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
('870645559', 'W77007533', 'W77007533', 'UT01', 'U Of U General Peds', 'Nicole', 'R', 'Frei', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-02-04', '2002-02-04', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437260338', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007534', 'W77007534', 'UT01', 'U Of U South Main Clinic-DNP', 'Nicole', 'R', 'Frei', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '3195 S Main St', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014835455', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-02-04', '2004-11-05', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437260338', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007535', 'W77007535', 'UT01', 'U Of U General Peds', 'Tiffany', 'S', 'Glasgow', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-09-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003838434', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007536', 'W77007536', 'UT01', 'U Of U General Peds', 'Karen', 'K', 'Hansen', 'MD', 'Pediatrics', 'Child Protection and Family Health', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1093805699', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007537', 'W77007537', 'UT01', 'U Of U General Peds', 'Karen', 'K', 'Hansen', 'MD', 'Pediatrics', 'Child Protection and Family Health', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1093805699', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007538', 'W77007538', 'UT01', 'U Of U Pediatrics - PCMC', 'Bruce', 'E', 'Herman', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882233', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1326129115', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870631360', 'W77007539', 'W77007539', 'UT01', 'Brigham Pediatrics', 'Carey', 'D', 'Lloyd', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '980 Medical Dr Ste 2', 'Brigham City', 'Box Elder', 'UT', '84302', '8889882433', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-11-01', '2006-10-31', 0, 0, 0, 'Brigham City Community Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1164523494', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870631534', 'W77007540', 'W77007540', 'UT01', 'At Work Health', 'Jerry', 'R', 'Jensen', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '675 E 100 N', 'Alpine', 'Utah', 'UT', '84004', '8013610575', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2001-11-01', '2004-04-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '835805', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870632150', 'W77007541', 'W77007541', 'UT01', 'Heber Valley Physical Therapy', 'Willis', NULL, 'Clyde', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '190 N Main St', 'Heber City', 'Wasatch', 'UT', '84032', '4356540410', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '1999-12-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033293865', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870632150', 'W77007542', 'W77007542', 'UT01', 'Heber Valley Physical Therapy', 'Willis', NULL, 'Clyde', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 13', 'Heber City', 'Wasatch', 'UT', '84032', '4356540804', '4356573067', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '1999-12-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033293865', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870632306', 'W77007543', 'W77007543', 'UT01', 'Boheen, Karen', 'Karen', NULL, 'Boheen', 'DO', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1492 W Antelope Dr Ste 205', 'Layton', 'Davis', 'UT', '84041', '8017280600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1467452383', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870633260', 'W77007544', 'W77007544', 'UT01', 'Jordan Valley Pediatrics', 'Tazeem', NULL, 'Aizad', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1561 W 7000 S Ste 202', 'West Jordan', 'Salt Lake', 'UT', '84084', '8015698344', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1588620413', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870633962', 'W77007545', 'W77007545', 'UT01', 'Goodsell, Brent', 'Brent', 'H', 'Goodsell', 'DO', 'Dermatology', NULL, NULL, NULL, 'O', '1385 E 750 N', 'Orem', 'Utah', 'UT', '84097', '8012245200', '8012242667', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528172863', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870634038', 'W77007546', 'W77007546', 'UT01', 'Medical Associates of Salt Lake', 'Dorene', 'K', 'Sambado', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '508 E S Temple Ste 300', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015214500', '8013591665', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-04-29', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '926237', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870634056', 'W77007547', 'W77007547', 'UT01', 'Medical Associates of Salt Lake', 'Lorraine', 'B', 'Szczesny', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '508 E S Temple Ste 300', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015214500', '8013591665', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-04-29', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518022896', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870634212', 'W77007548', 'W77007548', 'UT01', 'Darrin F Hansen', 'Darrin', 'F', 'Hansen', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', '9720 S 1300 E', 'Sandy', 'Salt Lake', 'UT', '84094', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952417990', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870634650', 'W77007549', 'W77007549', 'UT01', 'Ob/Gyn Associates', 'Linda', 'P', 'Alexander', 'CNM', 'Nurse Midwife', NULL, NULL, NULL, 'B', '1151 E 3900 S Ste B-299', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012686811', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831210', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870634650', 'W77007550', 'W77007550', 'UT01', 'Ob/Gyn Associates', 'Alisa', NULL, 'Carlton', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', NULL, NULL, 'B', '1151 E 3900 S Ste B-299', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012686811', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497766083', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870634650', 'W77007551', 'W77007551', 'UT01', 'Ob Gyn Associates', 'Alisa', NULL, 'Carlton', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', NULL, NULL, 'O', '12176 S 1000 E', 'Draper', 'Salt Lake', 'UT', '84020', '8015233053', '8015233059', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497766083', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870635422', 'W77007552', 'W77007552', 'UT01', 'Rocky Mountain Foot And Ankle', 'John', 'L', 'Black', 'DPM', 'Podiatry', NULL, NULL, NULL, 'B', 'PO Box 98', 'Springville', 'Utah', 'UT', '84663', '8013750346', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPOD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-07-29', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255389136', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870639748', 'W77007553', 'W77007553', 'UT01', 'Hoopes Vision Correction Center', 'Phillip', 'C', 'Hoopes', 'MD', 'Ophthalmology', 'Ophthalmology', NULL, NULL, 'O', '3650 N University Ave Ste 200', 'Provo', 'Utah', 'UT', '84604', '8015680200', '8015630200', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-09-30', '2005-09-30', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1629067921', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007554', 'W77007554', 'UT01', 'Uuhc Mobile Echo', 'Bruce', 'E', 'Bray', 'MD', 'Cardiovascular Disease', 'Internal Medicine', 'Echocardiography', NULL, 'O', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124118708', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007556', 'W77007556', 'UT01', 'Uuhc Central Billing-Redwood Clinic', 'Phillip', 'R', 'Bryant', 'DO', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-07-01', '2005-09-02', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832198', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007557', 'W77007557', 'UT01', 'UUHC Redstone Clinic', 'Richard', 'M', 'Craig', 'MD', 'Gastroenterology', 'Internal Medicine', NULL, NULL, 'O', '1743 Redstone Ctr Dr Ste 115', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-01-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174613764', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007558', 'W77007558', 'UT01', 'Uuhc Central Billing-Redwood Clinic', 'Devon', NULL, 'Hale', 'MD', 'Infectious Disease', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1922183615', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007559', 'W77007559', 'UT01', 'Uuhc Central Billing', 'Sancy', 'A', 'Leachman', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295833788', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007560', 'W77007560', 'UT01', 'Uuhc Mobile Echo', 'Sheldon', 'L', 'Litwin', 'MD', 'Cardiovascular Disease', 'Radiologist', NULL, NULL, 'O', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861447989', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007561', 'W77007561', 'UT01', 'Uuhc Central Billing-Redwood Clinic', 'David', 'J', 'Petron', 'MD', 'Orthopedic Surgery', 'Sports Medicine', NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881775062', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007562', 'W77007562', 'UT01', 'Uuhc Central Billing', 'Ram', 'C', 'Sharma', 'MD', 'Cardiovascular Disease', 'Internal Medicine', NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-08-15', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831379', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007563', 'W77007563', 'UT01', 'UUHC Redstone Clinic', 'Geoffrey', 'C', 'Tabin', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1743 Redstone Ctr Dr Ste 115', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2005-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912097544', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'W77007564', 'W77007564', 'UT01', 'Uuhc Central Billing', 'Christopher', 'C', 'Tietze', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', 'PO Box 510708', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811087448', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007565', 'W77007565', 'UT01', 'U Of U Cardiology-Medical Dr', 'Shama', 'J', 'Anwar', 'PA', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-11-01', '2006-06-19', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834620', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007566', 'W77007566', 'UT01', 'U Of U Cardiology', 'Feras', 'M', 'Bader', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2006-07-05', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629001243', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007567', 'W77007567', 'UT01', 'U Of U Cardiology-Medical Dr', 'Jason', 'S', 'Biggs', 'PA', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-10-07', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750471389', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007568', 'W77007568', 'UT01', 'U Of U Cardiology-Stansbury', 'Richard', 'L', 'Callihan', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '220 Millpond Ste 100', 'Stansbury Park', 'Tooele', 'UT', '84074', '4358827711', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-04-01', '2005-08-24', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834562', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007569', 'W77007569', 'UT01', 'U Of U Cardiology', 'Brenda', 'I', 'Fish', 'NP', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689764284', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007570', 'W77007570', 'UT01', 'U Of U Cardiology', 'Edward', 'W', 'Ganellen', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-04-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833344', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007572', 'W77007572', 'UT01', 'U Of U Cardiology-Medical Dr', 'Edward', 'Michael', 'Gilbert', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003903923', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870642241', 'W77007615', 'W77007615', 'UT01', 'Northern Ut Gastro & Endoscopy Specialists', 'Dirk', 'R', 'Davis', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', 'PO Box 25692', 'Salt Lake City', 'Salt Lake', 