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
('742909001', 'W37000093', 'W37000093', 'UT01', 'Healthtronics St Johns Hospital', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000094', 'W37000094', 'UT01', 'Healthtronics United Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000095', 'W37000095', 'UT01', 'Healthtronics The Memorial Hospital', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000096', 'W37000096', 'UT01', 'Healthtronics Wyoming Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000097', 'W37000097', 'UT01', 'Healthtronics Vail Valley Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000098', 'W37000098', 'UT01', 'Healthtronics Yampa Valley Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000099', 'W37000099', 'UT01', 'Healthtronics Sheridan Surgical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000100', 'W37000100', 'UT01', 'Healthtronics Peak One Surgery Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742909001', 'W37000101', 'W37000101', 'UT01', 'Healthtronics West Park Hospital', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753039775', 'W37000102', 'W37000102', 'UT01', 'Healthtronics Magic Valley Regional Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753039775', 'W37000103', 'W37000103', 'UT01', 'Healthtronics Magic Valley Regional Medical Center DT', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753039775', 'W37000104', 'W37000104', 'UT01', 'Healthtronics St Lukes Wood River Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753039775', 'W37000105', 'W37000105', 'UT01', 'Healthtronics Salt Lake Regional Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753039775', 'W37000106', 'W37000106', 'UT01', 'Healthtronics Inc', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', '', '', NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', '          ', '', '', '6', '0.00', '100.00', '0.00', 3, '2006-10-01', '2011-06-24', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006635', 0, 'Y', 0, '2011-06-24', NULL, NULL, 0, 0, NULL, NULL),
('753039775', 'W37000107', 'W37000107', 'UT01', 'Healthtronics Idaho Falls Surgical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753039775', 'W37000108', 'W37000108', 'UT01', 'Healthtronics Healthsouth Salt Lake Surgical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753039775', 'W37000109', 'W37000109', 'UT01', 'Healthtronics Timpanogos Regional Hospital', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753039775', 'W37000110', 'W37000110', 'UT01', 'Healthtronics South Towne Surgical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200685593', 'W37000111', 'W37000111', 'UT01', 'Healthtronics Treasure Valley Hospital', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200685593', 'W37000112', 'W37000112', 'UT01', 'Healthtronics West Valley Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200685593', 'W37000113', 'W37000113', 'UT01', 'Healthtronics Portneuf Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200685593', 'W37000114', 'W37000114', 'UT01', 'Healthtronics Rocky Mountain Surgery Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200685593', 'W37000115', 'W37000115', 'UT01', 'Healthtronics St Lukes Regioan Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200685593', 'W37000116', 'W37000116', 'UT01', 'Healthtronics St Lukes Meridan Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', NULL, NULL, NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, '1301 Capital of Texas Highway', 'Austin', '', 'TX', '78746', '', '', NULL, NULL, '6', '0.00', '100.00', NULL, 3, '2000-01-01', '2000-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006635', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200685593', 'W37000117', 'W37000117', 'UT01', 'Healthtronics Inc', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', '', '', NULL, 'B', 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', NULL, 'PO Box 847324', 'Dallas', 'Dallas', 'TX', '75284', '8663144242', '', '', NULL, '6', '0.00', '100.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006635', 0, 'Y', 0, '2011-06-24', NULL, NULL, 0, 0, NULL, NULL),
('200933683', 'W37000118', 'W37000118', 'UT01', 'Hospice specialists', '', '', 'Homecare Specialists', 'GROUP', 'Hospice', '', '', NULL, 'O', '3949 S 700 E', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012948600', NULL, '3949 S 700 E', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012948600', '          ', '', '', '3', '0.00', '30.00', '0.00', 3, '2006-10-01', '2011-09-14', 1, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006764', 0, 'N', 0, '2011-12-12', NULL, NULL, 0, 0, NULL, NULL),
('870509802', 'W37000119', 'W37000119', 'UT01', 'Love Home Health', NULL, NULL, 'Love Home Health', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '1405 W 2200 S Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8019730900', NULL, '1405 W 2200 S', 'Salt Lake City', '', 'UT', '84119', '', '', '', NULL, '4', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007337', 0, 'N', 0, '2006-10-02', NULL, NULL, 0, 0, NULL, NULL),
('952667855', 'W37000120', 'W37000120', 'UT01', 'Hanger Prosthetics & Orthotics Inc', '', '', 'Hanger Prosthetics & Orthotics Inc', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'B', '4155 E LaPalma Ave Ste B400', 'Anaheim', 'Orange', 'CA', '92807', '7149612107', NULL, '4155 E LaPalma Ave Ste B400', 'Anaheim', 'Orange', 'CA', '92807', '7149612107', '', 'WUDME5', '', '', '0.00', '25.00', '0.00', 3, '2006-10-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006560', 0, 'N', 0, '2014-05-13', NULL, NULL, 0, 0, NULL, NULL),
('521486235', 'W37000121', 'W37000121', 'UT01', 'Hanger Prosthetics & Orthotics Inc', '', '', 'Hanger Prosthetics & Orthotics Inc', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'o', '630 S 400 E Ste 102', 'St George', 'Washington', 'UT', '84770', '4356736449', '4356732619', '630 S 400 E Ste 102', 'St George', 'Washington', 'UT', '84770', '4356736449', '4356732619', 'WUDME5', '', '', '0.00', '35.00', '0.00', 3, '2006-10-01', '2012-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006560', 0, 'N', 0, '2014-05-13', NULL, NULL, 0, 0, NULL, NULL),
('561643910', 'W37000122', 'W37000122', 'UT01', 'Healthtronics University Medical Center', '', '', 'Healthtronics Inc', 'GROUP', 'Lithotriptor', '', '', NULL, 'O', '1501 N Campbell Ave', 'Tuscon', 'Pima', 'AZ', '85723', '8663144242', NULL, '1501 N Campbell Ave', 'Tuscon', 'Pima', 'AZ', '85723', '8663144242', '          ', '', '', '6', '0.00', '100.00', '0.00', 3, '2006-10-01', '2011-06-24', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006635', 0, 'Y', 0, '2011-06-24', NULL, NULL, 0, 0, NULL, NULL),
('870669188', 'W37000123', 'W37000123', 'UT01', 'Walden Meadows Home Health ', NULL, NULL, 'Walden Meadows Home Health ', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'o', '5278 Pinemont Dr Ste A120', 'Murray', 'Salt Lake', 'UT', '84123', '8012627397', NULL, '5278 Pinemont Dr', 'Murray', '', 'UT', '84123', '', '', '', NULL, '4', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009481', 0, 'N', 0, '2006-10-02', NULL, NULL, 0, 0, NULL, NULL),
