INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870476269', 'W77008423', 'W77008423', 'UT01', 'U Of U Pediatrics - General', 'M Joan', NULL, 'Sheetz', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '1999-09-01', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831585', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008424', 'W77008424', 'UT01', 'U of U Rocky Mtn Ophthalmology', 'Mark', 'D', 'Mifflin', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '4400 S 700 E', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012644410', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548350150', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008425', 'W77008425', 'UT01', 'U of U Ophthalmology', 'Majid', NULL, 'Moshirfar', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700976313', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008426', 'W77008426', 'UT01', 'U of U Ophthalmology', 'Majid', NULL, 'Moshirfar', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700976313', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008427', 'W77008427', 'UT01', 'U of U Ophthalmology', 'Majid', NULL, 'Moshirfar', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700976313', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008428', 'W77008428', 'UT01', 'U of U Ophthalmology', 'Harald', 'E', 'Olafsson', 'OD', 'Optometry', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346321130', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008429', 'W77008429', 'UT01', 'U of U Ophthalmology', 'Randall', 'J', 'Olson', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518057132', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008430', 'W77008430', 'UT01', 'U of U Ophthalmology', 'Robert', 'L', 'Rees', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832798', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008431', 'W77008431', 'UT01', 'U of U Ophthalmology', 'William', 'E', 'Richheimer', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-07-08', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '936588', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008432', 'W77008432', 'UT01', 'U of U Rocky Mtn Ophthalmology', 'Kim', 'Y', 'Taylor', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '4400 S 700 E', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012644464', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2000-11-27', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649360272', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008433', 'W77008433', 'UT01', 'U of U Ophthalmology', 'Bryan', 'H', 'Vincent', 'OD', 'Optometry', 'Ophthalmology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982785770', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008434', 'W77008434', 'UT01', 'U of U Ophthalmology', 'Albert', 'T', 'Vitale', 'MD', 'Pediatric Ophthalmology', 'Ophthalmology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2003-01-02', '2006-12-31', 1, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1497832232', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008435', 'W77008435', 'UT01', 'U of U Ophthalmology', 'Judith', 'EA', 'Warner', 'MD', 'Ophthalmology', 'Neurology', NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659461242', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008436', 'W77008436', 'UT01', 'U of U Ophthalmology', 'Kang', NULL, 'Zhang', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2002-03-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832108', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008437', 'W77008437', 'UT01', 'University of Utah Ear, Nose & Throat', 'ar, Nose & Thro', 'at', 'University of Utah E', 'GROUP', 'Audiology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-06-29', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834820', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870678440', 'W77008438', 'W77008438', 'UT01', 'Utah Valley Obstetrical Ultrasound', 'Jodie', 'G', 'Layton', 'MS', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 143', 'Provo', 'Utah', 'UT', '84603', '8012255407', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRAD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832518', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870678589', 'W77008439', 'W77008439', 'UT01', 'Epilepsy & Neurodevelopment', 'Marcia', 'J', 'Litzinger', 'MD', 'Pediatric Neurology', NULL, NULL, NULL, 'O', '3590 W 9000 S Ste 135', 'West Jordan', 'Salt Lake', 'UT', '84088', '8013528367', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306806047', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870678589', 'W77008440', 'W77008440', 'UT01', 'Epilepsy & Neurodevelopment', 'Marcia', 'J', 'Litzinger', 'MD', 'Pediatric Neurology', NULL, NULL, NULL, 'B', 'PO Box 1954', 'Sandy', 'Salt Lake', 'UT', '84091', '8013528367', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306806047', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870678603', 'W77008441', 'W77008441', 'UT01', 'Northern Utah Nephrology', 'Cindie', 'G', 'Brunton', 'NP', 'Nephrology', NULL, NULL, NULL, 'O', '425 E 5350 S Ste 320', 'Ogden', 'Weber', 'UT', '84405', '8014791117', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNEPH', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2004-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832156', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870678993', 'W77008442', 'W77008442', 'UT01', 'Families First Pediatrics', 'Matthew', 'N', 'Cox', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 95868', 'South Jordan', 'Salt Lake', 'UT', '84095', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-02-14', '2006-10-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1811081904', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870678993', 'W77008443', 'W77008443', 'UT01', 'Families First Pediatrics', 'Brian', 'P', 'Good', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 95868', 'South Jordan', 'Salt Lake', 'UT', '84095', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-08-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1770688335', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870679120', 'W77008444', 'W77008444', 'UT01', 'Dt Roberts', 'David', 'T', 'Roberts', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '50 S Medical Dr Ste 1', 'Payson', 'Utah', 'UT', '84651', '8014656969', '8014656999', NULL, NULL, '', NULL, NULL, '', '', 'USTDNEUR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326031782', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870679258', 'W77008445', 'W77008445', 'UT01', 'Center for Colon and Rectal Diseases', 'Edward', 'Joe', 'Eyring', 'MD', 'Colon and Rectal Surgery', 'General Surgery', NULL, NULL, 'O', '348 E 4500 S Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012653978', '8012653988', NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427074582', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870679258', 'W77008446', 'W77008446', 'UT01', 'Center for Colon and Rectal Diseases', 'Michelle', 'E', 'Murday', 'MD', 'Colon and Rectal Surgery', 'General Surgery', NULL, NULL, 'O', '6360 S 3000 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8013651032', '8013651036', NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-09-30', '2006-02-28', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1184616468', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870679270', 'W77008447', 'W77008447', 'UT01', 'Kaysville Clinic', 'Adam', 'C', 'Craner', 'FNP-C', 'Internal Medicine', 'Family Practice', NULL, NULL, 'O', '934 S Main St', 'Layton', 'Davis', 'UT', '84041', '8015444227', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-08-13', '2006-10-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1952326357', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870679401', 'W77008448', 'W77008448', 'UT01', 'Pratt, Mitchell K', 'Mitchell', 'K', 'Pratte', 'DO', 'Family Practice', 'Sports Medicine', NULL, NULL, 'O', '173 N 400 W Ste C-11', 'Orem', 'Utah', 'UT', '84057', '8018027373', '8018027733', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-06-28', '2004-07-21', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831966', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870679577', 'W77008449', 'W77008449', 'UT01', 'Creekside Oral & Facial Surgery', 'David', 'M', 'Anderson', 'DDS MD', 'Oral/Maxillofacial Surgery', 'Oral Surgeon', NULL, NULL, 'O', '7390 Creek Rd Ste 101', 'Sandy', 'Salt Lake', 'UT', '84093', '8012552422', '8012553013', NULL, NULL, '', NULL, NULL, '', '', 'USTDOSRG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 6, '2005-06-24', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619061546', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870680455', 'W77008450', 'W77008450', 'UT01', 'Ogden Ortho & Neurosurgical Specialists', 'Dann', 'C', 'Byck', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 2600', 'Ogden', 'Weber', 'UT', '84403', '8013872600', '8013872625', NULL, NULL, '', NULL, NULL, '', '', 'UOGORTH', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-09-13', '2006-10-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1679565758', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870680455', 'W77008451', 'W77008451', 'UT01', 'Ogden Ortho & Neurosurgical Specialists', 'Jack', 'W', 'Crosland', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 26040', 'Macon', 'Bibb', 'GA', '31221', '8014799862', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UOGORTH', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2004-12-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750373247', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000545', 