'UT', '84125', '4357870270', '4357870262', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-11-28', '2006-10-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1134187263', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642241', 'W77007616', 'W77007616', 'UT01', 'Northern Ut Gastro & Endoscopy Specialists', 'Bryan', 'R', 'Larsen', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '630 E 1400 N Ste 100 B', 'Logan', 'Cache', 'UT', '84341', '4357870270', '4357870262', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-02-04', '2006-10-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972561165', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642933', 'W77007617', 'W77007617', 'UT01', 'Dermatology Center Of Salt Lake', 'Joseph', 'D', 'Jensen', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '7396 Union Park Ave Ste 201', 'Midvale', 'Salt Lake', 'UT', '84047', '8015671400', '8015671777', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2002-04-01', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1740281500', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643070', 'W77007618', 'W77007618', 'UT01', 'Circle Of Life Womens Center', 'Guy', 'T', 'Cox', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1525 E 6000 S', 'Ogden', 'Weber', 'UT', '84405', '8013375800', '8013375808', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649205154', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643070', 'W77007619', 'W77007619', 'UT01', 'Circle Of Life Womens Center', 'Julia', NULL, 'Johansson', 'MD', 'Obstetrics and Gynecology', 'Obstetrics and Gynecology', NULL, NULL, 'O', '1525 E 6000 S', 'Ogden', 'Weber', 'UT', '84405', '8013375800', '8013375808', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-11-07', '2006-10-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1174546998', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643070', 'W77007620', 'W77007620', 'UT01', 'Circle Of Life Womens Center', 'Karen', 'E', 'McBride', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1525 E 6000 S', 'Ogden', 'Weber', 'UT', '84405', '8013375800', '8013375808', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1568485001', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007621', 'W77007621', 'UT01', 'U Of U Cardiology', 'Dale', 'G', 'Renlund', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508873209', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007622', 'W77007622', 'UT01', 'U Of U Cardiology', 'Ram', 'C', 'Sharma', 'MD', 'Cardiovascular Disease', 'Internal Medicine', NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-08-15', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831379', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007623', 'W77007623', 'UT01', 'U Of U Cardiology-Red Butte Clinic', 'Fredric', 'C', 'Shean', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '546 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015851031', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174613798', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007624', 'W77007624', 'UT01', 'U Of U Cardiology', 'Daniel', 'P', 'Vezina', 'MD', 'Echocardiography', 'Anesthesiology', 'Cardiovascular Disease', NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '46.96', NULL, NULL, 3, '2001-07-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487744074', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007627', 'W77007627', 'UT01', 'U Of U Cardiology-Medical Dr', 'Brian', 'K', 'Whisenant', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817715', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-07-10', '2005-04-30', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750359253', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443687', 'W77007628', 'W77007628', 'UT01', 'U Of U Cardiology-Tooele', 'Brian', 'K', 'Whisenant', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '196 E 2000 N Ste 104', 'Tooele', 'Tooele', 'UT', '84074', '4358826088', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-07-10', '2004-06-11', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750359253', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870444053', 'W77007629', 'W77007629', 'UT01', 'Seeholzer, Jeffrey H', 'Jeff', 'H', 'Seeholzer', 'OD', 'Optometry', NULL, NULL, NULL, 'B', '124 N Main St', 'Logan', 'Cache', 'UT', '84321', '8017525334', NULL, NULL, NULL, '', NULL, NULL, '', '', 'ULOGBMC', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326196569', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870444057', 'W77007630', 'W77007630', 'UT01', 'Roosevelt Vision Clinic', 'Scott', 'H', 'Kowallis', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '165 W 200 N', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357222981', '4357223732', NULL, NULL, '', NULL, NULL, '', '', 'UTALBERT', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861487050', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'W77007631', 'W77007631', 'UT01', 'U Of U Gastroenterology', 'David', 'J', 'Bjorkman', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386615', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487744017', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'W77007632', 'W77007632', 'UT01', 'U Of U Gastroenterology', 'Randall', 'W', 'Burt', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386615', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033209622', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'W77007633', 'W77007633', 'UT01', 'U Of U Gastroenterology', 'Mae', 'Foung', 'Go', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386615', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-06-04', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184655128', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'W77007634', 'W77007634', 'UT01', 'U Of U Gastroenterology', 'William', 'R', 'Hutson', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386615', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDGSTR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-12-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528158128', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007635', 'W77007635', 'UT01', 'U Of U Pediatric Orthopedics', 'Thomas', 'F', 'Higgins', 'MD', 'Orthopedic Surgery', 'Pediatric Orthopedic Surgery', NULL, NULL, 'B', 'PO Box 58886', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-10-16', '2000-10-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376598615', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007636', 'W77007636', 'UT01', 'U Of U Pediatric Orthopedics', 'Douglas', 'T', 'Hutchinson', 'MD', 'Orthopedic Surgery', 'Hand Surgery', 'Pediatric Orthopedic Surgery', NULL, 'O', '100 N Medical Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972557825', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007637', 'W77007637', 'UT01', 'U Of U Pediatric Orthopedics', 'Robert', 'Lor', 'Randall', 'MD', 'Orthopedic Surgery', 'Oncology', NULL, NULL, 'O', '100 N Medical Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833795', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007638', 'W77007638', 'UT01', 'U Of U Pediatric Orthopedics', 'Robert', 'Lor', 'Randall', 'MD', 'Orthopedic Surgery', 'Oncology', NULL, NULL, 'B', 'PO Box 58886', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '1999-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833795', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007639', 'W77007639', 'UT01', 'U Of U Pediatric Orthopedics', 'John', 'T', 'Smith', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'O', '1050 E S Temple', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013504111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255432001', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007640', 'W77007640', 'UT01', 'U Of U Pediatric Orthopedics', 'Peter', 'M', 'Stevens', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'B', 'PO Box 58886', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881649929', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007641', 'W77007641', 'UT01', 'U Of U Pediatric Orthopedics', 'Alan', 'K', 'Stotts', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'O', '100 N Medical Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-08-02', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1902859473', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870646531', 'W77007642', 'W77007642', 'UT01', 'Family Medical Center', 'Douglas', 'R', 'Jones', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '48 N 1100 E Ste B', 'American Fork', 'Utah', 'UT', '84003', '8017562000', '8017630055', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-12-27', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831575', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870648457', 'W77007643', 'W77007643', 'UT01', 'Womens & Childrens Specialty Services', 'Teresa', 'S', 'Damery', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-07-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831723', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870648457', 'W77007644', 'W77007644', 'UT01', 'Womens & Childrens Specialty Services', 'Jean', NULL, 'George', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015879500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-08-21', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841380441', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870648457', 'W77007645', 'W77007645', 'UT01', 'Womens & Childrens Specialty Services', 'Sara', 'J', 'Hake-Brooks', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015879500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-08-29', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832712', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870648457', 'W77007646', 'W77007646', 'UT01', 'Womens & Childrens Specialty Services', 'Lisa', 'D', 'Kaloczi', 'CNM', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015852378', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-11-18', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154411759', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870648457', 'W77007647', 'W77007647', 'UT01', 'Womens & Childrens Specialty Services', 'Shelly', 'J', 'Reed', 'APRN', 'Anesthesiology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015852378', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '46.96', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124118740', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649259', 'W77007648', 'W77007648', 'UT01', 'Alpine Orthopedic Specialists', 'Terry', NULL, 'Finlayson', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '2310 N 400 E Ste A', 'North Ogden', 'Cache', 'UT', '84341', '4357872000', '4357871913', NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-04-01', '2006-10-31', 0, 0, 0, 'Brigham City Community Hospital', 'Logan Regional Hospital', NULL, NULL, 'HCFA|UB|', '1316935539', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870638453', 'W77007649', 'W77007649', 'UT01', 'Alpine Sports Medicine', 'Megan', 'B', 'Williams', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '2015 Sidewinder Dr', 'Park City', 'Summit', 'UT', '84060', '4356459095', '4356459092', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-01-21', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093860405', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870638577', 'W77007650', 'W77007650', 'UT01', 'Dept of Ophthalmology Peds', 'Charles', 'A', 'Barsam', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883645', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-07-01', '2004-07-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832610', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870638577', 'W77007651', 'W77007651', 'UT01', 'Dept Of Ophthalmology Peds', 'Scott', 'A', 'Larson', 'MD', 'Pediatric Ophthalmology', 'Ophthalmology', NULL, NULL, 'B', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883645', '8015813357', NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-08-01', '2003-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992757991', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870452022', 'W77007737', 'W77007737', 'UT01', 'Mt Timpanogos Womens Healthcare', 'Claudia', NULL, 'Killebrew', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1886 W 800 N', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497717052', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870452022', 