('900232757', 'W37000124', 'W37000124', 'UT01', 'The Sleep Institute of Utah', '', '', 'Sleep Institue Medical Clinic', 'GROUP', 'Sleep Disorders', '', '', NULL, 'O', '5323 S Woodrow St Ste 205', 'Murray', 'Salt Lake', 'UT', '84107', '8017130561', NULL, '5323 S Woodrow St Ste 205', 'Murray', 'Salt Lake', 'UT', '84107', '8017130561', '', 'WCSTSIU', '', '', '0.00', '100.00', '0.00', 3, '2006-11-01', '2012-09-12', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009052', 0, 'Y', 0, '2014-05-27', NULL, NULL, 0, 0, NULL, NULL),
('900232757', 'W37000125', 'W37000125', 'UT01', 'The Sleep Institute of Utah', '', '', 'Sleep Institue Medical Clinic', 'GROUP', 'Sleep Disorders', '', '', NULL, 'O', '6112 S 1550 E Ste 102', 'South Ogden', 'Weber', 'UT', '84405', '8014755848', NULL, '6112 S 1550 E Ste 102', 'South Ogden', 'Weber', 'UT', '84405', '8014755848', '', 'WCSTSIU', '', '', '0.00', '100.00', '0.00', 3, '2006-11-01', '2012-09-12', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009052', 0, 'Y', 0, '2014-05-27', NULL, NULL, 0, 0, NULL, NULL),
('900232757', 'W37000126', 'W37000126', 'UT01', 'The Sleep Institute of Utah', '', '', 'Sleep Institue Medical Clinic', 'GROUP', 'Sleep Disorders', '', '', NULL, 'O', '822 E Main St Ste 8', 'Grantsville', 'Tooele', 'UT', '84029', '4358843290', NULL, '822 E Main St Ste 8', 'Grantsville', 'Tooele', 'UT', '84029', '4358843290', '', 'WCSTSIU', '', '', '0.00', '100.00', '0.00', 3, '2006-11-01', '2012-09-12', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009052', 0, 'Y', 0, '2014-05-27', NULL, NULL, 0, 0, NULL, NULL),
('205344417', 'W37000128', 'W37000128', 'UT01', 'Mountain Valley Hospice', NULL, NULL, 'Mountain Valley Hospice', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '444 Hospital Way Ste 411', 'Pocatello', 'Bannock', 'ID', '83201', '8014764412', NULL, '444 Hospital Way', 'Pocatello', '', 'ID', '83201', '', '', '', NULL, '3', '0.00', '0.00', '0.00', 3, '2006-11-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007727', 0, 'N', 0, '2007-04-05', NULL, NULL, 42.8782, -112.418, NULL, NULL),
('205344417', 'W37000129', 'W37000129', 'UT01', 'Mountain Valley Hospice', NULL, NULL, 'Mountain Valley Hospice', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '1186 E 4600 S Ste 200', 'Ogden', 'Weber', 'UT', '84403', '8014764410', NULL, '1186 E 4600 S', 'Ogden', '', 'UT', '844034332', '', '', '', NULL, '3', '0.00', '0.00', '0.00', 3, '2006-11-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007727', 0, 'N', 0, '2007-04-05', NULL, NULL, 41.1796, -111.95, NULL, NULL),
('870619248', 'W37000130', 'W37000130', 'UT01', 'Mountain West Physical Therapy', NULL, NULL, 'Mountain West Physical Therapy', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 60000 FILE 74030', 'San Francisco', 'San Francisco', 'CA', '94160', '4358433600', NULL, '2055 N Main', 'Tooele', '', 'UT', '84074', '', '', '', NULL, NULL, '0.00', '35.00', '0.00', 6, '2006-11-01', '2008-06-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007744', 0, 'y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
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('201722131', 'W37000170', 'W37000170', 'UT01', 'Avalon Valley Rehab', '', '', 'Avalon Valley Rehab', 'GROUP', '', '', '', NULL, 'O', '2472 S 300 E', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014662211', '8014661061', '2472 S 300 E', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014662211', '8014661061', '', '', '7', '0.00', '100.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005128', 0, 'N', 0, '2012-10-02', NULL, NULL, 40.7169, -111.883, NULL, NULL),
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('870567695', 'W37000177', 'W37000177', 'UT01', 'Logan Radiology Bear River Valley Hospital', '', '', 'Logan Radiology Bear River Valley Hospital', 'GROUP', 'Radiologist', NULL, NULL, NULL, 'O', '440 W 600 N', 'Tremonton', 'Box Elder', 'UT', '84337', '4352577441', NULL, 'PO Box 1108', 'Bountiful', '', 'UT', '84011', '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000055238', 0, 'Y', 0, '2006-12-21', NULL, NULL, 41.7188, -112.173, NULL, NULL),
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('870302621', 'W37000179', 'W37000179', 'UT01', 'Rocky Mountain Retina Consultants PC', NULL, NULL, 'Rocky Mountain Retina Consultants PC', 'GROUP', NULL, NULL, NULL, NULL, 'O', '620 E Medical Dr Ste 210', 'Bountiful', 'Davis', 'UT', '84010', '8884964400', NULL, '4400 S 700 E', 'Salt Lake City', '', 'UT', '84107', '', '', 'WKRETINA', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008446', 0, 'Y', 0, '2007-01-05', NULL, NULL, 40.8869, -111.869, NULL, NULL),
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('521797779', 'W37000183', 'W37000183', 'UT01', 'St George Surgical Center (Pain Management and Ophthalmology Services Only)', '', '', 'St George Surgical Center (Limited Services)', 'GROUP', 'Ambulatory Surgery Center', '', '', NULL, 'O', '676 S Bluff St', 'St George', 'Washington', 'UT', '84770', '4356738080', NULL, '676 S Bluff St', 'St George', 'Washington', 'UT', '84770', '4356738080', '          ', '', '', '2', '0.00', '0.00', '0.00', 6, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1356444863', 0, 'N', 0, '2011-05-23', NULL, NULL, 37.0967, -113.587, NULL, NULL),
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('481272182', 'W37000185', 'W37000185', 'UT01', 'Eastern Utah Surgical Center Anesthesia', NULL, NULL, 'Eastern Utah Surgical Center Anesthesia', 'GROUP', 'Anesthesiology', '', '', NULL, 'O', '200 N Fairgrounds Rd Ste 1', 'Price', 'Carbon', 'UT', '84501', '4356371744', NULL, '200 N Fairgrounds Rd Ste 1', 'Price', 'Carbon', 'UT', '84501', '4356371744', '          ', '', '', '1000', '40.00', '0.00', '0.00', 6, '2007-01-01', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006081', 0, 'Y', 0, '2012-11-27', NULL, NULL, 39.6051, -110.835, NULL, NULL),
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('870288909', 'W37000188', 'W37000188', 'UT01', 'Planned Parenthood Assoc of Utah', 'Jennifer', 'J', 'Trauscht-Van Horn', 'MD', 'Obstetrics and Gynecology', 'Certified Nurse Midwife', NULL, NULL, 'O', '654 S 900 E ', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015321586', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306926209', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870288909', 'W37000189', 'W37000189', 'UT01', 'Planned Parenthood Association of Utah', NULL, NULL, 'Planned Parenthood Association of Utah', 'GROUP', 'Obstetrics and Gynecology', '', '', NULL, 'O', '1906 W 3600 S', 'West Valley', 'Salt Lake', 'UT', '84119', '8019739675', NULL, '645 S 900 E', 'Salt Lake City', '', 'UT', '84102', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073549614', 0, 'N', 0, '2007-01-05', NULL, NULL, 0, 0, NULL, NULL),
('870288909', 'W37000190', 'W37000190', 'UT01', 'Planned Parenthood Association of Utah', NULL, NULL, 'Planned Parenthood Association of Utah', 'GROUP', 'Obstetrics and Gynecology', '', '', NULL, 'O', '550 N 1 Main Ste 17', 'Logan', 'Cache', 'UT', '84321', '4357530724', NULL, '645 S 900 E', 'Salt Lake City', '', 'UT', '84102', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073549614', 0, 'N', 0, '2007-01-05', 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
('870288909', 'W37000191', 'W37000191', 'UT01', 'Planned Parenthood Association of Utah', NULL, NULL, 'Planned Parenthood Association of Utah', 'GROUP', 'Obstetrics and Gynecology', '', '', NULL, 'O', '4387 Harrison Blvd Ste D8', 'Ogden', 'Weber', 'UT', '84403', '8014797721', NULL, '645 S 900 E', 'Salt Lake City', '', 'UT', '84102', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073549614', 0, 'N', 0, '2007-01-05', NULL, NULL, 0, 0, NULL, NULL),