'W77008452', 'W77008452', 'UT01', 'Health Clinics Of Utah', 'Kathleen', NULL, 'Hogan', 'NP', 'Family Practice', NULL, NULL, NULL, 'O', '3195 S Main St Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014680354', '8014680353', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2000-04-06', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215999578', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008453', 'W77008453', 'UT01', 'San Juan Clinic', 'Mahana', 'S', 'Fisher', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355875054', '4355873004', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1700878949', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008454', 'W77008454', 'UT01', 'Blanding Clinic', 'Jay', NULL, 'Kaluvapalle (Reddy)', 'MD', 'Family Practice', 'Internal Medicine', NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', '4355872061', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '831748', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008455', 'W77008455', 'UT01', 'Blanding Medical Clinic', 'Jay', NULL, 'Kaluvapalle (Reddy)', 'MD', 'Family Practice', 'Internal Medicine', NULL, NULL, 'O', '804 N 400 W', 'Blanding', 'San Juan', 'UT', '84511', '4356782254', '4356782534', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '831748', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'W77008456', 'W77008456', 'UT01', 'Blanding Clinic', 'James', 'D', 'Redd', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 1054', 'Monticello', 'San Juan', 'UT', '84535', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-01-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1417949132', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008457', 'W77008457', 'UT01', 'U of U Ophthalmology', 'Richard', 'A', 'Aldous', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2003-01-06', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255421871', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008459', 'W77008459', 'UT01', 'U of U Ophthalmology', 'Charles', 'A', 'Barsam', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2004-07-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832610', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008460', 'W77008460', 'UT01', 'U of U Ophthalmology', 'Charles', 'A', 'Barsam', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2003-07-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832610', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008462', 'W77008462', 'UT01', 'U of U Rocky Mtn Ophthalmology', 'Charles', 'A', 'Barsam', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '4400 S 700 E', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012644464', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-01', '2004-07-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832610', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870686529', 'W77008509', 'W77008509', 'UT01', 'Pioneer Valley Ob/Gyn', 'Scott', 'F', 'Epstein', 'DO', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '3336 Pioneer Pkwy Ste 301', 'West Valley', 'Salt Lake', 'UT', '84120', '8019642229', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-04-02', '2006-10-31', 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1295793339', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008510', 'W77008510', 'UT01', 'U of U Ophthalmology', 'Thomas', 'F', 'Findlan', 'DO', 'Ophthalmology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '2003-07-01', '2006-09-27', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832609', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008511', 'W77008511', 'UT01', 'John Moran Eye Center', 'Roger', NULL, 'Harrie', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982639787', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('876151902', 'W77008516', 'W77008516', 'UT01', 'U Of U Ophthalmology-Parkway Center', 'Scott', 'A', 'Larson', 'MD', 'Pediatric Ophthalmology', 'Ophthalmology', NULL, NULL, 'O', '145 W University Pkwy', 'Orem', 'Utah', 'UT', '84058', '8012267555', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-08-01', '2003-08-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992757991', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('876151902', 'W77008520', 'W77008520', 'UT01', 'U of U Ophthalmology', 'Mark', 'D', 'Mifflin', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '1999-09-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548350150', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008522', 'W77008522', 'UT01', 'U of U Ophthalmology-Redwood', 'Majid', NULL, 'Moshirfar', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8018872400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700976313', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008523', 'W77008523', 'UT01', 'U of U Ophthalmology', 'Randall', 'J', 'Olson', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518057132', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77008524', 'W77008524', 'UT01', 'U Of U Pediatrics - General', 'Robert', 'M', 'Ward', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816598', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144309717', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77008525', 'W77008525', 'UT01', 'U Of U Pediatrics - General', 'Patrice', NULL, 'White', 'CNM', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-10-02', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834491', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77008527', 'W77008527', 'UT01', 'U Of U Pediatrics - PCMC', 'Matthew', 'A', 'Wilber', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883813', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-07-01', '2004-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832603', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77008528', 'W77008528', 'UT01', 'U Of U Pediatrics - PCMC', 'Hassan', 'M', 'Yaish', 'MD', 'Pediatric Hematology and Oncolocy', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882680', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-05-19', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891874368', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77008529', 'W77008529', 'UT01', 'U Of U Pediatrics - General', 'Paul', 'C', 'Young', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649219759', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870477183', 'W77008530', 'W77008530', 'UT01', 'Emergency Medical Services', 'rvices', NULL, 'Emergency Medical Se', 'GROUP', 'Emergency Medicine', NULL, NULL, NULL, 'O', '750 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8016754539', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-05-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834829', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870477183', 'W77008531', 'W77008531', 'UT01', 'Emergency Medical Services', 'rvices', NULL, 'Emergency Medical Se', 'GROUP', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 1865', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8016754539', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-05-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834829', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870477183', 'W77008532', 'W77008532', 'UT01', 'Timpanogos Emergency Medical Services', 'S Dwayne', NULL, 'Roberts', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '750 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8017146000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-11-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1316993520', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870478213', 'W77008533', 'W77008533', 'UT01', 'Eyre Dermatology Clinic', 'Steven', 'P', 'Eyre', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '486 W 800 N Ste 201', 'Orem', 'Utah', 'UT', '84057', '8014310300', '8014310312', NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-02-27', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174520597', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478420', 'W77008534', 'W77008534', 'UT01', 'South Valley Rheumatology', 'Max', 'S', 'Lundberg', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', '11333 S 1000 E Ste 100', 'Sandy', 'Salt Lake', 'UT', '84094', '8015714100', '8015714125', NULL, NULL, '', NULL, NULL, '', '', 'USTDRHEU', NULL, NULL, '0.00', '35.00', NULL, 3, '2004-01-30', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265426621', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'W77008535', 'W77008535', 'UT01', 'U Of U General Medicine', 'Sara', 'Jane', 'Andersen', 'MD', 'Rheumatology', '', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812231', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164512786', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'W77008536', 'W77008536', 'UT01', 'U Of U General Medicine', 'Stephen', 'J', 'Bekanich', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812231', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578587770', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'W77008537', 'W77008537', 'UT01', 'U Of U General Medicine', 'Thomas', 'H', 'Caine', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812231', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205926896', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('912194953', 'W77008538', 'W77008538', 'UT01', 'Foot & Ankle Specialty Clinic', 'William', 'W', 'Martin', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '550 