'W77007738', 'W77007738', 'UT01', 'Mt Timpanogos Womens Healthcare', 'Julie', NULL, 'O''Neill', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1886 W 800 N', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-06-03', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831572', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870452022', 'W77007739', 'W77007739', 'UT01', 'Mt Timpanogos Womens Healthcare', 'Bryan', 'M', 'Watabe', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1886 W 800 N', 'Pleasant Grove', 'Utah', 'UT', '84062', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-08-06', '2006-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245296623', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870452022', 'W77007740', 'W77007740', 'UT01', 'Mt Timpanogos Womens Healthcare', 'Roberta', NULL, 'Wilson', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '3688 Campus Dr Ste 200', 'Eagle Mountain', 'Utah', 'UT', '84043', '8017565288', '8017567589', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2005-10-11', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832544', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'W77007741', 'W77007741', 'UT01', 'University Of Utah Rheumatology Division', 'Michael', 'J', 'Battistone', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817725', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689764219', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870454444', 'W77007742', 'W77007742', 'UT01', 'Nielsen, Joe', 'Joe', 'R', 'Nielsen', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', '415 Medical Dr Ste D-200', 'Bountiful', 'Davis', 'UT', '84010', '8012926277', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992766885', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870454444', 'W77007743', 'W77007743', 'UT01', 'Nielsen, Joe', 'Joe', 'R', 'Nielsen', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '415 Medical Dr Ste D200', 'Bountiful', 'Davis', 'UT', '84010', '8012926277', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992766885', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77007744', 'W77007744', 'UT01', 'Park City Healthcare', 'Christopher', 'L', 'Hays', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Park City Medical Center', 'Salt Lake Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1144274499', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77007745', 'W77007745', 'UT01', 'Park City Healthcare', 'R', 'Herbert', 'Lepley', 'APRN', 'Family Practice', 'Advanced Practice Registered Nurse', NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1588611495', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77007746', 'W77007746', 'UT01', 'Park City Healthcare', 'June', 'E', 'Neeley', 'APRN', 'Family Practice', 'Advanced Practice Registered Nurse', NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508965369', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77007747', 'W77007747', 'UT01', 'Park City Healthcare', 'June', 'E', 'Neeley', 'APRN', 'Family Practice', 'Advanced Practice Registered Nurse', NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508965369', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77007748', 'W77007748', 'UT01', 'Park City Healthcare', 'Sandra', 'L', 'VanLeuven', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URSTDFAM', NULL, NULL, '0.00', '35.00', NULL, 3, '2006-04-12', '2006-04-12', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831904', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870653551', 'W77007749', 'W77007749', 'UT01', 'Park City Healthcare', 'Robert', 'T', 'Winn', 'MD', 'Family Practice', 'Pediatrics', NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912951393', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870654617', 'W77007750', 'W77007750', 'UT01', 'Price Family Medicine', 'Jeannee', 'L', 'Olsen', 'PAC', NULL, NULL, NULL, NULL, 'O', '280 N Hospital Dr Ste 4', 'Price', 'Carbon', 'UT', '84501', '4356376271', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2005-07-29', '2006-12-31', 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital-Pro Fees', NULL, NULL, 'HCFA|UB|', '1194810937', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656237', 'W77007751', 'W77007751', 'UT01', 'Southern Utah Physical Therapy & Rehab', 'Gail', 'T', 'Brinkerhoff', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '166 W 1325 N Ste 100', 'Cedar City', 'Iron', 'UT', '84720', '4355860064', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-10-01', '2005-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832733', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656237', 'W77007752', 'W77007752', 'UT01', 'Southern Utah Physical Therapy & Rehab', 'Brady', 'K', 'Englestead', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '166 W 1325 N Ste 100', 'Cedar City', 'Iron', 'UT', '84720', '4355860064', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-06-20', '2005-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832620', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656237', 'W77007753', 'W77007753', 'UT01', 'Southern Utah Physical Therapy & Rehab', 'Brady', 'K', 'Englestead', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '250 E Ctr St', 'Panguitch', 'Garfield', 'UT', '84759', '4356768944', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-06-20', '2005-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832620', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641072', 'W77007754', 'W77007754', 'UT01', 'Parkway Pediatrics', 'Jimmy', 'L', 'Ryan', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1288 W 12700 S', 'Riverton', 'Salt Lake', 'UT', '84065', '8012533500', '8012535859', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1508800145', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641300', 'W77007755', 'W77007755', 'UT01', 'Utah Hyperbaric Physicians', 'Terri', 'L', 'DeJohn', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', '4056821586', NULL, NULL, '', NULL, NULL, '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2000-01-01', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833299', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641300', 'W77007756', 'W77007756', 'UT01', 'Utah Hyperbaric Physicians', 'Mark', 'G', 'Flammer', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '520 Medical Dr Ste 110', 'Bountiful', 'Davis', 'UT', '84010', '8013970890', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2000-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833301', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641300', 'W77007757', 'W77007757', 'UT01', 'Utah Hyperbaric Physicians', 'Tommy', NULL, 'Love', 'DO', 'Hyperbaric Medicine ', NULL, NULL, NULL, 'O', '520 Medical Dr Ste 110', 'Bountiful', 'Davis', 'UT', '84010', '8013970890', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832571', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77007758', 'W77007758', 'UT01', 'Pediatric Urology Associates', 'Patrick', 'C', 'Cartwright', 'MD', 'Pediatrics', 'Urology', NULL, NULL, 'B', 'PO Box 581075', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1467542050', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77007759', 'W77007759', 'UT01', 'Pediatric Urology Associates-PCmc', 'Patrick', 'C', 'Cartwright', 'MD', 'Pediatrics', 'Urology', NULL, NULL, 'O', '100 N Medical Dr Ste 2200', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1467542050', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77007760', 'W77007760', 'UT01', 'Pediatric Urology Associates', 'Catherine', 'R', 'DeVries', 'MD', 'Urology', NULL, NULL, NULL, 'B', 'PO Box 581075', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-01-08', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144310731', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77007761', 'W77007761', 'UT01', 'Pediatric Urology Associates-PCmc', 'Catherine', 'R', 'DeVries', 'MD', 'Urology', NULL, NULL, NULL, 'O', '100 N Medical Dr Ste 2200', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-01-08', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144310731', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77007762', 'W77007762', 'UT01', 'Pediatric Urology Associates-PCmc', 'AnnMarie', NULL, 'Hannon', 'NP', 'Urology', NULL, NULL, NULL, 'O', '100 N Medical Dr Ste 2200', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-01-08', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730279332', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77007763', 'W77007763', 'UT01', 'Pediatric Urology Associates', 'Heidi', 'K', 'White', 'NP', 'Urology', NULL, NULL, NULL, 'B', 'PO Box 581075', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2004-06-21', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346330933', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642019', 'W77007764', 'W77007764', 'UT01', 'Pediatric Urology Associates-PCmc', 'Heidi', 'K', 'White', 'NP', 'Urology', NULL, NULL, NULL, 'O', '100 N Medical Dr Ste 2200', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2004-06-21', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346330933', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870642241', 'W77007765', 'W77007765', 'UT01', 'Northern Ut Gastro & Endoscopy Specialists', 'Bryan', 'R', 'Larsen', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', 'PO Box 25692', 'Salt Lake City', 'Salt Lake', 'UT', '84125', '4357870270', '4357870262', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-02-04', '2006-10-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972561165', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643070', 'W77007766', 'W77007766', 'UT01', 'Circle Of Life Womens Center', 'Machel', 'M', 'Knowles', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1525 E 6000 S', 'Ogden', 'Weber', 'UT', '84405', '8013375800', '8013375808', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1780608828', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643070', 'W77007767', 'W77007767', 'UT01', 'Circle Of Life Womens Center', 'Kathleen', 'C', 'Mark', 'CNM', 'Obstetrics and Gynecology', 'Certified Nurse Midwife', NULL, NULL, 'O', '1525 E 6000 S', 'Ogden', 'Weber', 'UT', '84405', '8013375800', '8013375808', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1851314389', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007768', 'W77007768', 'UT01', 'U Of U General Peds', 'Gita', 'S', 'Reddy', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367726', '8012367733', NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2004-10-01', '2006-02-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '910210', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007769', 'W77007769', 'UT01', 'U Of U Pediatrics - PCMC', 'Alison', 'C', 'Rentz', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882440', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-07-02', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831698', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007770', 'W77007770', 'UT01', 'U Of U General Peds', 'Julie', NULL, 'Steele', 'NP', NULL, NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2005-08-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962592592', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007771', 'W77007771', 'UT01', 'U Of U Pediatric Orthopedics', 'John', 'Thomas', 'Braun', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 58886', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-12-06', '1999-12-06', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834162', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870649259', 'W77007820', 'W77007820', 'UT01', 'Alpine Orthopedic Specialists', 'Lance', NULL, 'Delange', 'NP', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 6250', 'Logan', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-07-11', '2006-10-31', 0, 0, 0, 'Brigham City Community Hospital', 'Logan Regional Hospital', NULL, NULL, 'HCFA|UB|', '1861476939', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649259', 'W77007821', 'W77007821', 'UT01', 'Alpine Orthopedic Specialists', 'Richard', 'E', 'Gordon', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '2310 N 400 E Ste A', 'North Ogden', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 3, '2000-01-01', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834760', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649259', 