('870288909', 'W37000192', 'W37000192', 'UT01', 'Planned Parenthood Association of Utah', NULL, NULL, 'Planned Parenthood Association of Utah', 'GROUP', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 682188', 'Park City', 'Summit', 'UT', '84068', '4356495989', NULL, '645 S 900 E', 'Salt Lake City', '', 'UT', '84102', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073549614', 0, 'Y', 0, '2007-01-05', NULL, NULL, 0, 0, NULL, NULL),
('870288909', 'W37000193', 'W37000193', 'UT01', 'Planned Parenthood Association of Utah', NULL, NULL, 'Planned Parenthood Association of Utah', 'GROUP', 'Obstetrics and Gynecology', '', '', NULL, 'O', '1670 Bonanza Dr', 'Park City', 'Summit', 'UT', '84068', '4356495989', NULL, '645 S 900  E', 'Salt Lake City', '', 'UT', '84102', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073549614', 0, 'N', 0, '2007-01-05', NULL, NULL, 0, 0, NULL, NULL),
('870288909', 'W37000194', 'W37000194', 'UT01', 'Planned Parenthood Association of Utah', NULL, NULL, 'Planned Parenthood Association of Utah', 'GROUP', 'Obstetrics and Gynecology', '', '', NULL, 'O', '1842 S Columbia Ln', 'Orem', 'Utah', 'UT', '84097', '8012265246', NULL, '654 S 900 E', 'Salt Lake City', '', 'UT', '84102', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073549614', 0, 'N', 0, '2007-01-05', NULL, NULL, 0, 0, NULL, NULL),
('870288909', 'W37000195', 'W37000195', 'UT01', 'Planned Parenthood Association of Utah', NULL, NULL, 'Planned Parenthood Association of Utah', 'GROUP', 'Obstetrics and Gynecology', '', '', NULL, 'O', '595 S Bluff St', 'St George', 'Washington', 'UT', '84770', '4356749933', NULL, '654 S 900 E', 'Salt Lake City', '', ' UT', '84102', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073549614', 0, 'N', 0, '2007-01-05', NULL, NULL, 0, 0, NULL, NULL),
('061128081', 'W37000196', 'W37000196', 'UT01', 'Dianon Systems Inc', '', '', 'Dianon Systems Inc', 'GROUP', 'Laboratory', '', '', NULL, 'B', 'PO Box 8005', 'Burlington', 'Alamance', 'NC', '27216', '8003282666', NULL, 'PO Box 8005', 'Burlington', 'Alamance', 'NC', '27216', '8003282666', '', 'WDIANON', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003819020', 0, 'Y', 0, '2012-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870656518', 'W37000197', 'W37000197', 'UT01', 'Diabetes Specialty Center', '', '', 'Diabetes Specialty Center', 'GROUP', 'Durable Medical Equipment', 'Diabetic Supplies', '', NULL, 'O', '615 Arapeen Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014831100', NULL, '615 Arapeen Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014831100', '', 'WCSTDSC', NULL, NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1841279155', 0, 'N', 0, '2013-10-28', NULL, NULL, 40.7552, -111.827, NULL, NULL),
('870656518', 'W37000198', 'W37000198', 'UT01', 'Diabetes Specialty Center', '', '', 'Diabetes Specialty Center', 'GROUP', 'Durable Medical Equipment', 'Diabetic Supplies', '', NULL, 'O', '3955 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8012689699', NULL, '3955 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8012689699', '', 'WCSTDSC', NULL, NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1841279155', 0, 'N', 0, '2013-10-28', NULL, NULL, 41.191, -111.949, NULL, NULL),
('870656518', 'W37000199', 'W37000199', 'UT01', 'Diabetes Specialty Center', '', '', 'Diabetes Specialty Center', 'GROUP', 'Durable Medical Equipment', 'Diabetic Supplies', '', NULL, 'O', '2102 N 1700 W', 'Layton', 'Davis', 'UT', '84041', '8012689699', NULL, '2102 N 1700 W', 'Layton', 'Davis', 'UT', '84041', '8012689699', '', 'WCSTDSC', NULL, NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1841279155', 0, 'N', 0, '2013-10-28', NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W37000200', 'W37000200', 'UT01', 'Montezuma Creek Community Health Center', NULL, NULL, 'Montezuma Creek Community Health Center', 'GROUP', 'Clinic', NULL, NULL, NULL, 'O', 'East Hwy 262', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', NULL, 'PO Box 130', 'Montezuma Creek', '', 'UT', '84534', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007674', 0, 'Y', 0, '2007-01-11', NULL, NULL, 37.2619, -109.306, NULL, NULL),
('870560763', 'W37000201', 'W37000201', 'UT01', 'Montezuma Creek Community Health Center', NULL, NULL, 'Montezuma Creek Community Health Center', 'GROUP', 'Clinic', NULL, NULL, NULL, 'B', 'PO Box 130', 'Montezuma Creek', 'San Juan', 'UT', '84534', '4356513291', NULL, 'PO Box 130', 'Montezuma Creek', '', 'UT', '84534', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007674', 0, 'Y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('870560763', 'W37000202', 'W37000202', 'UT01', 'Blanding Family Practice', NULL, NULL, 'Blanding Family Practice', 'GROUP', 'Clinic', NULL, NULL, NULL, 'O', '799 S 200 W', 'Blanding', 'San Juan', 'UT', '84511', '4356783601', NULL, 'PO Box 130', 'Montezuma Creek', '', 'UT', '84534', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457489486', 0, 'Y', 0, '2007-01-11', NULL, NULL, 37.6135, -109.481, NULL, NULL),
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('870519172', 'W73000029', 'W73000029', 'UT01', 'Utah Heart Clinic', 'Dean', 'A', 'Mayer', 'MD', 'Hospitalist', '', '', NULL, 'O', '324 10th Ave Ste 206', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8014083900', NULL, '324 10th Ave Ste 206', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8014083900', '', 'WUSTDCARD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-05-01', '2008-05-04', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1316915432', 0, 'N', 0, '2011-09-26', NULL, NULL, 0, 0, NULL, NULL),
('870553496', 'W73000030', 'W73000030', 'UT01', 'Riverton Family Health Center', 'Rebecca', '', 'Jenson', 'APRN', 'Family Practice', '', '', NULL, 'O', '1756 Park Ave', 'Riverton', 'Salt Lake', 'UT', '84065', '8012540309', NULL, '1756 Park Ave', 'Riverton', 'Salt Lake', 'UT', '84065', '8012540309', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-05-01', '2006-05-01', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1508853551', 0, 'N', 0, '2014-03-11', NULL, NULL, 0, 0, NULL, NULL),
('870553496', 'W73000031', 'W73000031', 'UT01', 'Riverton Family Health Center', 'John', '', 'Zachary', 'PA', 'Family Practice', '', '', NULL, 'O', '1756 Park Ave', 'Riverton', 'Salt Lake', 'UT', '84065', '8012540309', NULL, '1756 Park Ave', 'Riverton', 'Salt Lake', 'UT', '84065', '8012540309', '', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-05-01', '2006-05-01', 0, 0, 0, 'Jordan Valley Medical Center', '', '', '', 'HCFA|UB|', '1871580829', 0, 'N', 0, '2014-06-03', NULL, NULL, 0, 0, NULL, NULL),