E 1400 N Ste N', 'Logan', 'Cache', 'UT', '84341', '4357533953', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023013794', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942764098', 'W77008539', 'W77008539', 'UT01', 'U Of U Nuerosurgery-Adults', 'Ronald', 'I', 'Apfelbaum', 'MD', 'Pediatric Neurosurgery', 'Neurosurgery', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816908', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891885422', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942764098', 'W77008540', 'W77008540', 'UT01', 'University Neurosurgery Billing', 'Lynn', 'D', 'Falkner', 'PA', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 58417', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015853198', '8015440681', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-01-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225128820', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008541', 'W77008541', 'UT01', 'Ihc Pulmonary Clinic', 'William', 'T', 'Alward', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 500', 'Provo', 'Utah', 'UT', '84604', '8013577291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 8, '1999-09-02', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609880939', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008542', 'W77008542', 'UT01', 'Intermountain Health Care', 'Robert', 'D', 'Armstrong', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'URURAL', NULL, NULL, '0.00', '35.00', NULL, 8, '2005-09-30', '2005-09-30', 0, 0, 0, 'Sanpete Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1194766782', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008543', 'W77008543', 'UT02', 'IHC Memorial Health Center', 'Timothy', 'D', 'Bancroft', 'MD', 'Pediatrics', '', '', NULL, 'O', '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8014647600', NULL, '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8014647600', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-12-29', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1649219395', 0, 'Y', 0, '2011-02-08', NULL, NULL, 0, 0, NULL, NULL),
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('870480520', 'W77008643', 'W77008643', 'UT01', 'Center For Advanced Medical Technology', 'Susan', 'K', 'Baggaley', 'NP', 'Neurology', NULL, NULL, NULL, 'O', '729 Arapeen Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015856387', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-10-22', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437249067', 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
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('870480520', 'W77008645', 'W77008645', 'UT01', 'Center For Advanced Medical Technology', 'Lorie', 'L', 'Blair', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '729 Arapeen Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015856387', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-01-28', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295825826', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008646', 'W77008646', 'UT02', 'Intermountain Health Care', 'Gordon', 'W', 'Harkness', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8013547945', '8013547948', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2003-06-27', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376557611', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008647', 'W77008647', 'UT01', 'Intermountain Health Care', 'Mark', 'D', 'Heiner', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', NULL, NULL, '0.00', '35.00', NULL, 8, '2003-01-01', '2005-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831193', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008648', 'W77008648', 'UT01', 'Altaview Orthopedics', 'Michael', 'C', 'Holmstrom', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '9720 S 1300 E Ste E240', 'Sandy', 'Salt Lake', 'UT', '84094', '8015015500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 8, '2002-11-01', '2004-10-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356384283', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008649', 'W77008649', 'UT02', NULL, 'Michael', 'C', 'Holmstrom', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '5848 Fashion Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8013144900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2002-11-01', '2008-07-09', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356384283', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008650', 'W77008650', 'UT02', 'Intermountain Health Care', 'Ernest', 'Brett', 'Horsley', 'DO', 'Obstetrics and Gynecology', '', '', NULL, 'O', '1350 N 500 E', 'Logan', 'Cache', 'UT', '84341', '4357921627', '4357921615', NULL, NULL, 'Cache', NULL, NULL, '4357921627', '4357921615', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2002-12-01', NULL, NULL, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1003826439', 0, 'Y', 0, '2010-04-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008651', 'W77008651', 'UT02', 'Intermountain Health Care', 'Alisa', 'A', 'Knowlton', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8012941000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2002-04-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124073556', 0, 'Y', 0, '2008-06-16', NULL, NULL, 0, 0, NULL, NULL),
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('876000545', 'W77008654', 'W77008654', 'UT01', 'Health Clinics Of Utah', 'Deborah', 'M', 'Judd', 'NP', NULL, NULL, NULL, NULL, 'O', '2540 Washington Blvd Ste 122', 'Ogden', 'Weber', 'UT', '84401', '8016263670', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-05-20', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790754760', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('876151902', 'W77008663', 'W77008663', 'UT01', 'U of U Ophthalmology', 'Kathleen', 'B', 'Digre', 'MD', 'Neurology', 'Ophthalmology', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962592550', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870481685', 'W77008742', 'W77008742', 'UT01', NULL, 'Twana', 'M', 'Rigney', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '3540 S 4000 W Ste 340', 'West Valley', 'Salt Lake', 'UT', '84120', '8019690200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-10-13', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '908286', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W77008744', 'W77008744', 'UT02', 'Intermountain Health Care', 'Chara', 'J', 'Solich', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDRHEU', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134158892', 0, 'Y', 0, '2008-06-16', NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W77008746', 'W77008746', 'UT01', 'Intermountain Health Care', 'Stephen', 'E', 'Starr', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 8, '2003-04-01', '2003-04-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043220445', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008747', 'W77008747', 'UT02', 'IHC Bountiful Health Center', 'June', 'M', 'Steely', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '390 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8012941042', '8012928369', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-12-16', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891733374', 0, 'Y', 0, '2008-06-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008748', 'W77008748', 'UT01', 'Intermountain Health Care', 'Krishna', 'M', 'Sundar', 'MD', 'Pulmonary', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 8, '2003-05-02', '2006-05-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1801802186', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008749', 'W77008749', 'UT02', 'Intermountain Health Care', 'John', 'D', 'Weipert', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2002-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821021718', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008750', 'W77008750', 'UT02', 'Intermountain Health Care', 'Wayne', 'R', 'Young', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2001-07-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952317851', 0, 'Y', 0, '2008-07-29', 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
