 'IN', '47909', '7654779391', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417041575', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012855', 'RX0012855', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '14835 SUNNY DELL LN', 'NOBLESVILLE', 'Hamilton', 'IN', '46062', '3175691392', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1215026901', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012856', 'RX0012856', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '150 W 161ST ST', 'WESTFIELD', 'Hamilton', 'IN', '46074', '3178674187', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154480523', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012857', 'RX0012857', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '700 W IRELAND RD', 'SOUTH BEND', 'St Joseph', 'IN', '46614', '5742991464', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1598822850', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012858', 'RX0012858', 'HDRX', 'PAY LESS PHARMACY J 843', NULL, NULL, 'PAY LESS PHARMACY J 843', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2200 GREENBUSH ST', 'LAFAYETTE', 'Tippecanoe', 'IN', '47904', '7654489159', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659437929', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012859', 'RX0012859', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '13821 LEO RD', 'LEO', 'Allen', 'IN', '46765', '2606278616', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912049925', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012860', 'RX0012860', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1703 CARROLL RD', 'FORT WAYNE', 'Allen', 'IN', '46845', '2603380834', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558497032', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012861', 'RX0012861', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3805 N GERMAN CHURCH RD', 'INDIANAPOLIS', 'Marion', 'IN', '46235', '3178946181', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568593820', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012862', 'RX0012862', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1102 W MAIN ST', 'PLAINFIELD', 'Hendricks', 'IN', '46168', '3178393438', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376762625', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012863', 'RX0012863', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3900 OAK HILL RD', 'EVANSVILLE', 'Vanderburgh', 'IN', '47711', '8124758497', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932321049', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012864', 'RX0012864', 'HDRX', 'SCOTTS PHARMACY', NULL, NULL, 'SCOTTS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1125 W STATE BLVD', 'FORT WAYNE', 'Allen', 'IN', '46808', '2604264487', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689879074', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012865', 'RX0012865', 'HDRX', 'SCOTTS PHARMACY', NULL, NULL, 'SCOTTS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3105 N ANTHONY BLVD', 'FORT WAYNE', 'Allen', 'IN', '46805', '2604832174', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1043414121', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012866', 'RX0012866', 'HDRX', 'SCOTTS PHARMACY', NULL, NULL, 'SCOTTS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6310 E STATE BLVD', 'FORT WAYNE', 'Allen', 'IN', '46815', '2604931531', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578768974', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012867', 'RX0012867', 'HDRX', 'SCOTTS PHARMACY', NULL, NULL, 'SCOTTS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10230 CHESTNUT PLAZA DR', 'FORT WAYNE', 'Allen', 'IN', '46814', '2606255949', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679778989', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012868', 'RX0012868', 'HDRX', 'SCOTTS PHARMACY', NULL, NULL, 'SCOTTS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4120 N CLINTON ST', 'FORT WAYNE', 'Allen', 'IN', '46805', '2604833185', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1790989879', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012869', 'RX0012869', 'HDRX', 'SCOTTS PHARMACY', NULL, NULL, 'SCOTTS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '929 S 13TH ST', 'DECATUR', 'Adams', 'IN', '46733', '2607249187', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659576049', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012870', 'RX0012870', 'HDRX', 'SCOTTS PHARMACY', NULL, NULL, 'SCOTTS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7008 BLUFFTON RD', 'FORT WAYNE', 'Allen', 'IN', '46809', '2607474136', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427253756', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012871', 'RX0012871', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5981 W BROADWAY', 'MC CORDSVILLE', 'Hancock', 'IN', '46055', '3173353380', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1508063777', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012872', 'RX0012872', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6511 E STATE ROAD 334', 'ZIONSVILLE', 'Boone', 'IN', '46077', '3177695986', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467651281', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012873', 'RX0012873', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4545 LAFAYETTE RD', 'INDIANAPOLIS', 'Marion', 'IN', '46254', '3173280401', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649451212', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012874', 'RX0012874', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '13090 PETTIGRU DR', 'CARMEL', 'Hamilton', 'IN', '46032', '3177338608', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1528245545', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012875', 'RX0012875', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '30830 OLD US 20', 'MISHAWAKA', 'Elkhart', 'IN', '46516', '5746745730', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902082324', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012876', 'RX0012876', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2150 CHESTER BLVD', 'RICHMOND', 'Wayne', 'IN', '47374', '7659354650', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033382692', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012877', 'RX0012877', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10105 LIMA RD', 'FORT WAYNE', 'Allen', 'IN', '46818', '2604906510', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1801072251', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012878', 'RX0012878', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '100 E STATE ROAD 231', 'CROWN POINT', 'Lake', 'IN', '46307', '2196628854', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1790942936', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012879', 'RX0012879', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8191 UPLAND WAY', 'CAMBY', 'Morgan', 'IN', '46113', '3178565748', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912183344', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012880', 'RX0012880', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '801 MAIN ST', 'MUNSTER', 'Lake', 'IN', '46321', '2199242491', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366601890', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012881', 'RX0012881', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '705 WEST TRAFALGAR POINT  WAY', 'TRAFALGAR', 'Johnson', 