('870617263', 'W73000032', 'W73000032', 'UT01', 'St Marks Family Medicine', 'Susan', 'B', 'Greger', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1250 E 3900 S Ste 260', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012652000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760447387', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870617263', 'W73000033', 'W73000033', 'UT01', 'St Marks Family Medicine', 'Carolyn', 'E', 'Sasich-Leitko', 'MD', 'Mental Health', 'Social Worker', NULL, NULL, 'O', '1250 E 3900 S Ste 260', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012652000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487676847', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870617263', 'W73000034', 'W73000034', 'UT01', 'St Marks Family Medicine', 'Sean', NULL, 'Ponce', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1250 E 3900 S Ste 260', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012652000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-05-01', '2006-05-01', 0, NULL, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1376577049', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870572100', 'W73000036', 'W73000036', 'UT01', NULL, 'Kelly', 'A', 'Gomez', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '777 N 500 W Ste 103', 'Provo', 'Utah', 'UT', '84601', '8013756677', NULL, NULL, 'Springville', '', 'UT', '84663', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-04-01', '2006-04-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821021957', 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
('870572100', 'W73000037', 'W73000037', 'UT01', NULL, 'Kelly', 'A', 'Gomez', 'DPM', 'Podiatry', NULL, NULL, NULL, 'B', '175 N 400 W Ste B-7', 'Orem', 'Utah', 'UT', '84601', '8017651718', NULL, 'PO Box 98', 'Springville', '', 'UT', '84663', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-04-01', '2006-04-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821021957', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870572100', 'W73000038', 'W73000038', 'UT01', NULL, 'Val', 'G', 'Mullinax', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '1928 N State St', 'Provo', 'Utah', 'UT', '84604', '8013743010', NULL, '1928 N State St', 'Provo', '', 'UT', '84604', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-04-01', '2006-04-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528179256', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870572100', 'W73000039', 'W73000039', 'UT01', NULL, 'Val', 'G', 'Mullinax', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '78 E 900 N', 'Spanish Fork', 'Utah', 'UT', '84660', '8013743010', NULL, '1928 N State St', 'Provo', '', 'UT', '84604', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-04-01', '2006-04-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528179256', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870572100', 'W73000040', 'W73000040', 'UT01', NULL, 'Val', 'G', 'Mullinax', 'DPM', 'Podiatry', NULL, NULL, NULL, 'B', '1928 N 1120 W Ste 6', 'Provo', 'Utah', 'UT', '84604', '8013743010', NULL, '1928 N State St', 'Provo', '', 'UT', '84604', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-04-01', '2006-04-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528179256', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000041', 'W73000041', 'UT01', 'Advanced Motion Physical Therapy', 'Robert', 'Lance', 'Dougher', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '8089 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8016281924', NULL, '8089 W 3500 S', 'Magna', '', 'UT', '84044', '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669458220', 0, 'N', 0, '2010-03-12', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000042', 'W73000042', 'UT01', 'Alpine Sports Medicine', 'Thomas', 'Edward', 'Bezemer', 'PT', 'Physical Therapy', '', '', NULL, 'O', '2015 Sidewinder Dr', 'Park City', 'Summit', 'UT', '84068', '4356459095', NULL, '2015 Sidewinder Dr', 'Park City', 'Summit', 'UT', '84068', '4356459095', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1679628002', 0, 'N', 0, '2011-12-16', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000043', 'W73000043', 'UT01', 'Alpine Sports Medicine', 'Robert', 'D', 'Cervantez', 'PT', 'Physical Therapy', '', '', NULL, 'O', '2015 Sidewinder Dr', 'Park City', 'Summit', 'UT', '84068', '4356459095', NULL, '2015 Sidewinder Dr', 'Park City', 'Summit', 'UT', '84068', '4356459095', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1205981628', 0, 'N', 0, '2014-01-15', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000044', 'W73000044', 'UT01', 'Alpine Sports Medicine', 'Mark', 'R', 'Moeller', 'PT', 'Physical Therapy', '', '', NULL, 'O', '2015 Sidewinder Dr', 'Park City', 'Summit', 'UT', '84068', '4356459095', NULL, '2015 Sidewinder Dr', 'Park City', 'Summit', 'UT', '84068', '4356459095', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1194870592', 0, 'N', 0, '2011-06-13', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000045', 'W73000045', 'UT01', 'Alpine Sports Medicine', 'Megan', 'B', 'Williams', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'O', '2015 Sidewinder Dr', 'Park City', 'Summit', 'UT', '84068', '4356459095', NULL, '2015 Sidewinder Dr', 'Park City', '', 'UT', '84068', '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-06-13', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1093860405', 0, 'N', 0, '2010-12-28', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000046', 'W73000046', 'UT01', 'Canyon Rim Physical Therapy', 'Dawn', 'Michelle', 'Duran', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '6360 S 3000 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019478449', NULL, '6360 S 3000 E', 'Salt Lake City', '', 'UT', '84121', '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000047', 'W73000047', 'UT01', 'Canyon Rim Physical Therapy', 'Stephen', 'M', 'Shupe', 'PT', 'Physical Therapy', '', '', NULL, 'O', '6360 S 3000 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019478449', NULL, '6360 S 3000 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019478449', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1689789281', 0, 'N', 0, '2011-01-11', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000048', 'W73000048', 'UT01', 'Canyon Rim Physical Therapy', 'Julie', 'Lynn', 'Thieszen', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '6360 S 3000 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019478449', NULL, '6360 S 3000 E', 'Salt Lake City', '', 'UT', '84121', '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-04-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659486256', 0, 'N', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000049', 'W73000049', 'UT01', 'Canyon Rim Physical Therapy', 'Stephen', 'M', 'Shupe', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2295 S Foothill', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8014867547', NULL, '2295 S Foothill', 'Salt Lake City', '', 'UT', '84109', '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689789281', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000050', 'W73000050', 'UT01', 'Canyon Rim Physical Therapy', 'Janet', 'M', 'Myshrall', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2295 S Foothill', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8014867547', NULL, '2295 S Foothill', 'Salt Lake City', '', 'UT', '84109', '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487769089', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000051', 'W73000051', 'UT01', 'Canyon Rim Physical Therapy', 'DeDe', NULL, 'Lewis', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '2295 S Foothill', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8014867547', NULL, '2295 S Foothill', 'Salt Lake City', '', 'UT', '84109', '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023123627', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000052', 'W73000052', 'UT01', 'Cottonwood Medical Plaza', 'Roger', 'Lee', 'Larson', 'PT', 'Physical Therapy', '', '', NULL, 'O', '6040 S