'W77007822', 'W77007822', 'UT01', 'Alpine Orthopedic Specialists', 'Richard', 'E', 'Gordon', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 6250', 'Logan', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 3, '2000-01-01', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834760', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870649259', 'W77007824', 'W77007824', 'UT01', 'Alpine Orthopedic Specialists', 'Kevin', 'R', 'Kellogg', 'PA', NULL, NULL, NULL, NULL, 'B', 'PO Box 6250', 'Logan', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-10-29', '2004-10-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003899493', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649259', 'W77007825', 'W77007825', 'UT01', 'Alpine Orthopedic Specialists', 'Kevin', 'R', 'Kellogg', 'PA', NULL, NULL, NULL, NULL, 'B', 'PO Box 6250', 'Logan', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-10-29', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003899493', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649259', 'W77007826', 'W77007826', 'UT01', 'Alpine Orthopedic Specialists', 'Keith', 'J', 'Nelson', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '1950 S Highway 89', 'Perry', 'Box Elder', 'UT', '84302', '8777872031', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-04-01', '2006-10-31', 0, 0, 0, 'Brigham City Community Hospital', 'Logan Regional Hospital', NULL, NULL, 'HCFA|UB|', '1245229954', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870464264', 'W77007827', 'W77007827', 'UT01', 'Fit Stop Physical Therapy', 'Leanne', 'R', 'Seckinger', 'OT', 'Physical Therapy', NULL, NULL, NULL, 'O', '380 E 1500 S', 'Heber City', 'Wasatch', 'UT', '84032', '4356545607', '4356542602', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-08-06', '2005-03-08', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '905690', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870465963', 'W77007828', 'W77007828', 'UT01', 'Holt DO, Charles E', 'Darin', 'T', 'Smith', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 88', 'Tooele', 'Tooele', 'UT', '84074', '4358828610', '4358820186', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-16', '2006-12-31', 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1538375415', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467007', 'W77007829', 'W77007829', 'UT01', NULL, 'Todd', 'A', 'Brown', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '291 S Main St Ste C', 'Smithfield', 'Cache', 'UT', '84335', '4355636211', '4355639481', NULL, NULL, '', NULL, NULL, '', '', 'USMITH', NULL, NULL, '0.00', '25.00', NULL, 3, '1998-01-01', '2006-10-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1992765531', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467635', 'W77007830', 'W77007830', 'UT01', 'Highland Family Practice', 'Derek', 'D', 'Muse', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '4460 Highland Dr Ste 400', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012724111', '8012725989', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1720157555', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467635', 'W77007831', 'W77007831', 'UT01', 'Highland Family Practice', 'Amanda', 'J', 'Wirth', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '4460 Highland Dr Ste 400', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012724111', '8012725989', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376612150', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'W77007832', 'W77007832', 'UT01', 'U Of U Human Development Division', 'Sara', 'Jane', 'Andersen', 'MD', 'Rheumatology', '', NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386815', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164512786', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'W77007833', 'W77007833', 'UT01', 'U Of U Human Development Div', 'Miriam', 'D G', 'Beattie', 'NP', 'Geriatric Medicine ', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8012386815', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-07-09', '2004-08-06', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215027842', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'W77007834', 'W77007834', 'UT01', 'U Of U Human Development Division', 'Jonathan', 'R', 'Nebeker', 'MD', 'Geriatric Medicine ', NULL, NULL, NULL, 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386815', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609966217', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870658625', 'W77007839', 'W77007839', 'UT01', 'Wasatch Peak Family Practice', 'Kevin', 'L', 'Gardner', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1580 W Antelope Dr Ste 280', 'Layton', 'Davis', 'UT', '84041', '8017730925', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-03-01', '2006-05-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1790897452', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870659348', 'W77007842', 'W77007842', 'UT01', 'University Pathology Associates', 'James', NULL, 'Albro', 'MD', 'Pathology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812508', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-10-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831968', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77007843', 'W77007843', 'UT01', 'University Pathology Associates', 'Kojo', 'S', 'Elenitoba-Johnson', 'MD', 'Pathology', NULL, NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2000-12-01', '2006-08-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834338', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870659348', 'W77007846', 'W77007846', 'UT01', 'University Pathology Associates', 'Joseph', 'A', 'Holden', 'MD', 'Pathology', 'Anatomic Pathology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8012974891', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629168224', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77007847', 'W77007847', 'UT01', 'University Pathology Associates', 'Joseph', 'A', 'Holden', 'MD', 'Pathology', 'Anatomic Pathology', NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629168224', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77007848', 'W77007848', 'UT01', 'University Pathology Associates', 'Megan', 'S', 'Lim', 'MD', 'Pathology', NULL, NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2000-12-01', '2006-08-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834364', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77007849', 'W77007849', 'UT01', 'University Pathology Associates', 'Theodore', 'J', 'Pysher', 'MD', 'Pathology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8012974891', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-08-28', '2005-06-30', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834310', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77007850', 'W77007850', 'UT01', 'University Pathology Associates', 'Theodore', 'J', 'Pysher', 'MD', 'Pathology', NULL, NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-08-28', '2005-06-30', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834310', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77007851', 'W77007851', 'UT01', 'University Pathology Associates', 'Wade', 'S', 'Samowitz', 'MD', 'Pathology', 'Anatomic Pathology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8012974891', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-12-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912097536', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77007852', 'W77007852', 'UT01', 'University Pathology Associates', 'James', NULL, 'Seaman', 'MD', 'Pathology', 'Anatomic Pathology', 'Laboratory', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812508', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-11-27', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548229487', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643871', 'W77007853', 'W77007853', 'UT01', NULL, 'Navin', 'K', 'Varma', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '1452 E Ridgeline Dr Ste 151', 'Ogden', 'Weber', 'UT', '84405', '8014797009', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832703', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643872', 'W77007854', 'W77007854', 'UT01', 'Intermountain Neurology Clinic', 'Khaldoun', 'M', 'Al-Rayess', 'MD', 'Endocrinology', 'Internal Medicine', NULL, NULL, 'O', '2102 Robins Dr Ste 1', 'Layton', 'Davis', 'UT', '84041', '8017768080', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-06-24', '2006-09-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1003808122', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643872', 'W77007855', 'W77007855', 'UT01', 'Intermountain Neurology Clinic', 'Ahmad', 'N', 'Al-Sadat', 'MD', 'Neurology', 'Neurophysiology', NULL, NULL, 'O', '2102 Robins Dr Ste 1', 'Layton', 'Davis', 'UT', '84041', '8017768080', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-05-23', '2006-09-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1104828987', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870643939', 'W77007856', 'W77007856', 'UT01', 'Utah Physiatry Associates', 'Valton', 'N', 'King', 'DO', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'O', '839 E 1200 S', 'Orem', 'Utah', 'UT', '84097', '8012240891', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457427817', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870643939', 'W77007857', 'W77007857', 'UT01', 'Utah Physiatry Associates', 'Valton', 'N', 'King', 'DO', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'B', 'PO Box 970188', 'Orem', 'Utah', 'UT', '84097', '8012240891', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457427817', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870644653', 'W77007858', 'W77007858', 'UT01', 'Workman, Allen', 'Allen', 'Edson', 'Workman', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '196 E 2000 N Ste 105', 'Tooele', 'Tooele', 'UT', '84074', '4358433859', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407896277', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870644792', 'W77007859', 'W77007859', 'UT01', 'South Valley Eyecare Center', 'David', 'A', 'Smith', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '169 Springcreek Pkwy Ste 130', 'Providence', 'Cache', 'UT', '84332', '4357134444', NULL, NULL, NULL, '', NULL, NULL, '', '', 'ULOGBMC', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-02-18', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417067950', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007860', 'W77007860', 'UT01', 'U Of U General Peds', 'Jeffrey', 'R', 'Botkin', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833058', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007862', 'W77007862', 'UT01', 'U Of U General Peds', 'Nicole', 'R', 'Frei', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-02-04', '2004-11-05', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437260338', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007863', 'W77007863', 'UT01', 'U Of U General Peds', 'Laura', 'L', 'Hammitt', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-07-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831735', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007864', 'W77007864', 'UT01', 'U Of U General Peds', 'Wendy', 'L', 'Hobson', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817877', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834205', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007865', 'W77007865', 'UT01', 'U Of U Pediatrics - PCMC', 'Marin', NULL, 'Kiesau', 'MD', 'Pediatrics', 'Pediatrics', NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-08-22', '2004-07-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831692', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007866', 'W77007866', 'UT01', 'U Of U General Peds', 'Amy', 'T', 'Kirk', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-06-13', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834704', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645559', 'W77007867', 'W77007867', 'UT01', 'U Of U General Peds', 'Amy', 'T', 'Kirk', 'MD', 'Neonatology', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-06-13', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834704', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649259', 'W77007868', 'W77007868', 'UT01', 'Alpine Orthopedic Specialists', 'Keith', 'J', 'Nelson', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 