('953750714', 'W77008751', 'W77008751', 'UT01', 'Rodier, E Stanley', 'E Stanley', NULL, 'Rodier', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', '15725 Pomerado Rd Ste 108', 'Poway', 'San Diego', 'CA', '92064', '8584858111', '8584859926', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-04-30', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134201312', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W77008752', 'W77008752', 'UT01', 'Exodus Healthcare West Valley', 'James', 'S', 'Coy', 'MD', 'Family Practice', 'Urgent Care', NULL, NULL, 'O', '3336 Pioneer Pkwy Ste 201', 'Salt Lake City', 'Salt Lake', 'UT', '84120', '8012509638', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-07-17', '2005-11-19', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174555320', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008753', 'W77008753', 'UT01', 'U of U Ophthalmology', 'Mitchell', 'P', 'Weikert', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-07-01', '2002-07-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832220', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008754', 'W77008754', 'UT01', 'U of U Ophthalmology', 'Mitchell', 'P', 'Weikert', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-07-01', '2004-08-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832220', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W77008755', 'W77008755', 'UT01', 'U of U Ophthalmology', 'Norman', 'A', 'Zabriskie', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '8015851295', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '37.71', '25.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1063502656', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008756', 'W77008756', 'UT01', 'University Of Utah Ear Nose & Throat', 'Brandon', 'G', 'Bentz', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'B', 'PO Box 581094', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-03-03', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679663207', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008757', 'W77008757', 'UT01', 'U Of U Ent', 'Alicia', 'K', 'Crofts', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2004-05-10', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700976396', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008758', 'W77008758', 'UT01', 'U of U ENT', 'Lisa', NULL, 'Dahlstrom', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-05-31', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1326138918', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008759', 'W77008759', 'UT01', 'U Of U Ent', 'R', 'Kim', 'Davis', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818915', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2004-12-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992962757', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008760', 'W77008760', 'UT01', 'U Of U Ent', 'Vera', 'H', 'Draper', 'AUD', 'Audiology', NULL, NULL, NULL, 'B', 'PO Box 581094', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-06-29', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834821', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008761', 'W77008761', 'UT01', 'U Of U Ent', 'Leland', 'P', 'Johnson', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'B', 'PO Box 581094', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609966209', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008762', 'W77008762', 'UT01', 'U Of U Ent', 'Steven', 'Ross', 'Mobley', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'B', 'PO Box 581094', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2002-08-14', '2006-07-31', 1, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1265522874', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008763', 'W77008763', 'UT01', 'U Of U Ent', 'Richard', 'R', 'Orlandi', 'MD', 'Ear, Nose and Throat', 'Pediatric Otolaryngology ', NULL, NULL, 'B', 'PO Box 581094', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2000-07-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790865699', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008764', 'W77008764', 'UT01', 'U Of U Ent', 'Pramod', 'K', 'Sharma', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015882700', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-08-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801986427', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008765', 'W77008765', 'UT01', 'U Of U Ent', 'Susan', 'T', 'Thibeault', 'SPT', 'Speech Therapy', NULL, NULL, NULL, 'B', 'PO Box 581094', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-02-24', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832470', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876157946', 'W77008766', 'W77008766', 'UT01', 'U of U ENT', 'Kay', 'B', 'Walker', 'MD', 'Allergy and Immunology', 'Asthma', NULL, NULL, 'O', '729 Arapeen Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015818915', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-04-01', '2005-10-01', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1083608095', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008767', 'W77008767', 'UT01', 'Intermountain Health Care', 'James', 'R', 'Grua', 'MD', 'Endocrinology', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 8, '2004-04-30', '2004-04-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134159288', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008768', 'W77008768', 'UT02', 'Intermountain Health Care', 'Deborah', 'A', 'Hackett', 'MD', 'Endocrinology', '', '', NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '', '', 'USTDENDO', 'USTDHCPC', '', '0.00', '35.00', '0.00', 8, '2005-07-29', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1821028903', 0, 'Y', 0, '2014-06-27', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008769', 'W77008769', 'UT01', 'Intermountain Health Care', 'Deborah', 'A', 'Hackett', 'MD', 'Endocrinology', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDENDO', NULL, NULL, '0.00', '35.00', NULL, 8, '2005-07-29', '2005-07-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821028903', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008770', 'W77008770', 'UT01', 'Intermountain Health Care', 'Michael', 'C', 'Holmstrom', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', NULL, NULL, '0.00', '35.00', NULL, 8, '2002-11-01', '2004-10-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1356384283', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008771', 'W77008771', 'UT02', 'Intermountain Health Care', 'Ernest', 'Brett', 'Horsley', 'DO', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2002-12-01', NULL, NULL, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1003826439', 0, 'Y', 0, '2010-04-23', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008772', 'W77008772', 'UT02', 'Intermountain Health Care', 'Douglas', 'S', 'Kasteler', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8012941000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2002-04-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659313583', 0, 'Y', 0, '2008-06-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008773', 'W77008773', 'UT02', 'Intermountain Health Care', 'Wayne', 'W', 'Mortensen', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8013578898', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '1999-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346256690', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
('870482642', 'W77008774', 'W77008774', 'UT01', 'Millcreek Anesthesia', 'Derek', 'W', 'Anderson', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 104', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019939530', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '48.30', NULL, NULL, 3, '2002-07-01', '2006-12-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1821069485', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870482642', 'W77008775', 'W77008775', 'UT01', 'St Marks Internventional Spine and Pain Clinic', 'Robert', 'L', 'Curtis', 'DO', 'Anesthesiology', NULL, NULL, NULL, 'O', '1200 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012687725', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '48.30', NULL, NULL, 3, '2001-06-15', '2006-12-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1528166931', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870482642', 'W77008776', 'W77008776', 'UT01', 'Millcreek Anesthesia', 'John', NULL, 'English', 'MD', 'Pain Management', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 104', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019939530', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '48.30', NULL, NULL, 3, '2001-06-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832098', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870482642', 'W77008777', 'W77008777', 'UT01', 'Millcreek Anesthesia', 'Kyle', 'R', 'Enslin', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 104', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019939530', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '48.30', NULL, NULL, 3, '2001-06-01', '2006-12-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1134127202', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870482642', 'W77008778', 'W77008778', 'UT01', 'St Marks Internventional Spine and Pain Clinic', 'Robert', 'S', 'Hibbard', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1200 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012687725', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '48.30', NULL, NULL, 3, '2001-06-01', '2006-12-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1720185986', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870482642', 'W77008783', 'W77008783', 'UT01', 'Millcreek Anesthesia', 'Scott', 'W', 'Moss', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 104', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019939530', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '48.30', NULL, NULL, 3, '2002-04-26', '2006-12-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1902906415', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('942764098', 'W77008829', 'W77008829', 'UT01', 'University Neurosurgery Billing', 'Richard', 'Hall', 'Schmidt', 'MD', 'Neurosurgery', NULL, NULL, NULL, 'B', 'PO Box 58417', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '1999-09-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1235219130', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942764098', 'W77008830', 'W77008830', 'UT01', 'U Of U Nuerosurgery-Adults', 'Kenneth', 'S', 'Yonemura', 'MD', 'Neurosurgery', 'Pediatric Neurosurgery', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812453', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-08-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336239920', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942764098', 