Fashion Blvd Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8012667534', NULL, '6040 S Fashion Blvd Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8012667534', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1699759357', 0, 'N', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000053', 'W73000053', 'UT01', 'Rocky Mountain Therapy Services', 'Richard', 'D', 'Wortley', 'PT', 'Physical Therapy', '', '', NULL, 'O', '822 E Main St', 'Grantsville', 'Tooele', 'UT', '84029', '4358821263', NULL, '822 E Main St', 'Grantsville', 'Tooele', 'UT', '84029', '4358821263', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1689667859', 0, 'N', 0, '2011-11-01', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000054', 'W73000054', 'UT01', 'Gublers Physical Therapy', 'Troy', 'Cal', 'Gubler', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '68 S 700 W', 'Hurricane', 'Washington', 'UT', '84737', '4356359333', NULL, '68 S 700 W', 'Hurricane', '', 'UT', '84737', '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033210067', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000055', 'W73000055', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Margo', 'Jones', 'Brady', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '535 E 500 S Ste 7', 'Bountiful', 'Davis', 'UT', '84010', '8013288535', NULL, '535 E 500 S Ste 7', 'Bountiful', 'Davis', 'UT', '84010', '8013288535', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1104827849', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000056', 'W73000056', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Margo', 'Jones', 'Brady', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', NULL, '5151 S 900 E', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1104827849', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000057', 'W73000057', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Margo', 'Jones', 'Brady', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', NULL, '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1104827849', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000058', 'W73000058', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Steven', '', 'Crandall', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '5151 S 900 E', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', NULL, '5151 S 900 E', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1154322816', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000059', 'W73000059', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Cheryl', 'Ann', 'Farnsworth', 'PT', 'Physical Therapy', '', '', NULL, 'O', '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', NULL, '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-07-03', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1720089485', 0, 'N', 0, '2011-09-08', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000060', 'W73000060', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Ryan', 'Russell', 'Fuhriman', 'PT', 'Physical Therapy', '', '', NULL, 'O', '5151 S 900 E', 'Murray', 'Salt Lake', 'UT', '84117', '8013288535', NULL, '5151 S 900 E', 'Murray', 'Salt Lake', 'UT', '84117', '8013288535', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1609877372', 0, 'N', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000061', 'W73000061', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Tyler', 'M', 'Hansen', 'PT', 'Physical Therapy', '', '', NULL, 'O', '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', NULL, '702 E S Temple Ste 102', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013288535', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1922009695', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73000062', 'W73000062', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Bonnie', 'R', 'Butler', 'PT-CSCS', 'Physical Therapy', '', '', NULL, 'O', '5151 S 900 E', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', NULL, '5151 S 900 E', 'Murray', 'Salt Lake', 'UT', '84117', '8012613321', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255332938', 0, 'N', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870516264', 'W73002943', 'W73002943', 'UT01', 'Utah County Surgical Associates', 'Jory', 'Q', 'Sorensen', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '3550 N University Ave Ste 250', 'Provo', 'Utah', 'UT', '84604', '8013749625', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376689877', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002944', 'W73002944', 'UT01', 'Exodus Healthcare Network PLLC', 'Aziza', NULL, 'Keval', NULL, 'Family Practice', NULL, NULL, NULL, 'B', '8211 W 3500 S ', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1790716439', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('954893928', 'W73002949', 'W73002949', 'UT01', 'Exodus Healthcare Network', 'Dan', '', 'Chapman', 'PA', 'Family Practice', '', '', NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-08-01', '2008-02-22', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1346275716', 0, 'N', 0, '2012-04-24', NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002950', 'W73002950', 'UT01', 'Exodus Healthcare Network', 'Gay', 'J', 'Meyers', 'PA', 'Obstetrics and Gynecology', 'Family Practice', NULL, NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-08-01', '2007-05-01', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215099155', 0, 'N', 0, '2009-04-09', 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
('954893928', 'W73002951', 'W73002951', 'UT01', 'Exodus Healthcare Network', 'Cathy', '', 'Baxter', 'NP', 'Family Practice', '', '', NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-08-01', '2011-09-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1962437251', 0, 'N', 0, '2011-09-29', NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002952', 'W73002952', 'UT01', 'Exodus Healthcare Network', 'Selanie', NULL, 'Sanone-Leavitt', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', '', 'UT', '84044', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-08-01', '2008-01-03', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008587', 0, 'N', 0, '2006-10-17', NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002953', 'W73002953', 'UT01', 'Exodus Healthcare Network', 'Tate', '', 'Jensen', 'PA', 'Family Practice', '', '', NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-08-01', '2011-09-01', 0, 0, 0, 'Pioneer Valley Hospital', '', '', '', 'HCFA|UB|', '1285652867', 0, 'N', 0, '2014-06-04', NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002954', 'W73002954', 'UT01', 'Exodus Healthcare Network', 'Cheryl', '', 'McGovern', 'PA', 'Family Practice', '', '', NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-08-01', '2009-05-01', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1962564807', 0, 'N', 0, '2010-05-03', NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002955', 'W73002955', 'UT01', 'Exodus Healthcare Network', 'Rodolfo', '', 'Martinez-Ferrate', 'MD', 'Family Practice', '', '', NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-08-01', '2011-09-01', 0, 0, 0, 'Pioneer Valley Hospital', '', '', '', 'HCFA|UB|', '1598738270', 0, 'N', 0, '2014-06-30', NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002956', 'W73002956', 'UT01', 'Exodus Healthcare Network', 'Mark', NULL, 'Mouty', 'NP', 'Family Practice', NULL, NULL, NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', '', 