6250', 'Logan', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-04-01', '2006-10-31', 0, 0, 0, 'Brigham City Community Hospital', 'Logan Regional Hospital', NULL, NULL, 'HCFA|UB|', '1245229954', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649259', 'W77007869', 'W77007869', 'UT01', 'Alpine Orthopedic Specialists', 'Lori', 'N', 'Welter', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'O', '2310 N 400 E Ste A', 'North Ogden', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-08-26', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '933640', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649259', 'W77007870', 'W77007870', 'UT01', 'Alpine Orthopedic Specialists', 'Whitney', 'M', 'Werner', 'PA', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 6250', 'Logan', 'Cache', 'UT', '84341', '4357872000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-07-08', '2006-10-31', 0, 0, 0, 'Brigham City Community Hospital', 'Logan Regional Hospital', 'St Marks Hospital', NULL, 'HCFA|UB|', '1629011754', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649536', 'W77007871', 'W77007871', 'UT01', 'Intermountain Epilepsy & Sleep Center', 'Maya', NULL, 'Thomas', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '5323 WooDrow St Ste 203', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012665559', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-05-19', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1730138629', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870649956', 'W77007872', 'W77007872', 'UT01', 'Parkin, Jay', 'Jay', 'D', 'Parkin', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '9844 S 1300 E Ste 100', 'Sandy', 'Salt Lake', 'UT', '84094', '8015719433', '8015725607', NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780679340', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870651047', 'W77007873', 'W77007873', 'UT01', 'Flegal Foot And Ankle Clinic', 'Douglas', 'C', 'Flegal', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '740 E 3900 S Ste 108', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012663113', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710955745', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653164', 'W77007874', 'W77007874', 'UT01', 'Utah Digestive Health Institute', 'John', 'E', 'Lowe', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '6028 S Ridgeline Dr Ste 201', 'South Ogden', 'Weber', 'UT', '84405', '8014755400', '8014758614', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1851387195', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653164', 'W77007875', 'W77007875', 'UT01', 'Utah Digestive Health Institute', 'Brian', 'W', 'Pugh', 'DO', 'Gastroenterology', NULL, NULL, NULL, 'B', '6028 S Ridgeline Dr Ste 201', 'Ogden', 'Weber', 'UT', '84405', '8014755400', '8014758614', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1023005808', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653164', 'W77007876', 'W77007876', 'UT01', 'Utah Digestive Health Institute', 'Dennis', 'W', 'Sobotka', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'B', '6028 S Ridgeline Dr Ste 201', 'Ogden', 'Weber', 'UT', '84405', '8014755400', '8014758614', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1932196714', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653164', 'W77007877', 'W77007877', 'UT01', 'Utah Digestive Health Institute', 'Dennis', 'W', 'Sobotka', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '6028 S Ridgeline Dr Ste 201', 'South Ogden', 'Weber', 'UT', '84405', '8014755400', '8014758614', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1932196714', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653464', 'W77007878', 'W77007878', 'UT01', 'Kevin Church Physical Therapy', 'Kevin', 'D', 'Church', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5255 S 4015 W Ste 205', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019571797', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-01-30', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833798', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77007879', 'W77007879', 'UT01', 'Park City Healthcare', 'Joseph', NULL, 'Albano', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-10-01', '2006-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834238', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77007880', 'W77007880', 'UT01', 'Park City Healthcare', 'Cress', 'R', 'Bohnn', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1861423113', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007881', 'W77007881', 'UT01', 'U Of U Dermatology', 'John', 'L', 'Bezzant', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1730175720', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007883', 'W77007883', 'UT01', 'U Of U Dermatology', 'Glen', 'M', 'Bowen', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851311070', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007885', 'W77007885', 'UT01', 'U Of U Dermatology', 'John', 'W', 'Gerwels', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832356', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007886', 'W77007886', 'UT01', 'U Of U Dermatology', 'Gerald', 'J', 'Gleich', 'MD', 'Allergy and Immunology', 'Internal Medicine', 'Dermatology', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-01-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174545800', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007888', 'W77007888', 'UT01', 'U Of U Dermatology-Murray Clinic', 'Michael', 'L', 'Hadley', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 Fashion Blvd Ste 250', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-08-18', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699797811', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007889', 'W77007889', 'UT01', 'U Of U Dermatology', 'Christopher', 'M', 'Hull', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477659746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007890', 'W77007890', 'UT01', 'U Of U Dermatology', 'Christopher', 'M', 'Hull', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015812955', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477659746', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007891', 'W77007891', 'UT01', 'U Of U Dermatology-Murray Clinic', 'Christopher', 'M', 'Hull', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 Fashion Blvd Ste 250', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477659746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007892', 'W77007892', 'UT01', 'U Of U Dermatology', 'Catherine', 'B', 'Johnson', 'APRN ', 'Dermatology', 'Pediatric Dermatology', 'Pediatrics', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015812955', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-10-01', '2006-07-31', 0, 0, 0, 'Riverton Childrens Unit Operated by Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1952424129', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'W77007894', 'W77007894', 'UT01', 'U Of U Dermatology', 'Clive', 'M', 'Liu', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832611', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77007895', 'W77007895', 'UT01', 'University Pathology Associates', 'Julinia', NULL, 'Szakacs', 'MD', 'Pathology', NULL, NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-12-01', '2004-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834340', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77007896', 'W77007896', 'UT01', 'University Pathology Associates', 'Ronald', 'L', 'Weiss', 'MD', 'Pathology', 'Clinical Pathology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8012974891', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-12-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821188418', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870470338', 'W77007943', 'W77007943', 'UT01', 'Felt-Spencer Physical Therapy', 'Stephen', 'R', 'Spencer', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5734 S 1475 E Ste 300', 'Ogden', 'Weber', 'UT', '84403', '8014757628', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2001-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834742', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870665148', 'W77007945', 'W77007945', 'UT01', NULL, 'Frank', 'E', 'Tilaro', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '270 12th St Ste B', 'Ogden', 'Weber', 'UT', '84404', '8013374000', '8014758580', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821027525', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870665299', 'W77007946', 'W77007946', 'UT01', 'Univ Of Utah Cardiothoracic Surgeons', 'William', NULL, 'Wong', 'PA', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr Ste 3C127', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015815311', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-06-01', '2006-05-03', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609966290', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870666061', 'W77007947', 'W77007947', 'UT01', 'Copperview Medical Center', 'Martin', 'A(Sonny)', 'Hollingsworth', 'MD', 'Pediatrics', 'Internal Medicine', NULL, NULL, 'O', '3556 W 9800 S Ste 101', 'South Jordan', 'Salt Lake', 'UT', '84095', '8015679780', '8015679826', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-08-01', '2006-05-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1821054842', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870666061', 'W77007948', 'W77007948', 'UT01', 'Copperview Medical Center', 'Vilate', 'M', 'Thur', 'NP', 'Pediatrics', NULL, NULL, NULL, 'O', '3556 W 9800 S Ste 101', 'South Jordan', 'Salt Lake', 'UT', '84095', '8015679780', '8015679826', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-11-08', '2004-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '908423', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870666450', 'W77007949', 'W77007949', 'UT01', 'Wade, Ralph', 'Ralph', 'D', 'Wade', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '520 Medical Dr Ste 210', 'Bountiful', 'Davis', 'UT', '84010', '8012989155', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-16', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447256953', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870666819', 'W77007950', 'W77007950', 'UT01', 'Wasatch Neurological Surgery', 'Todd', 'E', 'Stanford', 'PA', NULL, NULL, NULL, NULL, 'B', '1486 E Skyline Dr Ste 201', 'Ogden', 'Weber', 'UT', '84405', '8014755990', '8014755905', NULL, NULL, '', NULL, NULL, '', '', 'UOGDEN', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-07-29', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '933302', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870667124', 'W77007951', 'W77007951', 'UT01', NULL, 'Ina', 'J', 'Amber', 'MD', 'Infectious Disease', NULL, NULL, NULL, 'O', '1151 E 3900 S Ste B299', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012686830', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760549927', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870668900', 'W77007952', 'W77007952', 'UT01', 'Castleview Hospital', 'George', 'Nicholas', 'Baldwin', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', '300 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834484', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870668900', 'W77007953', 'W77007953', 'UT01', 'Mountain Valley Imaging', 'George', 'Nicholas', 'Baldwin', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 470', 'Ogden', 'Weber', 'UT', '84402', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-09-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834484', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870668900', 'W77007954', 'W77007954', 'UT01', 'Mountain Valley Imaging', 'Barry', 'M', 'Birkin', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', 'PO Box 470', 'Ogden', 'Weber', 'UT', '84402', '8016216671', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, 'Evanston Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1144289521', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870668900', 'W77007955', 'W77007955', 'UT01', 'Mountain Valley Imaging', 'William', 'John', 'Dubiel', 'MD', 'Radiologist', NULL, NULL, NULL, 'O', 'PO Box 470', 'Ogden', 'Weber', 'UT', '84402', '8016216671', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834550', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870668900', 'W77007956', 'W77007956', 'UT01', 'Castleview Hospital', 