'IN', '46181', '3178785245', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689838419', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012882', 'RX0012882', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '7935 BROOKVILLE RD', 'INDIANAPOLIS', 'Marion', 'IN', '46239', '3173530783', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831355668', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012883', 'RX0012883', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5020 N STATE ROAD 135', 'BARGERSVILLE', 'Johnson', 'IN', '46106', '3175351898', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497911259', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012884', 'RX0012884', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5865 PROMENADE SHOPS BLVD', 'NOBLESVILLE', 'Hamilton', 'IN', '46060', '3177761175', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093971319', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012885', 'RX0012885', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '13085 TEGLER DR', 'NOBLESVILLE', 'Hamilton', 'IN', '46060', '3177707089', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902055908', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012886', 'RX0012886', 'HDRX', 'KROGER PHARMACY', NULL, NULL, 'KROGER PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5810 E 71ST ST', 'INDIANAPOLIS', 'Marion', 'IN', '46220', '3178459653', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1871739771', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012887', 'RX0012887', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '14575 MUNDY DR', 'NOBLESVILLE', 'Hamilton', 'IN', '46060', '3177705275', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023251444', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012888', 'RX0012888', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10170 WEST STATE ROAD 14', 'FORT WAYNE', 'Allen', 'IN', '46814', '2604366021', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497989743', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012889', 'RX0012889', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8599 HIGH POINTE DR', 'NEWBURGH', 'Warrick', 'IN', '47630', '8128422791', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1437386356', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012890', 'RX0012890', 'HDRX', 'KROGER PHARMACY J-998', NULL, NULL, 'KROGER PHARMACY J-998', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1365 E 86TH ST', 'INDIANAPOLIS', 'Marion', 'IN', '46240', '3173965230', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1205068541', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012891', 'RX0012891', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '511 E BOONVILLE NEW HARMONY RD', 'EVANSVILLE', 'Vanderburgh', 'IN', '47725', '8128676407', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1346556388', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012892', 'RX0012892', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '402 MARKET PLACE DR', 'GREENWOOD', 'Johnson', 'IN', '46142', '3178652650', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1891002663', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012893', 'RX0012893', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8100 E RIDGE RD', 'HOBART', 'Lake', 'IN', '46342', '2199626564', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912204942', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012894', 'RX0012894', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6279 E STATE BLVD', 'FORT WAYNE', 'Allen', 'IN', '46815', '2604920951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1083903579', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012895', 'RX0012895', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6710 HIGHWAY 311', 'SELLERSBURG', 'Clark', 'IN', '47172', '8122462241', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1053601120', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012896', 'RX0012896', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1002 SPRING ST', 'JEFFERSONVILLE', 'Clark', 'IN', '47130', '8122822256', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154615581', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012897', 'RX0012897', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5TH AVE & 112TH BLVD', 'HAMMOND', 'Lake', 'IN', '46320', '2194737990', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1508146606', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012898', 'RX0012898', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3819 STATE RD 26 E', 'LAFAYETTE', 'Tippecanoe', 'IN', '47905', '7654494309', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1033483409', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012899', 'RX0012899', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '111 20TH AVE SW', 'INDEPENDENCE', 'Buchanan', 'IA', '50644', '3193347131', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003833476', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012900', 'RX0012900', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'HIGHWAY 163 & E 9TH ST', 'PELLA', 'Marion', 'IA', '50219', '6416289227', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912924382', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012901', 'RX0012901', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'U S 64 & 151 CHAMBER DR', 'ANAMOSA', 'Jones', 'IA', '52205', '3194624314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821015298', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012902', 'RX0012902', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '415 INDUSTRIAL AVE', 'GRINNELL', 'Poweshiek', 'IA', '50112', '6412366333', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831116326', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012903', 'RX0012903', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '300 E 31ST ST S', 'NEWTON', 'Jasper', 'IA', '50208', '6417915327', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730106105', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012904', 'RX0012904', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1045 N GRAND AVE', 'MOUNT PLEASANT', 'Henry', 'IA', '52641', '3193858600', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649297011', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('111111111', 'RX0012905', 'RX0012905', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2560 4TH ST SW', 'MASON CITY', 'Cerro Gordo', 'IA', '50401', '6414233494', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114944592', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012906', 'RX0012906', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3015 GRAND AVE', 'AMES', 'Story', 'IA', '50010', '5152331736', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023035409', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012907', 'RX0012907', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '324 W AGENCY RD', 'WEST BURLINGTON', 'Des Moines', 'IA', '52655', '3197532269', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932126315', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012908', 'RX0012908', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1126 HIGHWAY 38', 'TIPTON', 'Cedar', 'IA', '52772', '5638862117', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669499166', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012909', 'RX0012909', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3036 1ST AVE S', 'FORT DODGE', 'Webster', 'IA', '50501', '5155767405', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841217221', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012910', 