'W77008831', 'W77008831', 'UT01', 'University Neurosurgery Billing', 'Kenneth', 'S', 'Yonemura', 'MD', 'Neurosurgery', 'Pediatric Neurosurgery', NULL, NULL, 'B', 'PO Box 58417', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015853198', '8015440681', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-08-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1336239920', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008832', 'W77008832', 'UT02', 'Intermountain Health Care', 'Gerald', 'L', 'Allred', 'MD', 'Pediatrics', '', '', NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-12-29', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1174577472', 0, 'Y', 0, '2013-05-17', NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W77008834', 'W77008834', 'UT02', 'IHC Memorial Health Center', 'Louis', 'Frank', 'Bentley', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8014647600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265471429', 0, 'Y', 0, '2008-05-14', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008835', 'W77008835', 'UT02', 'Intermountain Health Care', 'Louis', 'Frank', 'Bentley', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265471429', 0, 'Y', 0, '2008-05-14', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008836', 'W77008836', 'UT02', 'IHC Bryner Health Center', 'Wayne', 'Hales', 'Cannon', 'MD', 'Pediatrics', '', '', NULL, 'O', '525 E 100 S Ste 500', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015197190', '8015213091', '525 E 100 S Ste 500', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8015197190', '8015213091', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-12-29', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1881633428', 0, 'Y', 0, '2013-05-30', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008837', 'W77008837', 'UT02', 'Intermountain Health Care', 'Wayne', 'Hales', 'Cannon', 'MD', 'Pediatrics', '', '', NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-12-29', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1881633428', 0, 'Y', 0, '2013-05-30', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008838', 'W77008838', 'UT02', 'Intermountain Health Care', 'Brian', 'W', 'Carlson', 'MD', 'Family Practice', '', '', NULL, 'O', '1350 N 500 E', 'Logan', 'Cache', 'UT', '84341', '4357921627', '4357921615', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-07-29', NULL, 0, 0, 0, 'Logan Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1760498687', 0, 'Y', 0, '2008-05-14', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008839', 'W77008839', 'UT02', 'Bear River Specialists', 'Stephen', 'E', 'Starr', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '935 N 1000 W', 'Tremonton', 'Box Elder', 'UT', '84337', '4352074800', NULL, '935 N 1000 W', 'Tremonton', 'Box Elder', 'UT', '84337', '4352074800', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2003-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1043220445', 0, 'Y', 0, '2012-12-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008840', 'W77008840', 'UT02', 'Intermountain Health Care', 'June', 'M', 'Steely', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8012941000', '8012928369', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-12-16', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891733374', 0, 'Y', 0, '2008-06-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008841', 'W77008841', 'UT02', 'Intermountain Health Care', 'Craig', 'N', 'Stevens', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2003-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1780606194', 0, 'Y', 0, '2011-04-28', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008842', 'W77008842', 'UT01', 'IHC Pulmonary Clinic', 'Krishna', 'M', 'Sundar', 'MD', 'Pulmonary', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 500', 'Provo', 'Utah', 'UT', '84604', '8013577291', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 8, '2003-05-02', '2006-05-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1801802186', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008843', 'W77008843', 'UT02', 'North Canyon Clinic', 'Robert', 'W', 'Taylor', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3200 N Canyon Rd Ste D', 'Provo', 'Utah', 'UT', '84604', '8013733300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255347472', 0, 'Y', 0, '2008-11-05', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008844', 'W77008844', 'UT02', 'Altaview Orthopedics', 'Russell', 'A', 'Toronto', 'MD', 'General Practice', '', '', NULL, 'O', '9720 S 1300 E Ste E240', 'Sandy', 'Salt Lake', 'UT', '84094', '8015015500', NULL, '9720 S 1300 E Ste E240', 'Sandy', 'Salt Lake', 'UT', '84094', '8015015500', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2003-04-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1528005618', 0, 'Y', 0, '2011-10-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008845', 'W77008845', 'UT02', 'Intermountain Health Care', 'Russell', 'A', 'Toronto', 'MD', 'General Practice', '', '', NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '', '', 'USTDORTH', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2003-04-01', NULL, 0, 0, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1528005618', 0, 'Y', 0, '2011-10-12', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008846', 'W77008846', 'UT02', 'IHC Holladay Pediatrics', 'Jed', 'B', 'VanDenBerghe', 'MD', 'Pediatrics', '', '', NULL, 'O', '2180 E 4500 S Ste 210', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012784693', '8012784850', '2180 E 4500 S Ste 210', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012784693', '8012784850', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-05-20', NULL, 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1922011576', 0, 'Y', 0, '2013-12-18', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008847', 'W77008847', 'UT02', 'Intermountain Health Care', 'Mark', 'T', 'Witt', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-05-20', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881707875', 0, 'Y', 0, '2008-05-14', NULL, NULL, 0, 0, NULL, NULL),
('954659390', 'W77008848', 'W77008848', 'UT01', 'Whiting, Michael', 'Michael', 'D', 'Whiting', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '48 N 1100 E Ste C', 'American Fork', 'Utah', 'UT', '84003', '8014924333', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-11-08', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548220148', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008850', 'W77008850', 'UT01', 'University Of Utah Orthopedic Consultants', 'Darrel', 'S', 'Brodke', 'MD', 'Pediatric Orthopedic Surgery', 'Orthopedic Surgery', NULL, NULL, 'B', 'PO Box 58108', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407800311', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008851', 'W77008851', 'UT01', 'University Orthopedic Center', 'Darrel', 'S', 'Brodke', 'MD', 'Pediatric Orthopedic Surgery', 'Orthopedic Surgery', NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407800311', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008852', 'W77008852', 'UT01', 'Orthopedic Consultants', 'Robert', NULL, 'Burks', 'MD', 'Sports Medicine', 'Orthopedic Surgery', NULL, NULL, 'O', '546 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817555', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124118716', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008853', 'W77008853', 'UT01', 'University Orthopedic Center', 'Robert', NULL, 'Burks', 'MD', 'Sports Medicine', 'Orthopedic Surgery', NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124118716', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008854', 'W77008854', 'UT01', 'University Of Utah Orthopedic Consultants', 'Laura', 'J', 'Cannon', 'NP', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 58108', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-04-20', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '835221', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870483582', 'W77008855', 'W77008855', 'UT01', 'University Orthopedic Center', 'Donald', 'A', 'Coleman', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-02', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629168216', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008856', 'W77008856', 'UT01', 'University Orthopedic Center', 'Ryan', 'E', 'Dobbs', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-08-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '939549', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008857', 'W77008857', 'UT01', 'University of Utah Orthopedic Consultants', 'Ryan', 'E', 'Dobbs', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 58108', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-08-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '939549', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008859', 'W77008859', 'UT01', 'University Of Utah Orthopedic Consultants', 'Jill', 'A', 'Erickson', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-11-05', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407946007', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008860', 'W77008860', 'UT01', 'University Of Utah Orthopedic Consultants', 'Tyler', 'D', 'Goldberg', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812041', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2003-08-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832679', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008861', 'W77008861', 'UT01', 'Orthopedic Consultants', 'Patrick', 'E', 'Greis', 