'John', 'C', 'Olson', 'MD', 'Radiology', NULL, NULL, NULL, 'O', '300 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, 'Evanston Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1932169604', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870669111', 'W77007957', 'W77007957', 'UT01', 'Health for Life', 'Douglas', 'K', 'Endo', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5974 Fashion Point Dr Ste 110', 'Ogden', 'Weber', 'UT', '84403', '8014756800', '8014756802', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2005-05-20', '2006-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '925104', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870669215', 'W77007958', 'W77007958', 'UT01', 'Young, Burk', 'Burk', 'T', 'Young', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '175 N 100 W Ste 201', 'Vernal', 'Uintah', 'UT', '84078', '4357897845', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366490963', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870669626', 'W77007959', 'W77007959', 'UT01', 'Arc Physical Therapy', 'al Therapy', NULL, 'Arc Physic', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'O', '3785 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8017780555', '8017780080', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-05-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832963', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007960', 'W77007960', 'UT01', 'U Of U Pediatric Orthopedics', 'John', 'Thomas', 'Braun', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '100 N Medical Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-12-06', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834162', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007961', 'W77007961', 'UT01', 'U Of U Pediatric Orthopedics', 'John', 'Thomas', 'Braun', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812041', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-12-06', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834162', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007962', 'W77007962', 'UT01', 'U Of U Pediatric Orthopedics', 'Laura', 'J', 'Cannon', 'NP', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '100 N Medical Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2004-04-20', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '835221', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007963', 'W77007963', 'UT01', 'U Of U Pediatric Orthopedics', 'Thomas', 'F', 'Higgins', 'MD', 'Orthopedic Surgery', 'Pediatric Orthopedic Surgery', NULL, NULL, 'O', '100 N Medical Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-10-16', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376598615', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007964', 'W77007964', 'UT01', 'U Of U Pediatric Orthopedics', 'Thomas', 'F', 'Higgins', 'MD', 'Orthopedic Surgery', 'Pediatric Orthopedic Surgery', NULL, NULL, 'B', 'PO Box 58886', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-10-16', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376598615', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007965', 'W77007965', 'UT01', 'U Of U Pediatric Orthopedics', 'Robert', 'Lor', 'Randall', 'MD', 'Orthopedic Surgery', 'Oncology', NULL, NULL, 'O', '2000 Circle of Hope Dr Ste 2100', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855418', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833795', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007967', 'W77007967', 'UT01', 'U Of U Pediatric Orthopedics', 'John', 'T', 'Smith', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'B', 'PO Box 58886', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255432001', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870645895', 'W77007969', 'W77007969', 'UT01', 'U Of U Pediatric Orthopedics', 'Peter', 'M', 'Stevens', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'O', '1050 E S Temple', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013504111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881649929', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870646356', 'W77007970', 'W77007970', 'UT01', 'Ogden Internal Medicine Associates', 'Masood', NULL, 'Safaee-Semiromi', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '5405 S 500 E Ste 101', 'Ogden', 'Weber', 'UT', '84405', '8014755100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-10-27', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831580', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870646870', 'W77007971', 'W77007971', 'UT01', 'Walker, Douglas C', 'Douglas', 'C', 'Walker', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 278', 'Tremonton', 'Box Elder', 'UT', '84337', '4352573684', '4352577554', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, 'Bear River Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1821095142', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870648041', 'W77007972', 'W77007972', 'UT01', 'Urology Of Utah', 'McKay', 'L', 'Platt', 'MD', 'Urology', NULL, NULL, NULL, 'B', '1055 N 300 W Ste 300', 'Provo', 'Utah', 'UT', '84604', '8013577327', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '2000-01-01', '2005-04-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336230085', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870648457', 'W77007973', 'W77007973', 'UT01', 'Ob Care Now', 'Laura', 'May', 'Burton', 'NP', 'Endocrinology', 'Obstetrics and Gynecology', 'Family Practice', NULL, 'B', 'PO Box 1674', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015879500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-02-26', '2004-10-11', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942390539', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656268', 'W77007974', 'W77007974', 'UT01', 'Utah Bone & Joint Center', 'Russell', 'L', 'Nelson', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '5323 WooDrow St Ste 202', 'Murray', 'Salt Lake', 'UT', '84107', '8017130606', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-09-03', '2006-11-30', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1285628966', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870656811', 'W77007975', 'W77007975', 'UT01', 'Pro Rehab Physical Therapy', 'Michael', 'L', 'Gagon', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '590 E 100 N Ste 1', 'Price', 'Carbon', 'UT', '84501', '4356131500', '4356131501', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2000-11-02', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834483', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870657899', 'W77007976', 'W77007976', 'UT01', 'Dorothy L Williams, MD', 'Dorothy', 'L', 'Williams', 'MD', 'Neurology', 'Family Practice', NULL, NULL, 'B', '6360 S 3000 E Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8013651032', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-04-17', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1619992708', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870658212', 'W77007977', 'W77007977', 'UT01', 'Bountiful Family Healthcare', 'Steven', 'C', 'Lore', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '8012946917', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-11-19', '2006-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '911901', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870658212', 'W77007978', 'W77007978', 'UT01', 'Bountiful Family Healthcare', 'A Brett', NULL, 'Morrill', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '8012946917', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-09-24', '2006-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '909449', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870658212', 'W77007979', 'W77007979', 'UT01', 'Bountiful Family Healthcare', 'A Brett', NULL, 'Morrill', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', '425 Medical Dr Ste 205', 'Bountiful', 'Davis', 'UT', '84010', '8012946907', '8012946917', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-09-24', '2006-05-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '909449', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870675415', 'W77008058', 'W77008058', 'UT01', 'U Of U Rehab And Wellness Program', 'D James', NULL, 'Ballard', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 581002', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015818681', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-03-05', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013925197', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870675415', 'W77008059', 'W77008059', 'UT01', 'U Of U Rehab And Wellness Program', 'Reva', 'P', 'Rauk', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 581002', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015818681', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-03-04', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832935', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870678440', 'W77008063', 'W77008063', 'UT01', 'Utah Valley Obstetrical Ultrasound', 'Jodie', 'G', 'Layton', 'MS', 'Radiologist', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 303A', 'Provo', 'Utah', 'UT', '84604', '8013577377', '8013577378', NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832518', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870649755', 'W77008067', 'W77008067', 'UT01', 'Foley, Craig R', 'Craig', 'R', 'Foley', 'MD', 'Colon and Rectal Surgery', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 2855', 'Ogden', 'Weber', 'UT', '84403', '8013872550', '8013872562', NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164528964', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653164', 'W77008068', 'W77008068', 'UT01', 'Utah Digestive Health Institute', 'Jeffrey', 'S', 'Poole', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '1660 W Antelope Dr Ste 320', 'Layton', 'Davis', 'UT', '84041', '8017732268', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-08-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1649266776', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653164', 'W77008070', 'W77008070', 'UT01', 'Utah Digestive Health Institute', 'Brian', 'W', 'Pugh', 'DO', 'Gastroenterology', NULL, NULL, NULL, 'O', '6028 S Ridgeline Dr Ste 201', 'South Ogden', 'Weber', 'UT', '84405', '8014755400', '8014758614', NULL, NULL, '', NULL, NULL, '', '', 'USTDGAST', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'Davis Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1023005808', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653464', 'W77008071', 'W77008071', 'UT01', 'Church PT PC, Kevin D', 'D', NULL, 'Church PT PC, Kevin', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'O', '5255 S 4015 W Ste 205', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019571797', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '1998-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '903916', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77008072', 'W77008072', 'UT01', 'Park City Healthcare', 'Eileen', 'P', 'Burke', 'PA', NULL, NULL, NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-01-28', '2006-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649379413', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77008073', 'W77008073', 'UT01', 'Park City Healthcare', 'Robert', 'J', 'Evers', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1720033905', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77008074', 'W77008074', 'UT01', 'Park City Healthcare', 'Joseph', 'P', 'Ferriter', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1023063575', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870653551', 'W77008076', 'W77008076', 'UT01', 'Park City Healthcare', 'Christopher', 'L', 'Hays', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Park City Medical Center', 'Salt Lake Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1144274499', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77008077', 'W77008077', 'UT01', 'Park City Healthcare', 'Maggie', 'S', 'Hull', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1655 Bonanza Dr', 'Park City', 'Summit', 'UT', '84060', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2006-04-05', '2006-04-05', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013999622', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77008078', 'W77008078', 'UT01', 'Park City Healthcare', 'R', 'Herbert', 'Lepley', 'APRN', 'Family Practice', 'Advanced Practice