'RX0012910', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1002 SE NATIONAL DR', 'ANKENY', 'Polk', 'IA', '50021', '5159643992', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750308136', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012911', 'RX0012911', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1798 OLD STAGE RD', 'DECORAH', 'Winneshiek', 'IA', '52101', '5633828456', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669499042', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012912', 'RX0012912', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1800 W BURLINGTON AVE', 'FAIRFIELD', 'Jefferson', 'IA', '52556', '6414726199', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1578580957', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012920', 'RX0012920', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2600 HIGHWAY 71 #', 'SPIRIT LAKE', 'Dickinson', 'IA', '51360', '7123361756', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487671988', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012922', 'RX0012922', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1815 S STORY ST', 'BOONE', 'Boone', 'IA', '50036', '5154323484', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659398030', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012924', 'RX0012924', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2485 HIGHWAY 92', 'WASHINGTON', 'Washington', 'IA', '52353', '3196537218', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386661767', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012927', 'RX0012927', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1220 W MAIN ST', 'MANCHESTER', 'Delaware', 'IA', '52057', '5639274988', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912924390', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012928', 'RX0012928', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'HWY 64 WEST', 'MAQUOKETA', 'Jackson', 'IA', '52060', '5636526733', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821015207', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012929', 'RX0012929', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2645 BLAIRS FERRY RD NE', 'CEDAR RAPIDS', 'Linn', 'IA', '52402', '3193932110', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730106113', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012930', 'RX0012930', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '840 S OAK ST', 'IOWA FALLS', 'Hardin', 'IA', '50126', '6416485109', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649297029', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012931', 'RX0012931', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1101 N 18TH ST', 'CENTERVILLE', 'Appanoose', 'IA', '52544', '6414377185', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467479840', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012932', 'RX0012932', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1111 HOLTON DR SW', 'LE MARS', 'Plymouth', 'IA', '51031', '7125465150', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285651661', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012933', 'RX0012933', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'HIGHWAY 59 SOUTH', 'SHENANDOAH', 'Page', 'IA', '51601', '7122464033', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093732471', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012934', 'RX0012934', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '919 HIGHWAY 1 W', 'IOWA CITY', 'Johnson', 'IA', '52246', '3193378862', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902823388', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012935', 'RX0012935', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '404 ARROWHEAD DR', 'DENISON', 'Crawford', 'IA', '51442', '7122632012', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811914294', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012936', 'RX0012936', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5101 SE 14TH ST', 'DES MOINES', 'Polk', 'IA', '50320', '5152877748', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720005101', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012937', 'RX0012937', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1001 73RD ST', 'WINDSOR HEIGHTS', 'Polk', 'IA', '50311', '5152746359', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639196017', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012938', 'RX0012938', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '425 W US HIGHWAY 30', 'CARROLL', 'Carroll', 'IA', '51401', '7127923033', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831116227', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012939', 'RX0012939', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2802 S CENTER ST', 'MARSHALLTOWN', 'Marshall', 'IA', '50158', '6417533204', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1740207133', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012940', 'RX0012940', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3200 MANAWA CENTRE DR', 'COUNCIL BLUFFS', 'Pottawattamie', 'IA', '51501', '7123661315', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659398048', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012941', 'RX0012941', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4200 DODGE ST', 'DUBUQUE', 'Dubuque', 'IA', '52003', '5635821519', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568489953', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012942', 'RX0012942', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '525 BRANDILYNN BLVD', 'CEDAR FALLS', 'Black Hawk', 'IA', '50613', '3192777793', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386661775', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012943', 'RX0012943', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3003 N HIGHWAY 61', 'MUSCATINE', 'Muscatine', 'IA', '52761', '5632623755', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194742585', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012944', 'RX0012944', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3601 29TH AVE SW', 'CEDAR RAPIDS', 'Linn', 'IA', '52404', '3193909925', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003833492', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012945', 'RX0012945', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '500 11TH ST SW', 'SPENCER', 'Clay', 'IA', '51301', '7122625011', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912924309', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012946', 'RX0012946', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3501 8TH ST SW', 'ALTOONA', 'Polk', 'IA', '50009', '5159671794', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821015215', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012947', 'RX0012947', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2715 S 25TH ST', 'CLINTON', 'Clinton', 'IA', '52732', '5632430600', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730106121', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012948', 'RX0012948', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '814 W BELL AVE', 'KNOXVILLE', 'Marion', 'IA', '50138', '6418286183', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649297037', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012949', 'RX0012949', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2801 COMMERCE DR', 'CORALVILLE', 'Johnson', 