'MD', 'Sports Medicine', NULL, NULL, NULL, 'O', '546 Chipeta Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817555', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568552164', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77008862', 'W77008862', 'UT01', 'University Of Utah Orthopedic Consultants', 'Patrick', 'E', 'Greis', 'MD', 'Sports Medicine', NULL, NULL, NULL, 'B', 'PO Box 58108', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568552164', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008863', 'W77008863', 'UT02', 'North Canyon Clinic', 'James', 'Larsen', 'Clark', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3200 N Canyon Rd Ste D', 'Provo', 'Utah', 'UT', '84604', '8013733300', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-07-29', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1194731323', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008864', 'W77008864', 'UT02', 'IHC Sandy ENT', 'R', 'Kim', 'Davis', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '9690 S 1300 E Ste 200', 'Sandy', 'Salt Lake', 'UT', '84094', '8015014310', NULL, '9690 S 1300 E Ste 200', 'Sandy', 'Salt Lake', 'UT', '84094', '8015014310', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '1999-09-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1992962757', 0, 'Y', 0, '2010-10-28', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008865', 'W77008865', 'UT02', 'IHC Memorial Health Center', 'Troy', 'B', 'Demill', 'AUD', 'Audiology', NULL, NULL, NULL, 'O', '2000 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84105', '8014647660', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOTHR', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-11-18', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841322161', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
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('942854057', 'W77008951', 'W77008951', 'UT02', 'Intermountain Health Care', 'Jack', 'D', 'Wahlen', 'MD', 'Endocrinology', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 3630', 'Ogden', 'Weber', 'UT', '84403', '8013877900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2003-04-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033143508', 0, 'Y', 0, '2008-06-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008952', 'W77008952', 'UT02', 'Intermountain Health Care', 'Jack', 'D', 'Wahlen', 'MD', 'Endocrinology', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2003-04-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1033143508', 0, 'Y', 0, '2008-06-16', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008953', 'W77008953', 'UT02', 'Bear River Hospital Physicians', 'John', 'D', 'Weipert', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '476 W 50 N', 'American Fork', 'Utah', 'UT', '84003', '8017568788', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2002-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821021718', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008954', 'W77008954', 'UT02', 'Jae Baxter MD & Wayne Young MD', 'Wayne', 'R', 'Young', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '505 W 400 N', 'Orem', 'Utah', 'UT', '84057', '8017143450', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2001-07-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952317851', 0, 'Y', 0, '2008-07-29', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008955', 'W77008955', 'UT02', 'IHC Sevier Valley Health Center', 'Patrick', 'H', 'Zimmerman', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '70 E 1000 N', 'Richfield', 'Sevier', 'UT', '84701', '4358968254', '4358968420', NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-07-29', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000932603', 0, 'Y', 0, '2006-12-15', NULL, NULL, 0, 0, NULL, NULL),
('942854057', 'W77008956', 'W77008956', 'UT02', 'Intermountain Health Care', 'Patrick', 'H', 'Zimmerman', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 27128', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'URURAL', 'USTDHCPC', NULL, '0.00', '35.00', '0.00', 8, '2005-07-29', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000932603', 0, 'Y', 0, '2006-12-15', NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W77008957', 'W77008957', 'UT01', 'Exodus Healthcare Network PLLC', 'James', 'S', 'Coy', 'MD', 'Family Practice', 'Urgent Care', NULL, NULL, 'B', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '8012503204', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-07-17', '2005-11-19', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174555320', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W77008958', 'W77008958', 'UT01', 'Magna Center For Family Medicine', 'Kevin', NULL, 'MacFarlane', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '8012503204', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1922163401', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W77008959', 'W77008959', 'UT01', 'Exodus Healthcare Network PLLC', 'Brian', 'K', 'Zehnder', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '8012503204', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1447278023', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'W77008960', 'W77008960', 'UT01', 'Magna Center For Family Medicine', 'Brian', 'K', 'Zehnder', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '8012503204', NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1447278023', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'W77008961', 'W77008961', 'UT01', 'U Of U Surgical Associates', 'Bradford', NULL, 'Sklow', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812275', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-07-02', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518057140', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'W77008962', 'W77008962', 'UT01', 'U Of U Surgical Associates', 'John', 'B', 'Sorenson', 'MD', 'Pediatric Orthopedic Surgery', 'General Surgery', NULL, NULL, 'B', 'PO Box 58681', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-06-06', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699865220', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'W77008963', 'W77008963', 'UT01', 'U Of U Surgical Associates', 'Barbara', NULL, 'Stark', 'NP', NULL, NULL, NULL, NULL, 'B', 'PO Box 58681', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-10-01', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1053401687', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870491699', 'W77008964', 'W77008964', 'UT01', 'Gastroenterology/Hepatology', 'Robert', 'F', 'Miller', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '1002 E S Temple Ste 412', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013550465', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDGSTR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306925433', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870491749', 'W77008965', 'W77008965', 'UT01', 'Utah Sleep Specialists', 'Matthew', 'S', 'Cobb', 'PA', NULL, NULL, NULL, NULL, 'O', '3336 Pioneer Pkwy Ste 303', 'Salt Lake City', 'Salt Lake', 'UT', '84120', '8019673155', '8019679573', NULL, NULL, '', NULL, NULL, '', '', 'USTDPULM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-12-17', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '913093', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77008966', 'W77008966', 'UT01', 'Utah Cardiology', 'Michael', 'C', 'Cody', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '1660 W Antelope Dr Ste 225', 'Layton', 'Davis', 'UT', '84041', '8017760174', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '1999-09-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629063755', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77008967', 'W77008967', 'UT01', 'Utah Cardiology', 'Michael', 'E', 'Crawford', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '520 Medical Dr Ste 310', 'Bountiful', 'Davis', 'UT', '84010', '8013973000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '2001-10-26', '2006-11-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1699760397', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77008968', 'W77008968', 'UT01', 'Utah Cardiology', 'Grant', 'K', 'Holland', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 3400', 'Ogden', 'Weber', 'UT', '84403', '8013873400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '1999-09-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1669467791', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77008969', 'W77008969', 'UT01', 'Utah Cardiology', 'Daniel', 'J', 'Humiston', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '1660 W Antelope Dr Ste 225', 'Layton', 'Davis', 'UT', '84041', '8017760174', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '1999-09-01', '2006-11-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1780679829', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77008971', 'W77008971', 'UT01', 'Utah Cardiology', 'James', 'J', 'Milavetz', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 3400', 'Ogden', 'Weber', 'UT', '84403', '8013873400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '2003-01-17', '2006-08-31', 0, 0, 0, 'Evanston Regional Hospital', 'Salt Lake Regional Medical Center', 'Jordan Valley Medical Center', NULL, 'HCFA|UB|', '1154316206', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77008972', 'W77008972', 'UT01', 'Utah Cardiology', 'Richard', 'S', 'White', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '1660 W Antelope Dr Ste 225', 'Layton', 'Davis', 