'UT', '84044', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-08-01', '2008-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007750', 0, 'N', 0, '2006-10-17', NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002957', 'W73002957', 'UT01', 'Exodus Healthcare Network PLLC', 'Robby', ' ', 'Feinberg', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '8211 W 3500 S ', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-08-01', '2007-02-20', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002958', 'W73002958', 'UT01', 'Exodus Healthcare Network', 'Marliese', '', 'Lloyd', 'PA', 'Family Practice', '', '', NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-08-01', '2011-09-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1710918586', 0, 'N', 0, '2014-06-23', NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W73002959', 'W73002959', 'UT01', 'Exodus Healthcare Network', 'Kathy', ' ', 'Hemming', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '8211 W 3500 S ', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', '', 'UT', '84044', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-08-01', '2007-07-27', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700817442', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('342018090', 'W73002960', 'W73002960', 'UT01', NULL, 'Stuart', 'I', 'Anderson', 'OD', 'Optometry', '', '', NULL, 'O', '6095 S Fashion Blvd Ste 110', 'Murray', 'Salt Lake', 'UT', '84107', '8012622020', NULL, '6095 S Fashion Blvd Ste 110', 'Murray', 'Salt Lake', 'UT', '84107', '8012622020', '', 'WUTALBERT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1750342564', 0, 'N', 0, '2014-07-17', NULL, NULL, 40.6386, -111.883, NULL, NULL),
('203620216', 'W73002961', 'W73002961', 'UT01', 'Foot and Ankle Clinic of Utah', 'Foot and Ankle Clinic of', '', NULL, 'GROUP', 'Podiatry', NULL, NULL, NULL, 'O', '1184 E 80 N ', 'American Fork', 'Utah', 'UT', '84003', '8013756677', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('522229954', 'W73003151', 'W73003151', 'UT01', 'Rocky Mountain Therapy Services', 'Paul', 'G', 'Wortley', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1417940586', 0, 'Y', 0, '2011-11-01', NULL, NULL, 0, 0, NULL, NULL),
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('522229954', 'W73003036', 'W73003036', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Margo', 'Jones', 'Brady', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104827849', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003162', 'W73003162', 'UT01', 'Rocky Mountain Therapy Services', 'James', 'M', 'Wortley', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1326031493', 0, 'Y', 0, '2013-12-06', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003048', 'W73003048', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Steven', 'M', 'Wixom', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1093716680', 0, 'Y', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003104', 'W73003104', 'UT01', 'Mountain Land Rehabilitation Home Health', 'Jill', 'E', 'Linford-Williams', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1578667721', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003168', 'W73003168', 'UT01', 'Salt Lake Physical Therapy Associates', 'Jason', 'C', 'West', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', '', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1952389371', 0, 'Y', 0, '2013-09-30', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003167', 'W73003167', 'UT01', 'Salt Lake Physical Therapy Associates', 'Nancy', '', 'Welti', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1518945930', 0, 'Y', 0, '2011-03-08', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006119', 'W73006119', 'UT01', 'Therapy West', 'Terry', 'Miles', 'Wehrlie', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009556', 0, 'Y', 0, '2007-02-12', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003051', 'W73003051', 'UT01', 'Horizon Balance & Dizziness Centers', 'Brent', 'A', 'Webb', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1154376838', 0, 'Y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003087', 'W73003087', 'UT01', 'Mountain Land Rehabilitation', 'Adam', 'Boyd', 'Webb', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1720180599', 0, 'Y', 0, '2013-10-16', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003086', 'W73003086', 'UT01', 'Mountain Land Rehabilitation', 'Richard', 'T', 'Ward', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1144223413', 0, 'Y', 0, '2014-06-24', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003046', 'W73003046', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Paige', NULL, 'Stotts', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1053312744', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006117', 'W73006117', 'UT01', 'Mountain Land Rehabilitation', 'Alan', 'Kenneth', 'Ward', 'PT', 'Physical Therapy', 'Occupational Therapy', NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1811965817', 0, 'Y', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003147', 'W73003147', 'UT01', 'Registered Physical Therapists', 'Steven', 'R', 'Verhaaren', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1174500268', 0, 'Y', 0, '2011-10-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003066', 'W73003066', 'UT01', 'Mountain Land Orthopedic & Sports Physical Therapy', 'Kerry', 'R', 'Tuttle', 'OT', 'Occupational Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009209', 0, 'Y', 0, '2007-02-12', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003050', 'W73003050', 'UT01', 'Horizon Balance & Dizziness Centers', 'D', 'Alan', 'Nybo', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 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
('522229954', 'W73006116', 'W73006116', 'UT01', 'Life Center Physical Therapy', 'Amy', 'Lorraine', 'Trujillo', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649337049', 0, 'Y', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006115', 'W73006115', 'UT01', 'Mountain Land Rehabilitation Home Health', 'Kyle', 'D', 'Toone', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009138', 0, 'Y', 0, '2007-02-12', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003047', 'W73003047', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Donna', 'Marie', 'Tiley', 'OT', 'Physical Therapy', 'Occupational Therapy', NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1194726786', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003054', 'W73003054', 'UT01', 'Jordan Valley Physical Therapy', 'David', 'L', 'Wetzel', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003084', 'W73003084', 'UT01', 'Mountain Land Rehabilitation', 'Jill', '', 'Thurber', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1336242924', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003056', 'W73003056', 'UT01', 'Logan Physical Therapy', 'Susan', 'A', 'Doucette', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1972613099', 0, 'N', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003136', 'W73003136', 'UT01', 'Physical & Sports Therapy Services', 'Greg', 'R', 'Thorpe', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1316933500', 0, 'Y', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003083', 'W73003083', 'UT01', 'Mountain Land Rehabilitation', 