'IA', '52241', '3195456412', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558388942', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012950', 'RX0012950', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1101 73RD ST', 'WINDSOR HEIGHTS', NULL, 'IA', '50324', '5152749676', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467479857', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0012952', 'RX0012952', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3101 W KIMBERLY RD', 'DAVENPORT', 'Scott', 'IA', '52806', '5634451098', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285651679', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012953', 'RX0012953', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3887 ELMORE AVE', 'DAVENPORT', 'Scott', 'IA', '52807', '5633444232', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093732489', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012954', 'RX0012954', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1905 E 7TH ST', 'ATLANTIC', 'Cass', 'IA', '50022', '7122439223', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902823396', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012955', 'RX0012955', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5491 BUSINESS HWY 51', 'MARION', 'Linn', 'IA', '52302', '3194472870', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639196132', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012956', 'RX0012956', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2605 BLAIRS FERRY RD NE', 'CEDAR RAPIDS', 'Linn', 'IA', '52402', '3192949461', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811914203', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012957', 'RX0012957', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3221 MANAWA CENTRE DR', 'COUNCIL BLUFFS', 'Pottawattamie', 'IA', '51501', '7123667032', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720005119', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012958', 'RX0012958', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '201 S CLINTON ST', 'IOWA CITY', 'Johnson', 'IA', '52240', '3193586462', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1013951482', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012959', 'RX0012959', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2314 SPRUCE HILLS DR', 'BETTENDORF', 'Scott', 'IA', '52722', '5633590374', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1922042399', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012960', 'RX0012960', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1825 E SAN MARNAN DR', 'WATERLOO', 'Black Hawk', 'IA', '50702', '3192356248', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831133206', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012961', 'RX0012961', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2711 MOUNT VERNON RD SE', 'CEDAR RAPIDS', 'Linn', 'IA', '52403', '3193643051', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659315026', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012962', 'RX0012962', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2302 W 1ST ST', 'CEDAR FALLS', 'Black Hawk', 'IA', '50613', '3192775181', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568406932', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012963', 'RX0012963', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1777 N DIVISION ST', 'DAVENPORT', 'Scott', 'IA', '52804', '5633231074', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477597847', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012964', 'RX0012964', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2068 LOGAN AVE', 'WATERLOO', 'Black Hawk', 'IA', '50703', '3192344736', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1124069034', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012965', 'RX0012965', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4116 CENTER POINT RD NE', 'CEDAR RAPIDS', 'Linn', 'IA', '52402', '3193937480', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386688752', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012966', 'RX0012966', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1655 W KIMBERLY RD', 'DAVENPORT', 'Scott', 'IA', '52806', '5633887856', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194769562', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012967', 'RX0012967', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2425 MUSCATINE AVE', 'IOWA CITY', 'Johnson', 'IA', '52240', '3193581056', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1679518674', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012968', 'RX0012968', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6365 STAGECOACH DR', 'DES MOINES', 'Polk', 'IA', '50266', '5154532760', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639196025', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012969', 'RX0012969', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4400 ASBURY RD', 'DUBUQUE', 'Dubuque', 'IA', '52002', '5635870586', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235294356', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012970', 'RX0012970', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '534 S DUFF AVE', 'AMES', 'Story', 'IA', '50010', '5159563547', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841472578', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012971', 'RX0012971', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2400 COLLEGE DR', 'OSCEOLA', 'Clarke', 'IA', '50213', '6413421662', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720264179', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012972', 'RX0012972', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2150 E 1ST ST', 'GRIMES', 'Polk', 'IA', '50111', '5159863657', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275844854', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012973', 'RX0012973', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '545 W WASHINGTIN ST', 'COUNCIL BLUFFS', 'Pottawattamie', 'IA', '51503', '7123524152', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194020602', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012974', 'RX0012974', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3419 16TH AVE SW', 'CEDAR RAPIDS', 'Linn', 'IA', '52404', '3193963262', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1063790178', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012975', 'RX0012975', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9501 NALL AVE', 'OVERLAND PARK', 'Johnson', 'KS', '66207', '9136481210', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1144327636', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012976', 'RX0012976', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '206 W 5TH AVE', 'HUTCHINSON', 'Reno', 'KS', '67501', '6206633375', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1689614182', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012977', 'RX0012977', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1305 E KANSAS AVE', 'GARDEN CITY', 'Finney', 'KS', '67846', '3162751957', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1497795991', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012978', 'RX0012978', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1320 N MAIN ST', 'MC PHERSON', 'Mcpherson', 'KS', '67460', '6202416108', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1306886809', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012979', 'RX0012979', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '725 E 