'UT', '84041', '8017760174', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '1999-09-01', '2006-04-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833322', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492872', 'W77008973', 'W77008973', 'UT01', 'Rocky Mountain Therapy Services', 'py Services', NULL, 'Rocky Mountain Thera', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2004-05-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833010', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492872', 'W77008974', 'W77008974', 'UT01', 'Rocky Mountain Therapy Services', 'Linda', NULL, 'Wayment', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '8822 Redwood Rd Ste E-122', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015667080', '8012561133', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-01-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834302', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492872', 'W77008975', 'W77008975', 'UT01', 'Rocky Mountain Therapy Services', 'James', NULL, 'Wortley', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8015667080', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832224', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492872', 'W77008976', 'W77008976', 'UT01', 'Rocky Mountain Therapy Services at First Med', 'Paul', 'G', 'Wortley', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '8822 Redwood Rd Ste E-122', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015667080', '8012561133', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417940586', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870494130', 'W77008977', 'W77008977', 'UT01', 'Salt Lake Womens Center', 'Michael', 'L', 'Twede', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '10011 Centennial Pkwy Ste 350', 'Sandy', 'Salt Lake', 'UT', '84070', '8015613922', '8015698710', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861450140', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870495119', 'W77008978', 'W77008978', 'UT01', 'Barton, Scott', 'Scott', 'R', 'Barton', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', '3970 S 700 E Ste 14', 'Murray', 'Salt Lake', 'UT', '84107', '8012613605', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG2', 'USTDHCPC', NULL, '0.00', '0.01', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1235108861', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870495119', 'W77008979', 'W77008979', 'UT01', 'Barton, Scott', 'Scott', 'R', 'Barton', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '3970 S 700 E Ste 14', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012613605', '8012629142', NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG2', 'USTDHCPC', NULL, '0.00', '0.01', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1235108861', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870498345', 'W77008980', 'W77008980', 'UT01', NULL, 'Leonard', 'J', 'Swinyer', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '3920 S 1100 E Ste 310', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012668841', '8012660449', NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-12-01', '2006-11-30', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1538153234', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870498921', 'W77008981', 'W77008981', 'UT01', 'Townsend MD PC, Duane E', 'Duane', 'E', 'Townsend', 'MD', 'Gynecologic Oncology', 'Gynecology', NULL, NULL, 'B', '6339 Starview Dr', 'Park City', 'Summit', 'UT', '84098', '4359018123', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDONC', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-02-27', '2006-01-01', 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1114986502', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870498921', 'W77008982', 'W77008982', 'UT01', 'Townsend MD PC, Duane E', 'Duane', 'E', 'Townsend', 'MD', 'Gynecologic Oncology', 'Gynecology', NULL, NULL, 'B', '6339 Starview Dr', 'Park City', 'Summit', 'UT', '84098', '4359018123', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDONC', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-02-27', '2006-11-30', 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1114986502', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870500176', 'W77008983', 'W77008983', 'UT01', 'Oka, Jeffrey Ray', 'Jeffery', 'R', 'Oka', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'O', '425 Medical Dr Ste 108', 'Bountiful', 'Davis', 'UT', '84010', '8012922500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPHMR', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-10-31', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1528194826', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870501344', 'W77008984', 'W77008984', 'UT01', 'Pediatric Care', 'Todd', 'L', 'Chidester', 'NP', 'Pediatrics', NULL, NULL, NULL, 'B', '1055 N 300 W Ste 311', 'Provo', 'Utah', 'UT', '84604', '8013577800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-03-02', '2005-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '908425', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870501344', 'W77008985', 'W77008985', 'UT01', 'Pediatric Care', 'Dustin', 'B', 'Wise', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 311', 'Provo', 'Utah', 'UT', '84604', '8013577800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-05-23', '2005-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811945769', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870501344', 'W77008987', 'W77008987', 'UT01', 'Pediatric Care', 'Dustin', 'B', 'Wise', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1888 W 800 N', 'Pleasant Grove', 'Utah', 'UT', '84062', '8014927851', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPEDE', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-05-23', '2005-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811945769', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870525237', 'W77009082', 'W77009082', 'UT01', 'U Of U Immunology', 'Harry', 'R', 'Hill', 'MD', 'Pediatric Immunology and Rheumatology', 'Immunology', 'Pathology', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015815873', '8187091085', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366532962', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525465', 'W77009083', 'W77009083', 'UT01', 'Bookcliffs Pathology', 'Pathology', NULL, 'Bookcliffs', 'GROUP', 'Pathology', NULL, NULL, NULL, 'O', '300 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', '4357349471', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '913009', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870525682', 'W77009086', 'W77009086', 'UT01', 'Retina Associates Of Utah', 'Richard', 'P', 'Corey', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1660 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8008738462', '8017758223', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-05-30', '2004-09-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1568529105', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525682', 'W77009089', 'W77009089', 'UT01', 'Retina Associates Of Utah', 'Kirk', 'E', 'Winward', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1055 N 300 W Ste 420', 'Provo', 'Utah', 'UT', '84604', '8013577999', '8013577020', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1962487611', 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
('870525682', 'W77009090', 'W77009090', 'UT01', 'Retina Associates Of Utah', 'Kirk', 'E', 'Winward', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '272 1/2 N Main St', 'Logan', 'Cache', 'UT', '84321', '8008738462', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1962487611', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525882', 'W77009091', 'W77009091', 'UT01', 'Mountain View Anesthesia', 'esia', NULL, 'Mountain View Anesth', 'GROUP', 'Anesthesiology', NULL, NULL, NULL, 'O', '1000 E 100 N', 'Payson', 'Utah', 'UT', '84651', '8007484868', '8017335618', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2004-05-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832168', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525882', 'W77009092', 'W77009092', 'UT01', 'Mountain View Anesthesia', 'esia', NULL, 'Mountain View Anesth', 'GROUP', 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 105', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8007484868', '8017335618', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2004-05-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832168', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525882', 'W77009094', 'W77009094', 'UT01', 'Mountain View Anesthesia', 'Janie', 'S', 'Christensen', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'O', '750 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8017146000', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-08-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834373', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525882', 'W77009095', 'W77009095', 'UT01', 'Mountain View Anesthesia', 'Richard', 'B', 'Riddle', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1000 E 100 N', 'Payson', 'Utah', 'UT', '84651', '8007484868', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-03', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832112', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525882', 'W77009096', 'W77009096', 'UT01', 'Mountain View Anesthesia', 'Richard', 'B', 'Riddle', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 105', 'Salt Lake City', 'Salt Lake', 