'Kirk', 'L', 'Terry', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1013011261', 0, 'Y', 0, '2012-04-18', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003171', 'W73003171', 'UT01', 'Spine, Orthopedic & Sports Physical Therapy', 'Rogan', 'L', 'Taylor', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1356333611', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003060', 'W73003060', 'UT01', 'Mountain Land Orthopedic & Sports Physical Therapy', 'Kimberly', 'June', 'Burrahm', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2007-04-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003159', 'W73003159', 'UT01', 'Rocky Mountain Therapy Services', 'Braden', 'J', 'Taylor', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1598788036', 0, 'Y', 0, '2013-08-15', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003062', 'W73003062', 'UT01', 'Mountain Land Orthopedic & Sports Physical Therapy', 'Brett', 'Harding', 'Cook', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457462657', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003135', 'W73003135', 'UT01', 'Physical & Sports Therapy Services', 'William', '', 'Sumsion', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1659367845', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003053', 'W73003053', 'UT01', 'Human Performance Institute', 'John', 'Robert', 'Sumsion', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1598887069', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006114', 'W73006114', 'UT01', 'Mountain Land Rehabilitation', 'Brandon', '', 'Stubbs', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1508949165', 0, 'Y', 0, '2012-01-10', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003055', 'W73003055', 'UT01', 'Life Center Physical Therapy', 'David', 'George', 'Strand', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821155219', 0, 'Y', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003067', 'W73003067', 'UT01', 'Mountain Land Orthopedic & Sports Physical Therapy', 'Ryan', 'Scott', 'Webb', 'MPT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-07-25', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1780755025', 0, 'n', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003145', 'W73003145', 'UT01', 'Registered Physical Therapists', 'Trevor', 'J', 'Stevenson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '9720 S 1300 E Ste W200', 'Sandy', 'Salt Lake', 'UT', '84094', '8015720690', '8015720696', NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '65.00', 3, '2008-12-01', '2009-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008912', 0, 'N', 0, '2007-02-12', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003128', 'W73003128', 'UT01', 'Performance West Physical Therapy', 'Stephen', 'Reese', 'Spencer', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003894379', 0, 'Y', 0, '2010-11-11', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003070', 'W73003070', 'UT01', 'Mountain Land Rehabilitation', 'Brett', 'Harding', 'Cook', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457462657', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003113', 'W73003113', 'UT01', 'Mountain Land Sports & Orthopedic', 'Stephen', 'Todd', 'Simmons', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821185208', 0, 'Y', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003072', 'W73003072', 'UT01', 'Mountain Land Rehabilitation', 'Jed', 'L', 'Crowton', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1285736041', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('522229954', 'W73003057', 'W73003057', 'UT01', 'Meier & Marsh Professional Therapies', 'Charles', 'Wade', 'Meier', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1699767954', 0, 'Y', 0, '2011-04-22', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003042', 'W73003042', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Gail', 'L', 'Marietta', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1952302630', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
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('522229954', 'W73003191', 'W73003191', 'UT01', 'Wasatch Therapy', 'Marilyn', 'Kay', 'Lyman', 'OT', 'Occupational Therapy', 'Physical Therapy', NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-07-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174615090', 0, 'Y', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
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('522229954', 'W73006098', 'W73006098', 'UT01', 'Jordan Valley Physical Therapy', 'Richard', 'W', 'Lemon', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1487646733', 0, 'Y', 0, '2010-06-01', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003078', 'W73003078', 'UT01', 'Mountain Land Rehabilitation', 'Steven', 'Kenneth', 'Layton', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007224', 0, 'Y', 0, '2007-02-12', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003119', 'W73003119', 'UT01', '', 'Noall', 'H', 'Latimer', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1932167665', 0, 'Y', 0, '2012-06-21', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006097', 'W73006097', 'UT01', 'Wasatch Peak Physical Therapy', 'Todd', 'K', 'Larson', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007208', 0, 'Y', 0, '2007-02-12', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003031', 'W73003031', 'UT01', 'Cottonwood Medical Plaza', 'Roger', 'Lee', 'Larson', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1699759357', 0, 'Y', 0, '2012-10-22', NULL, NULL, 0, 0, NULL, NULL),
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('522229954', 'W73003131', 'W73003131', 'UT01', 'Physical & Sports Therapy Services', 'Brian', 'B', 'Lambert', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1639165707', 0, 'Y', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006094', 'W73006094', 'UT01', 'ProRehab Physical Therapy', 'Scott', 'Ross', 'Labrum', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1457343725', 0, 'Y', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003146', 'W73003146', 'UT01', 'Registered Physical Therapists', 'Larry', 'Don', 'Fullmer', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821075912', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006092', 'W73006092', 'UT01', 'Ashley Creek Physical Therapy', 'Jerry', 'D', 'Kulland', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1194721704', 0, 'Y', 0, '2012-06-21', 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