4TH AVE', 'HUTCHINSON', 'Reno', 'KS', '67501', '6206698238', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275576068', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012980', 'RX0012980', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1216 N MAIN ST', 'NEWTON', 'Harvey', 'KS', '67114', '3162836770', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649210469', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012981', 'RX0012981', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1902 VINE ST', 'HAYS', 'Ellis', 'KS', '67601', '7856286148', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1235170143', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012982', 'RX0012982', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '425 N SUMMIT ST', 'ARKANSAS CITY', 'Cowley', 'KS', '67005', '3164427842', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1528008323', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012983', 'RX0012983', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6300 JOHNSON DR', 'MISSION', 'Johnson', 'KS', '66202', '9137223711', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1609970557', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012984', 'RX0012984', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4747 S BROADWAY ST', 'WICHITA', 'Sedgwick', 'KS', '67216', '3165244228', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1205877644', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012985', 'RX0012985', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8828 W 13TH ST N', 'WICHITA', 'Sedgwick', 'KS', '67212', '3167229733', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1588605968', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012986', 'RX0012986', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1201 W CRAWFORD ST', 'SALINA', 'Saline', 'KS', '67401', '7858270417', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669546032', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012987', 'RX0012987', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1510 OHIO ST', 'AUGUSTA', 'Butler', 'KS', '67010', '3167755456', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114968047', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012988', 'RX0012988', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4107 10TH ST', 'GREAT BEND', 'Barton', 'KS', '67530', '3167925944', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1346280146', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012989', 'RX0012989', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1740 MASSACHUSETTS ST', 'LAWRENCE', 'Douglas', 'KS', '66044', '7858422434', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467492280', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012990', 'RX0012990', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1700 N 14TH AVE', 'DODGE CITY', 'Ford', 'KS', '67801', '6202256140', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376583195', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012991', 'RX0012991', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '618 W 6TH ST', 'JUNCTION CITY', 'Geary', 'KS', '66441', '7852384141', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285674002', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012992', 'RX0012992', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2600 N BROADWAY ST', 'PITTSBURG', 'Crawford', 'KS', '66762', '6202323066', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1255371050', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012993', 'RX0012993', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3300 IOWA ST', 'LAWRENCE', 'Douglas', 'KS', '66046', '7858420177', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548287931', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012994', 'RX0012994', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2301 INDUSTRIAL RD', 'EMPORIA', 'Lyon', 'KS', '66801', '6203427711', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457378846', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012995', 'RX0012995', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1863 COUNTY RD 5300', 'COFFEYVILLE', 'Montgomery', 'KS', '67337', '6202515528', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1366469751', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012996', 'RX0012996', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1607 S GEORGETOWN ST', 'WICHITA', 'Sedgwick', 'KS', '67218', '3166869200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114968559', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012997', 'RX0012997', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '12801 KANSAS AVE', 'BONNER SPRINGS', 'Wyandotte', 'KS', '66012', '9134418800', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1184641573', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012998', 'RX0012998', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3932 W 13TH ST N', 'WICHITA', 'Sedgwick', 'KS', '67203', '3169427636', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1780625103', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0012999', 'RX0012999', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1111 W 8TH ST', 'WELLINGTON', 'Sumner', 'KS', '67152', '3163265981', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1073553871', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013000', 'RX0013000', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2020 N SOUTHEAST BLVD', 'DERBY', 'Sedgwick', 'KS', '67037', '3167883731', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1275550667', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013001', 'RX0013001', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '16630 W 135TH ST', 'OLATHE', 'Johnson', 'KS', '66062', '9138295300', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093732497', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013002', 'RX0013002', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3300 VINE ST', 'HAYS', 'Ellis', 'KS', '67601', '7856250037', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902823305', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013003', 'RX0013003', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1211 BUFFALO JONES AVE', 'GARDEN CITY', 'Finney', 'KS', '67846', '3162750194', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1598706913', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013004', 'RX0013004', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2204 S PRINCETON CIRCLE DR', 'OTTAWA', 'Franklin', 'KS', '66067', '7852421034', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1811914211', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013005', 'RX0013005', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3503 10TH ST', 'GREAT BEND', 'Barton', 'KS', '67530', '6207925237', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720005127', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013006', 'RX0013006', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '250 E TUCKER RD', 'LIBERAL', 'Seward', 'KS', '67901', '6206264240', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1639196033', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013007', 'RX0013007', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1905 E 17TH AVE', 'HUTCHINSON', 'Reno', 'KS', '67501', '6206690125', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1548287949', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013008', 'RX0013008', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '517 