Registered Nurse', NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1588611495', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870653551', 'W77008079', 'W77008079', 'UT01', 'Park City Healthcare', 'Maisa', 'N', 'Morris', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-08-23', '2004-12-15', 0, 0, 0, 'Health South Rehabilitation Hospital of Utah (inpatient services only)', NULL, NULL, NULL, 'HCFA|UB|', '1497794655', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870653551', 'W77008080', 'W77008080', 'UT01', 'Park City Healthcare', 'Robert', 'T', 'Winn', 'MD', 'Family Practice', 'Pediatrics', NULL, NULL, 'B', 'PO Box 680004', 'Park City', 'Summit', 'UT', '84068', '4356497640', '4356491365', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-02', '2006-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912951393', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870662864', 'W77008081', 'W77008081', 'UT01', 'Precision Medical Management - Castleview Hospital', 'Glori', 'M', 'Allen', 'MD', 'Family Practice', 'Emergency Medicine', 'Internal Medicine', NULL, 'O', '300 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', '4356374800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital-Pro Fees', NULL, NULL, 'HCFA|UB|', '1801824297', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870662864', 'W77008082', 'W77008082', 'UT01', 'Precision Medical Management', 'Travis', 'C', 'Engar', 'DO', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 1276', 'Salem', 'Utah', 'UT', '84653', '8014264689', '8014264701', NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2004-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174512669', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870662864', 'W77008083', 'W77008083', 'UT01', 'Precision Medical Management - Castleview Hospital', 'Travis', 'C', 'Engar', 'DO', 'Emergency Medicine', NULL, NULL, NULL, 'O', '300 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', '4356374800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2004-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174512669', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870662864', 'W77008084', 'W77008084', 'UT01', 'Precision Medical Management - Castleview Hospital', 'Kurt', 'V', 'King', 'MD', 'Urgent Care', 'Internal Medicine', 'Emergency Medicine', NULL, 'O', '300 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', '4356374800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1649267949', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870664133', 'W77008085', 'W77008085', 'UT01', 'Woods, H Darrell', 'H Darrell', NULL, 'Woods', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 4440', 'Ogden', 'Weber', 'UT', '84403', '8013874490', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811958184', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870664692', 'W77008086', 'W77008086', 'UT01', NULL, 'Susan', 'Carol', 'Hustad', 'MD', 'Internal Medicine', 'Hospitalist', NULL, NULL, 'O', '425 E 5350 S Ste 335', 'Ogden', 'Weber', 'UT', '84405', '8014758600', '8014758686', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770589145', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870665148', 'W77008087', 'W77008087', 'UT01', NULL, 'Frank', 'E', 'Tilaro', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '425 E 5350 S Ste 335', 'Ogden', 'Weber', 'UT', '84405', '8014758600', '8014758686', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821027525', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870665148', 'W77008088', 'W77008088', 'UT01', 'Tilaro MD, Frank E', 'Frank', 'E', 'Tilaro', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 71128', 'Cottonwood ', 'Salt Lake', 'UT', '84171', '8013522700', '8014758580', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821027525', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870665299', 'W77008089', 'W77008089', 'UT01', 'Univ Of Utah Cardiothoracic Surgeons', 'Shreehanth', 'V', 'Karwande', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', 'PO Box 58049', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015877946', '8015853936', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-06-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833220', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870665299', 'W77008090', 'W77008090', 'UT01', 'Univ Of Utah Cardiothoracic Surgeons', 'James', 'Cannon', 'Stringham', 'MD', 'Cardiovascular Disease', 'Pulmonary', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015815311', '8015853936', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-06-01', '2006-08-01', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1538182449', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870665299', 'W77008091', 'W77008091', 'UT01', 'Univ Of Utah Cardiothoracic Surgeons', 'James', 'Cannon', 'Stringham', 'MD', 'Cardiovascular Disease', 'Pulmonary', NULL, NULL, 'B', 'PO Box 58049', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015877946', '8015853936', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-06-01', '2006-08-01', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1538182449', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870665299', 'W77008092', 'W77008092', 'UT01', 'Univ Of Utah Cardiothoracic Surgeons', 'William', NULL, 'Wong', 'PA', 'General Surgery', NULL, NULL, NULL, 'B', 'PO Box 58049', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-06-01', '2006-05-03', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609966290', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870665351', 'W77008093', 'W77008093', 'UT01', 'Comprehensive Medical Management', 'Timothy', 'S', 'Grange', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'O', '3336 Pioneer Pkwy Ste 202', 'West Valley', 'Salt Lake', 'UT', '84120', '8019643189', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1932169430', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008094', 'W77008094', 'UT01', 'Lifetree Pain Clinic', 'David', 'J', 'Barton', 'MD', 'Pain Management', NULL, NULL, NULL, 'O', '3838 S 700 E Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8012614988', '8012699427', NULL, NULL, '', NULL, NULL, '', '', 'USTDPAIN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-10-28', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '945740', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008095', 'W77008095', 'UT01', 'Lifetree Medical', 'Arun', 'V', 'Bidwai', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1850 Sidewinder Dr Ste 120', 'Park City', 'Summit', 'UT', '84060', '4356150240', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578561072', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008096', 'W77008096', 'UT01', 'Lifetree Medical', 'Arun', 'V', 'Bidwai', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578561072', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008097', 'W77008097', 'UT01', 'Lifetree Medical', 'Arun', 'V', 'Bidwai', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578561072', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008098', 'W77008098', 'UT01', 'Lifetree Medical', 'Tracy', NULL, 'Call-Schmidt', 'NP', 'Pain Management', NULL, NULL, NULL, 'O', '1850 Sidewinder Dr Ste 120', 'Park City', 'Summit', 'UT', '84060', '4356150240', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, NULL, '47.25', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831624', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008101', 'W77008101', 'UT01', 'Lifetree Medical', 'Marilyn', NULL, 'Corbett', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1850 Sidewinder Dr Ste 120', 'Park City', 'Summit', 'UT', '84060', '4356150240', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2006-10-31', 1, 12, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1962496646', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008102', 'W77008102', 'UT01', 'Lifetree Medical', 'Anthony', 'G', 'Diaz', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '617 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012618272', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2006-10-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114910155', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870474993', 'W77008193', 'W77008193', 'UT01', 'Lifetree Pain Clinic', 'Paul', 'E', 'Pinson', 'MD', 'Pain Management', NULL, NULL, NULL, 'O', '3838 S 700 E Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8012614988', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2002-03-12', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832123', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008194', 'W77008194', 'UT01', 'Lifetree Medical', 'Mark', 'W', 'Rallison', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '617 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012618272', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-06-01', '2006-10-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1396743282', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870474993', 'W77008195', 'W77008195', 'UT01', 'Lifetree Medical', 'Julie', 'A', 'Roberts-Morris', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '617 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012618272', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-01', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1053305060', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008196', 'W77008196', 'UT01', 'Lifetree Medical', 'Clyn', 'A', 'Robinson', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '617 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012618272', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2004-06-01', '2006-10-31', 1, 12, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1033117114', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008197', 'W77008197', 'UT01', 'Lifetree Medical', 'Clyn', 'A', 'Robinson', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2004-06-01', '2006-10-31', 1, 12, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1033117114', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008198', 'W77008198', 'UT01', 'Lifetree Medical', 'Todd', 'C', 'Seymour', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1850 Sidewinder Dr Ste 120', 'Park City', 'Summit', 'UT', '84060', '4356150240', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '44.10', NULL, NULL, 3, '2003-02-01', '2005-06-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832221', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008199', 'W77008199', 'UT01', 'Lifetree Medical', 'Todd', 'C', 'Seymour', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '44.10', NULL, NULL, 3, '2003-02-01', '2005-06-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832221', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008201', 'W77008201', 'UT01', 'Lifetree Medical', 'Randall', '', 'Stockham', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '617 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012618272', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-06-01', '2006-10-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1376541268', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77008202', 'W77008202', 'UT01', 'Lifetree Medical', 'Randall', '', 'Stockham', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-06-01', '2006-10-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1376541268', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008204', 'W77008204', 'UT01', 'Garfield Memorial Clinic', '', '', 'Garfield Memorial Clinic', 'GROUP', 'Clinic', NULL, NULL, NULL, 'O', '200 N 400 E', 'Panguitch', 'Garfield', 'UT', '84759', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834487', 0, 'Y', 0, NULL, NULL, NULL, 37.8258, -112.428, NULL, NULL),