('522229954', 'W73003077', 'W73003077', 'UT01', 'Mountain Land Rehabilitation', 'Dawn', 'L', 'Kliarsky', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215002548', 0, 'Y', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003058', 'W73003058', 'UT01', 'Morgan Valley Physical Therapy', 'Alan', 'John', 'Kerbs', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1952485625', 0, 'Y', 0, '2012-02-08', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003150', 'W73003150', 'UT01', 'Robert Green, RPT', 'Robert', 'G', 'Green', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003194', 'W73003194', 'UT01', 'Wasatch Therapy', 'Robyn', 'M', 'Judd', 'DPT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1295834679', 0, 'Y', 0, '2011-11-01', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003125', 'W73003125', 'UT01', 'Performance West Physical Therapy', 'Curtis', 'B', 'Jolley', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1548261431', 0, 'Y', 0, '2011-11-01', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003153', 'W73003153', 'UT01', 'Rocky Mountain Therapy Services', 'B', 'Jay', 'Ludwig', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245251800', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003110', 'W73003110', 'UT01', 'Mountain Land Sports & Orthopedic', 'Nylin', 'J', 'Johnson', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1013010727', 0, 'Y', 0, '2013-12-06', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003098', 'W73003098', 'UT01', 'Mountain Land Rehabilitation Home Health', 'Lori', 'Ann', 'Johnson', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1528133741', 0, 'Y', 0, '2011-10-26', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006091', 'W73006091', 'UT01', 'Bear Lake Physical Therapy', 'Kam', 'E', 'Jarman', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1710073523', 0, 'Y', 0, '2012-06-29', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003137', 'W73003137', 'UT01', 'Physical Therapy & Sports Medicine @ Kimball Junction', 'Dan', 'S', 'Ivie', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1861484131', 0, 'Y', 0, '2011-04-21', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003195', 'W73003195', 'UT01', 'Wasatch Therapy', 'Melissa', 'A', 'Ita Echau', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006883', 0, 'Y', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003075', 'W73003075', 'UT01', 'Mountain Land Rehabilitation', 'Cynthia', 'J', 'Indergard', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1972606572', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006090', 'W73006090', 'UT01', 'ProRehab Physical Therapy', 'Darrin', 'Michael', 'Hurdsman', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639161920', 0, 'Y', 0, '2009-11-30', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006089', 'W73006089', 'UT01', 'Life Center Physical Therapy', 'Enid', NULL, 'Hughes', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-06-18', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1851458277', 0, 'Y', 0, '2010-04-08', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003178', 'W73003178', 'UT01', 'Therapy West', 'Joseph', 'E', 'Howe', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1861444952', 0, 'Y', 0, '2010-04-12', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003163', 'W73003163', 'UT01', 'Salt Lake Physical Therapy Associates', 'Laura', 'J', 'Aberton', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144208562', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003164', 'W73003164', 'UT01', 'Salt Lake Physical Therapy Associates', 'Mark', NULL, 'Aberton', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003165', 'W73003165', 'UT01', 'Salt Lake Physical Therapy Associates', 'Stanley', 'A', 'Bingham', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003166', 'W73003166', 'UT01', 'Salt Lake Physical Therapy Associates', 'Pierre', NULL, 'Poltoratzsky', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006088', 'W73006088', 'UT01', 'Mountain Land Rehabilitation', 'Bradley', 'D', 'Horrocks', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1679685432', 0, 'Y', 0, '2011-04-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003177', 'W73003177', 'UT01', 'Summit Valley Physical Therapy', 'Byron', 'H', 'Horner', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1710061460', 0, 'Y', 0, '2013-12-30', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003169', 'W73003169', 'UT01', 'Salt Lake Physical Therapy Associates', 'Kevin', 'Terrill', 'Gibbons', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003170', 'W73003170', 'UT01', 'Spine, Orthopedic & Sports Physical Therapy', 'Ned', 'B', 'Bushnell', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528050861', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006087', 'W73006087', 'UT01', 'Wasatch Peak Physical Therapy', 'Eric', 'Michael', 'Hoffman', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891810131', 0, 'Y', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003148', 'W73003148', 'UT01', 'Registered Physical Therapists', 'Stanford', 'K', 'Hirai', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1972580074', 0, 'Y', 0, '2011-10-20', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006086', 'W73006086', 'UT01', 'Peak Physical Therapy', 'Von', 'O', 'Hill', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1669472684', 0, 'Y', 0, '2013-06-21', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006085', 'W73006085', 'UT01', 'North View Physical Therapy', 'Carol', 'B', 'Herzog', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006694', 0, 'Y', 0, '2008-10-03', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003041', 'W73003041', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Bonnie', 'R', 'Butler', 'PT-CSCS', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255332938', 0, 'Y', 0, '2011-04-19', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003097', 'W73003097', 'UT01', 'Mountain Land Rehabilitation Home Health', 'James', '', 'Harrison', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1558459321', 0, 'Y', 0, '2014-07-18', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003073', 'W73003073', 'UT01', 'Mountain Land Rehabilitation', 'Christopher', 'W', 'Harper', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1902900426', 0, 'Y', 0, '2013-05-06', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006083', 'W73006083', 'UT01', 'Mountain Land Orthopedic & Sports Physical Therapy', 'Steve', 'H', 'Harkness', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1518069384', 0, 'Y', 0, '2012-10-25', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003179', 'W73003179', 'UT01', 'Therapy West', 'Terri', 'Ann', 'Miles-Wehrli', NULL, 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', NULL, '58.00', 3, '2006-05-01', '2006-05-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73006082', 'W73006082', 'UT01', 'Wasatch Peak Physical Therapy', 'Hugh', 'J', 'Hansen', 'MA SLP', 'Physical Therapy', 'Speech Therapy', NULL, NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WestRehab', 'WUSTDHCPC5', NULL, '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1275565830', 0, 'Y', 0, '2011-10-10', NULL, NULL, 0, 0, NULL, NULL),
('522229954', 'W73003040', 'W73003040', 'UT01', 'Hand & Orthopedic Rehabilitation Specialists', 'Tyler', 'M', 'Hansen', 'PT', 'Physical Therapy', '', '', NULL, 'B', 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', NULL, 'PO Box 74125', 'Salt Lake City', 'Salt Lake', 'UT', '84171', '8019422729', '          ', 'WestRehab', 'WUSTDHCPC5', '', '0.00', '0.00', '58.00', 3, '2006-05-01', '2008-09-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1922009695', 0, 'Y', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870629690', 'W73003254', 'W73003254', 'UT01', 'Pioneer Valley Epic', 'Arthur', NULL, 'Davenport', 'MD', 'Emergency Medicine', NULL, NULL, NULL, 'O', '3460 S Pioneer Parkway', 'West Valley', 'Salt Lake', 'UT', '84120', '8019643100', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005891', 0, 'Y', 0, '2007-03-20', NULL, NULL, 40.6972, -111.99, NULL, NULL),
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