E 30TH AVE', 'HUTCHINSON', 'Reno', 'KS', '67502', '6206637628', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1396786778', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013009', 'RX0013009', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3211 S SENECA ST', 'WICHITA', 'Sedgwick', 'KS', '67217', '3165224545', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093755811', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013010', 'RX0013010', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2012 SE 29TH ST', 'TOPEKA', 'Shawnee', 'KS', '66605', '7852670234', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1982644787', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013011', 'RX0013011', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3000 W 6TH ST', 'LAWRENCE', 'Douglas', 'KS', '66049', '7858430847', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1891735601', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013012', 'RX0013012', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2022 E 16TH ST', 'WELLINGTON', 'Sumner', 'KS', '67152', '6203263321', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1457378853', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013013', 'RX0013013', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '205 S CENTENNIAL DR', 'MC PHERSON', 'Mcpherson', 'KS', '67460', '6202410941', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831116235', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013014', 'RX0013014', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '13502 W 87TH STREET PKWY', 'LENEXA', 'Johnson', 'KS', '66215', '9134924650', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518061464', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013015', 'RX0013015', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2244 N ROCK RD', 'WICHITA', 'Sedgwick', 'KS', '67226', '3166855740', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1700826518', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('111111111', 'RX0013016', 'RX0013016', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2715 N SUMMIT ST', 'ARKANSAS CITY', 'Cowley', 'KS', '67005', '6204422051', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518984020', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013017', 'RX0013017', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1920 US HIGHWAY 73', 'ATCHISON', 'Atchison', 'KS', '66002', '9133676142', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1043237571', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013018', 'RX0013018', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5000 10TH AVE', 'LEAVENWORTH', 'Leavenworth', 'KS', '66048', '9132500918', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1740207141', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013019', 'RX0013019', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3101 E KANSAS AVE', 'GARDEN CITY', 'Finney', 'KS', '67846', '6202757557', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659398055', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013020', 'RX0013020', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1000 WESTLOOP PL', 'MANHATTAN', 'Riley', 'KS', '66502', '7855399454', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1528008331', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013021', 'RX0013021', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10824 PARALLEL PKWY', 'KANSAS CITY', 'Wyandotte', 'KS', '66109', '9137883202', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1568489961', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013022', 'RX0013022', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '390 LIMIT ST', 'LEAVENWORTH', 'Leavenworth', 'KS', '66048', '9136512323', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427152370', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013023', 'RX0013023', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1501 SW WANAMAKER RD', 'TOPEKA', 'Shawnee', 'KS', '66604', '7852715673', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477570877', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013024', 'RX0013024', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6110 W KELLOGG DR', 'WICHITA', 'Sedgwick', 'KS', '67209', '3169458181', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386661783', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013025', 'RX0013025', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2815 SW 29TH ST', 'TOPEKA', 'Shawnee', 'KS', '66614', '7852720314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1346280153', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013026', 'RX0013026', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '13438 W 62ND TER', 'SHAWNEE', 'Johnson', 'KS', '66216', '9139620352', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1336243286', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013027', 'RX0013027', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1915 S RANGE AVE', 'COLBY', 'Thomas', 'KS', '67701', '7854628651', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942227475', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013028', 'RX0013028', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1015 W 23RD ST', 'LAWRENCE', 'Douglas', 'KS', '66046', '7858415110', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1255371068', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013029', 'RX0013029', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1918 N STATE ST', 'IOLA', 'Allen', 'KS', '66749', '6203657637', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194742593', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013030', 'RX0013030', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'US HIGHWAY 36 EAST', 'MARYSVILLE', 'Marshall', 'KS', '66508', '7855623000', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003833401', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013031', 'RX0013031', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1108 E 1ST ST', 'PRATT', 'Pratt', 'KS', '67124', '3166725584', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023059466', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013040', 'RX0013040', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11701 METCALF AVE', 'OVERLAND PARK', 'Johnson', 'KS', '66210', '9133381849', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376560771', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013052', 'RX0013052', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'YS HWY 36 W', 'HIAWATHA', 'Brown', 'KS', '66434', '7857424213', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1760409296', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013053', 'RX0013053', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '310 HEDGE LN', 'PAOLA', 'Miami', 'KS', '66071', '9132945777', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730106147', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013054', 'RX0013054', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '521 E CHESTNUT ST', 'JUNCTION CITY', 'Geary', 'KS', '66441', '7852381118', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649297052', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013057', 'RX0013057', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1301 SW 37TH ST', 'TOPEKA', 'Shawnee', 'KS', '66611', '7852676900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558388967', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013058', 