('876000309', 'W77008205', 'W77008205', 'UT01', 'Bryce Valley Clinic', 'Richard', NULL, 'Birch', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '25 S ReDrock Dr', 'Cannonville', 'Garfield', 'UT', '84718', '4356798545', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1124135462', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008206', 'W77008206', 'UT01', 'Circleville Clinic', 'Richard', NULL, 'Birch', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '145 W Main', 'Circleville', 'Piute', 'UT', '84723', '4355772958', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1124135462', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008207', 'W77008207', 'UT01', 'Kazan Memorial Clinic', 'Richard', NULL, 'Birch', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '65 N Ctr St', 'Escalante', 'Garfield', 'UT', '84726', '4358264374', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1124135462', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008208', 'W77008208', 'UT01', 'Bryce Valley Clinic', 'Robert', 'K', 'McCullough', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '25 S ReDrock Dr', 'Cannonville', 'Garfield', 'UT', '84718', '4356798545', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '908258', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008209', 'W77008209', 'UT01', 'Orderville Clinic', 'Robert', 'K', 'McCullough', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '425 E State St', 'Orderville', 'Kane', 'UT', '84758', '4356482108', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '908258', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008210', 'W77008210', 'UT01', 'Bryce Valley Clinic', 'Todd', NULL, 'Mooney', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '25 S ReDrock Dr', 'Cannonville', 'Garfield', 'UT', '84718', '4356798545', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013024330', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008211', 'W77008211', 'UT01', 'Circleville Clinic', 'Todd', NULL, 'Mooney', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '145 W Main', 'Circleville', 'Piute', 'UT', '84723', '4355772958', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013024330', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008212', 'W77008212', 'UT01', 'Garfield Memorial Clinic', 'Todd', NULL, 'Mooney', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '1303 N Main St', 'Cedar City', 'Iron', 'UT', '84720', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013024330', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008215', 'W77008215', 'UT01', 'Garfield Memorial Clinic', 'Todd', NULL, 'Mooney', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '200 N 400 E', 'Panguitch', 'Garfield', 'UT', '84759', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013024330', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008216', 'W77008216', 'UT01', 'Garfield Memorial Clinic', 'Becky', NULL, 'Roberts', 'FNP', 'Family Practice', NULL, NULL, NULL, 'B', '1303 N Main St', 'Cedar City', 'Iron', 'UT', '84720', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2003-09-01', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1689779449', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'W77008218', 'W77008218', 'UT01', 'Orderville Clinic', 'Becky', NULL, 'Roberts', 'FNP', 'Family Practice', NULL, NULL, NULL, 'O', '425 E State St', 'Orderville', 'Kane', 'UT', '84758', '4356482108', NULL, NULL, NULL, '', NULL, NULL, '', '', '110', NULL, NULL, '0.00', '10.00', NULL, 3, '2003-09-01', '2006-08-31', 0, 0, 0, 'Garfield Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1689779449', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008219', 'W77008219', 'UT01', 'University Pathology Associates', 'Kevin', 'M', 'Flanigan', 'MD', 'Neurology', 'Pathology', NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497845093', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008220', 'W77008220', 'UT01', 'University Pathology Associates', 'Ronald', 'M', 'Harris', 'MD', 'Dermatology', 'Pathology', 'Anatomic Pathology', NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-07-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215033501', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008221', 'W77008221', 'UT01', 'University Pathology Associates', 'Jorge', 'C', 'Isaac', 'MD', 'Pathology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8012974891', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-12-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834306', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008222', 'W77008222', 'UT01', 'University Pathology Associates', 'Carl', NULL, 'Kjeldsberg', 'MD', 'Pathology', 'Anatomic Pathology', NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-12-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417047028', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008223', 'W77008223', 'UT01', 'University Pathology Associates', 'Lester', 'J', 'Layfield', 'MD', 'Pathology', 'Anatomic Pathology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8012974891', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-12-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033209648', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008224', 'W77008224', 'UT01', 'University Pathology Associates', 'Todd', 'L', 'Randolph', 'MD', 'Pathology', 'Anatomic Pathology', 'Laboratory', NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-05-31', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740249192', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008225', 'W77008225', 'UT01', 'University Pathology Associates', 'James', NULL, 'Seaman', 'MD', 'Pathology', 'Anatomic Pathology', 'Laboratory', NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-11-27', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548229487', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008226', 'W77008226', 'UT01', 'University Pathology Associates', 'Jeannette', 'J', 'Townsend', 'MD', 'Pathology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8012974891', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-12-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834311', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008227', 'W77008227', 'UT01', 'University Pathology Associates', 'Jeannette', 'J', 'Townsend', 'MD', 'Pathology', NULL, NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-12-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834311', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659348', 'W77008228', 'W77008228', 'UT01', 'University Pathology Associates', 'Ronald', 'L', 'Weiss', 'MD', 'Pathology', 'Clinical Pathology', NULL, NULL, 'B', 'PO Box 581054', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-12-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821188418', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659452', 'W77008229', 'W77008229', 'UT01', 'Logan Physical Therapy', 'py', NULL, 'Logan Physical Thera', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 6518', 'Logan', 'Cache', 'UT', '84341', '4357878797', '4357525228', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-05-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832985', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659452', 'W77008230', 'W77008230', 'UT01', 'Logan Physical Therapy', 'Charles', NULL, 'Acevedo', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2310 N 400 E Ste C', 'Logan', 'Cache', 'UT', '84341', '4357525200', '4357525228', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-03-21', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833478', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870659452', 'W77008231', 'W77008231', 'UT01', 'Logan Physical Therapy', 'Charles', NULL, 'Acevedo', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 6518', 'Logan', 'Cache', 'UT', '84341', '4357878797', '4357525228', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2003-03-21', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833478', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870675765', 'W77008232', 'W77008232', 'UT01', 'Edgemont Physical Therapy', 'erapy', NULL, 'Edgemont Physical Th', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'O', '3210 N Canyon Rd Ste 202', 'Provo', 'Utah', 'UT', '84604', '8013741706', '8012946917', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2004-11-08', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '911599', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870676738', 'W77008233', 'W77008233', 'UT01', 'Audiology Professionals', 'Lisa', NULL, 'Christensen', 'AUD, PhD', 'Audiology', NULL, NULL, NULL, 'O', '3955 Harrison Blvd Ste U7', 'Ogden', 'Weber', 'UT', '84403', '8013944399', '8013945003', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1720076565', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870678603', 'W77008234', 'W77008234', 'UT01', 'Northern Utah Nephrology', 'Adhish', 'K', 'Agarwal', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '425 E 5350 S Ste 320', 'Ogden', 'Weber', 'UT', '84405', '8014763020', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEPH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-06-20', '2006-09-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1164424750', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870678993', 'W77008235', 'W77008235', 'UT01', 'Families First Pediatrics', 'Brian', 'P', 'Good', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1268 W S Jordan Pkwy Ste 201', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012549700', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-08-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770688335', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870679258', 'W77008236', 'W77008236', 'UT01', 'Center for Colon and Rectal Diseases', 'Michelle', 'E', 'Murday', 'MD', 'Colon and Rectal Surgery', 'General Surgery', NULL, NULL, 'O', '348 E 4500 S Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012653978', '8012653988', NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-09-30', '2006-02-28', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1184616468', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870476269', 'W77008310', 'W77008310', 'UT01', 'U Of U Dept Of Pediatrics', 'Tiffany', 'S', 'Glasgow', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003838434', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870476269', 'W77008311', 'W77008311', 'UT01', 'U Of U Dept Of Pediatrics', 'Martin', 'C', 'Gregory', 'MD PHD', 'Nephrology', 'Pediatric Nephrology', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015882360', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-08-05', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912926049', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77008312', 'W77008312', 'UT01', 'U Of U Pediatrics - PCMC', 'Stephen', 'L', 'Guthery', 'MD', 'Pediatric Gastroenterology', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-07-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801975370', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008313', 'W77008313', 'UT01', 'Blanding Medical Clinic', 'Mahana', 'S', 'Fisher', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '804 N 400 W', 'Blanding', 'San Juan', 'UT', '84511', '4356782254', '4356782534', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1700878949', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008314', 'W77008314', 'UT01', 'San Juan Clinic', 'Mahana', 'S', 'Fisher', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1700878949', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008315', 'W77008315', 'UT01', 'San Juan Clinic', 'Blen', NULL, 'Freestone', 'PA', NULL, NULL, NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1487646337', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008316', 'W77008316', 'UT01', 'San Juan Clinic', 'Rajani', NULL, 'Katkuri', 'MD', 'Family Practice', 'Internal Medicine', NULL, NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '831749', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008317', 'W77008317', 'UT01', 'San Juan Clinic', 'Kevin', 'M', 'Matteson', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2006-10-31', 0, 0, 0, 'Southwest Memorial Hospital', NULL, NULL, NULL, 'HCFA|', '1407853013', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008318', 'W77008318', 'UT01', 'San Juan Clinic', 'Jane', 'B', 'Palmer', 'FNP', NULL, NULL, NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154314169', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008319', 'W77008319', 'UT01', 'San Juan Clinic', 'Jane', 'B', 'Palmer', 'FNP', NULL, NULL, NULL, NULL, 'O', '364 W 100 N', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1154314169', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008320', 'W77008320', 'UT01', 'U of U Ophthalmology', 'Richard', 'A', 'Aldous', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2003-01-06', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255421871', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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