'RX0013058', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2310 MAIN ST', 'WINFIELD', 'Cowley', 'KS', '67156', '6202215710', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750322194', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013059', 'RX0013059', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '140 E COLLEGE DR', 'CONCORDIA', 'Cloud', 'KS', '66901', '7852432805', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467479873', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013060', 'RX0013060', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '501 E PAWNEE ST', 'WICHITA', 'Sedgwick', 'KS', '67211', '3162674230', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376560789', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013061', 'RX0013061', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9450 E HARRY ST', 'WICHITA', 'Sedgwick', 'KS', '67207', '3166512732', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1669413001', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013062', 'RX0013062', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1701 S KANSAS RD', 'NEWTON', 'Harvey', 'KS', '67114', '3162842333', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285651695', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013063', 'RX0013063', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1605 S RANGE AVE', 'COLBY', 'Thomas', 'KS', '67701', '7854621310', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902846728', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013064', 'RX0013064', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10222 W 21ST ST N', 'WICHITA', 'Sedgwick', 'KS', '67205', '3167291535', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831139625', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013065', 'RX0013065', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5150 ROE BLVD', 'ROELAND PARK', 'Johnson', 'KS', '66205', '9132368778', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093732406', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013066', 'RX0013066', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8226 MISSION RD', 'PRAIRIE VILLAGE', 'Johnson', 'KS', '66208', '9133813300', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154425007', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013067', 'RX0013067', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'HWY 77 7 PIKE ST', 'WINFIELD', 'Cowley', 'KS', '67156', '6202219437', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902823313', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013068', 'RX0013068', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2160 COMMERCE RD', 'GOODLAND', 'Sherman', 'KS', '67735', '7858992266', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093733529', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013069', 'RX0013069', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2400 S MAIN ST', 'FORT SCOTT', 'Bourbon', 'KS', '66701', '6202231960', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1831116250', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013076', 'RX0013076', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '121 PETER PAN RD', 'INDEPENDENCE', 'Montgomery', 'KS', '67301', '6203319068', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1659398071', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013078', 'RX0013078', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '12200 W 95TH ST', 'LENEXA', 'Johnson', 'KS', '66215', '9138942093', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1477570893', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013080', 'RX0013080', 'HDRX', 'DILLON PHARMACY', NULL, NULL, 'DILLON PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '720 EISENHOWER RD', 'LEAVENWORTH', 'Leavenworth', 'KS', '66048', '9132503504', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487695821', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013081', 'RX0013081', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8300 W 135TH ST', 'OVERLAND PARK', 'Johnson', 'KS', '66223', '9134024352', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1386661700', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013082', 'RX0013082', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10600 W 21ST ST N', 'WICHITA', 'Sedgwick', 'KS', '67205', '3167295914', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194742510', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013083', 'RX0013083', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6200 W KELLOGG DR', 'WICHITA', 'Sedgwick', 'KS', '67209', '3169414427', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003833427', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013084', 'RX0013084', 'HDRX', 'SAMS PHARMACY', NULL, NULL, 'SAMS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3415 N ROCK RD', 'WICHITA', 'Sedgwick', 'KS', '67226', '3166362009', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912924333', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013085', 'RX0013085', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11411 E KELLOGG DR', 'WICHITA', 'Sedgwick', 'KS', '67207', '3166838463', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821015249', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013089', 'RX0013089', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '15700 METCALF AVE', 'OVERLAND PARK', 'Johnson', 'KS', '66223', '9136857493', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649297060', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013090', 'RX0013090', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '10303 METCALF AVE', 'OVERLAND PARK', 'Johnson', 'KS', '66212', '9136423759', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1558388975', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013092', 'RX0013092', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '11010 W 74TH TER', 'SHAWNEE', 'Johnson', 'KS', '66203', '9132684012', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467479881', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013094', 'RX0013094', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '911 HEBRON RD', 'HEATH', 'Licking', 'OH', '43056', '7405224903', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1518984798', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013095', 'RX0013095', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5500 MILAN RD', 'SANDUSKY', 'Erie', 'OH', '44870', '4196278283', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427075605', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013096', 'RX0013096', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '16801 CHILLICOTHE RD', 'CHAGRIN FALLS', 'Geauga', 'OH', '44023', '4405437475', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003919820', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
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('111111111', 'RX0013098', 'RX0013098', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2300 W STATE ROUTE 18', 'TIFFIN', 'Seneca', 'OH', '44883', '4194479177', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1144248980', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013099', 'RX0013099', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '16280 DRESDEN AVE', 'EAST LIVERPOOL', 'Columbiana', 'OH', '43920', '3303869813', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1336166511', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013100', 'RX0013100', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4530 EASTGATE BLVD', 'CINCINNATI', 'Clermont', 'OH', '45245', '5137528479', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1114951910', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013101', 'RX0013101', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '8238 PRINCETON GLENDALE RD', 'WEST CHESTER', 'Butler', 'OH', '45069', '5138605169', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1861417578', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013102', 'RX0013102', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '2500 TIFFIN AVE', 'FINDLAY', 'Hancock', 'OH', '45840', '4194255511', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1245257427', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013103', 'RX0013103', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1208 MAPLE AVE', 'ZANESVILLE', 'Muskingum', 'OH', '43701', '7404533442', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912000738', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013104', 'RX0013104', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', 'RR 4 BOX 140', 'SOUTH POINT', 'Lawrence', 'OH', '45680', '7408943517', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154348332', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013105', 'RX0013105', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '711 PARK RD', 'WORTHINGTON', 'Franklin', 'OH', '43085', '6148410336', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1427109305', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013106', 'RX0013106', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1630 MORSE RD', 'COLUMBUS', 'Franklin', 'OH', '43229', '6144385751', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1023042827', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013107', 'RX0013107', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1546 MARION MOUNT GILEAD RD', 'MARION', 'Marion', 'OH', '43302', '7403894573', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1063439248', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013108', 'RX0013108', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '751 W MARKET ST', 'TROY', 'Miami', 'OH', '45373', '9373398441', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1932133733', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013109', 'RX0013109', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1640 S WASHINGTON ST', 'MILLERSBURG', 'Holmes', 'OH', '44654', '3306742884', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1972520153', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013110', 'RX0013110', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1425 WORTHINGTON CENTRE DR', 'WORTHINGTON', 'Franklin', 'OH', '43085', '6148417412', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841224649', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013111', 'RX0013111', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '725 W CENTRAL AVE', 'SPRINGBORO', 'Warren', 'OH', '45066', '5137435990', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1841224540', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013112', 'RX0013112', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '710 N MAIN ST', 'SPRINGBORO', 'Warren', 'OH', '45066', '9377481135', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821191644', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013113', 'RX0013113', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '27089 BAGLEY RD', 'OLMSTED FALLS', 'Cuyahoga', 'OH', '44138', '4402351600', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730282559', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013114', 'RX0013114', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3883 BURBANK RD', 'WOOSTER', 'Wayne', 'OH', '44691', '3303458820', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285651463', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013115', 'RX0013115', 'HDRX', 'KROGER SAV-ON', NULL, NULL, 'KROGER SAV-ON', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '230 LAFAYETTE ST', 'LONDON', 'Madison', 'OH', '43140', '7408527550', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1750315453', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013116', 'RX0013116', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '149 MIDWAY BLVD', 'ELYRIA', 'Lorain', 'OH', '44035', '4403244205', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1194742387', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013117', 'RX0013117', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '105 N PORTAGE ST', 'DOYLESTOWN', 'Wayne', 'OH', '44230', '3306582711', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1649373465', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013118', 'RX0013118', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1400 E 9TH ST', 'CLEVELAND', 'Cuyahoga', 'OH', '44114', '2166210132', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1467555284', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013119', 'RX0013119', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '5229 MONTGOMERY RD', 'NORWOOD', 'Hamilton', 'OH', '45212', '5137312600', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1376646190', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013120', 'RX0013120', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '820 S BREIEL BLVD', 'MIDDLETOWN', 'Butler', 'OH', '45044', '5134244911', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1285737007', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013121', 'RX0013121', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '9303 MENTOR AVE', 'MENTOR', 'Lake', 'OH', '44060', '4409743301', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1003833294', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013122', 'RX0013122', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3195 LINWOOD AVE', 'CINCINNATI', 'Hamilton', 'OH', '45208', '5133212470', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1093818817', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013123', 'RX0013123', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '4141 PEARL RD', 'MEDINA', 'Medina', 'OH', '44256', '3307231511', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1912924101', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013124', 'RX0013124', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '779 S 7TH ST', 'COSHOCTON', 'Coshocton', 'OH', '43812', '7406221292', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1821015017', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013125', 'RX0013125', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '1257 STATE ROUTE 28', 'MILFORD', 'Clermont', 'OH', '45150', '5135752079', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1902909724', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013126', 'RX0013126', 'HDRX', 'WAL-MART PHARMACY', NULL, NULL, 'WAL-MART PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '3750 W MARKET ST UNIT I', 'FAIRLAWN', 'Summit', 'OH', '44333', '3306660742', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1730106923', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL),
('111111111', 'RX0013127', 'RX0013127', 'HDRX', 'CVS PHARMACY', NULL, NULL, 'CVS PHARMACY', NULL, 'Pharmacy', NULL, NULL, NULL, 'O', '6659 E MAIN ST', 'REYNOLDSBURG', 'Franklin', 'OH', '43068', '6148662280', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '0.00', '100.00', NULL, 3, '2012-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1720181548', 0, 'N', 0, '2012-10-02', NULL, NULL, 0, 0, NULL, NULL);