'UT', '84121', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-03', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832112', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525882', 'W77009097', 'W77009097', 'UT01', 'Mountain View Anesthesia', 'Wayne', 'R', 'Riding', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'O', '1000 E 100 N', 'Payson', 'Utah', 'UT', '84651', '8007484868', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972608495', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525882', 'W77009098', 'W77009098', 'UT01', 'Mountain View Anesthesia', 'Jed', 'T', 'Widdison', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 105', 'Salt Lake City', 'Salt Lake', 'UT', '84121', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-11-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832846', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870526286', 'W77009099', 'W77009099', 'UT01', 'Wasatch Internal Medicine', 'Randy', NULL, 'Cate', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1160 E 3900 S Ste 1000', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012621771', '8012889101', NULL, NULL, '', NULL, NULL, '', '', 'UWASIM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831163', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870526286', 'W77009100', 'W77009100', 'UT01', 'Wasatch Internal Medicine', 'Jennifer', 'L', 'Norris', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1160 E 3900 S Ste 1000', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012621771', '8012889101', NULL, NULL, '', NULL, NULL, '', '', 'UWASIM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932210895', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870526462', 'W77009101', 'W77009101', 'UT01', 'University Of Utah Plastic Surgery', 'Courtney', 'H', 'Crombie', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2001-07-02', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619067204', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870526462', 'W77009102', 'W77009102', 'UT01', 'University Of Utah Plastic Surgery', 'Richard', 'H', 'Fryer', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'B', 'PO Box 58049', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-07-12', '2006-07-31', 0, 0, 0, 'Pioneer Valley Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1760572366', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870526462', 'W77009103', 'W77009103', 'UT01', 'University Of Utah Plastic Surgery', 'W Bradford', NULL, 'Rockwell', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'B', 'PO Box 58049', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833101', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870526462', 'W77009104', 'W77009104', 'UT01', 'University Of Utah Plastic Surgery', 'Mohammed', NULL, 'Zakhireh', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2000-07-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834369', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870526462', 'W77009105', 'W77009105', 'UT01', 'University Of Utah Plastic Surgery', 'Mohammed', NULL, 'Zakhireh', 'MD', 'Plastic Surgery', NULL, NULL, NULL, 'B', 'PO Box 58049', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015817719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2000-07-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834369', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870527703', 'W77009106', 'W77009106', 'UT01', 'Vickroy, Joseph', 'Joseph', NULL, 'Vickroy', 'MD', 'Neurology', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8015656500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNRLG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1104818442', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870530876', 'W77009107', 'W77009107', 'UT01', 'Castle Country Clinic', 'C Kim', NULL, 'Quinton', 'NP', 'Family Practice', NULL, NULL, NULL, 'O', '590 E 100 N Ste 6', 'Price', 'Carbon', 'UT', '84501', '4356139466', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-10-26', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831984', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870532396', 'W77009108', 'W77009108', 'UT01', 'Pioneer Anesthesia Group', 'roup, Inc', NULL, 'Pioneer Anesthesia G', 'GROUP', 'Anesthesiology', NULL, NULL, NULL, 'O', '1954 E Fort Union Blvd Ste 108', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019939526', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2004-01-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834808', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870532396', 'W77009109', 'W77009109', 'UT01', 'Pioneer Anesthesia Group', 'Robert', 'L', 'Langston', 'CRNA', 'Anesthesiology', NULL, NULL, NULL, 'O', '3460 Pioneer Pkwy', 'West Valley', 'Salt Lake', 'UT', '84120', '8019643100', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '43.05', NULL, NULL, 3, '2003-04-01', '2006-12-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1366557407', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870532396', 'W77009110', 'W77009110', 'UT01', 'Pioneer Anesthesia Group', 'David', 'D', 'Miller', 'CRNA', 'Anesthesiology', 'Nurse Anesthetist', NULL, NULL, 'O', '3460 Pioneer Pkwy', 'West Valley', 'Salt Lake', 'UT', '84120', '8019643100', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-07-24', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205838745', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870532396', 'W77009111', 'W77009111', 'UT01', 'Pioneer Anesthesia Group', 'Adrian', 'WC', 'Yee', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '3460 Pioneer Pkwy', 'West Valley', 'Salt Lake', 'UT', '84120', '8019643650', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '39.38', NULL, NULL, 3, '2003-04-01', '2004-11-08', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295831329', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870532738', 'W77009112', 'W77009112', 'UT01', 'Davis Family Physicians', 'Zachary', 'M', 'Campbell', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '2084 Robins Dr Ste 6', 'Layton', 'Davis', 'UT', '84041', '8017737232', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-08-02', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '905569', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870532738', 'W77009113', 'W77009113', 'UT01', 'Davis Family Physicians', 'J Allen', NULL, 'Francis', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '2084 Robins Dr Ste 6', 'Layton', 'Davis', 'UT', '84041', '8017737232', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831614', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870532738', 'W77009114', 'W77009114', 'UT01', 'Davis Family Physicians', 'J Allen', NULL, 'Francis', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3225 W Gordon Ave', 'Layton', 'Davis', 'UT', '84041', '8017737232', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831614', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870532738', 'W77009115', 'W77009115', 'UT01', 'Davis Family Physicians', 'Gretel', 'K', 'Gaertner-Crison', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '2084 Robins Dr Ste 6', 'Layton', 'Davis', 'UT', '84041', '8017737232', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-05-13', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833472', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870532738', 'W77009117', 'W77009117', 'UT01', 'Davis Family Physicians', 'Craig', 'K', 'Julien', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3225 W Gordon Ave', 'Layton', 'Davis', 'UT', '84041', '8017737232', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245340173', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870533611', 'W77009119', 'W77009119', 'UT01', 'North Davis Anesthesiology', 'John', 'C', 'Barkley', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'B', 'PO Box 160354', 'Clearfield', 'Davis', 'UT', '84016', '8014510858', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, NULL, '40.43', '35.00', NULL, 3, '2003-04-01', '2004-11-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832188', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870533611', 'W77009120', 'W77009120', 'UT01', 'North Davis Anesthesiology', 'Mark', 'R', 'Gillis', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '1600 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8017748992', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-04-01', '2006-05-31', 1, 12, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1154390177', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870533611', 'W77009121', 'W77009121', 'UT01', 'North Davis Anesthesiology', 'Mark', 'E', 'Rush', 'MD', 'Pain Management', 'Anesthesiology', NULL, NULL, 'B', 'PO Box 160354', 'Clearfield', 'Davis', 'UT', '84016', '8017748992', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-07-01', '2006-05-31', 1, 12, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1801840806', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870535611', 'W77009122', 'W77009122', 'UT01', 'Collins, Tyler', 'Tyler', 'L', 'Collins', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '1377 E 3900 S Ste 100', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012730100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPOD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1376617563', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870535901', 'W77009123', 'W77009123', 'UT01', 'Childrens Evening Clinic (Appts Required)', 'inic (Appt''s Re', 'quired)', 'Childrens Evening Cl', 'GROUP', 'Multi Specialty (Clinic)', NULL, NULL, NULL, 'O', '3955 Harrison Blvd Ste L1', 'Ogden', 'Weber', 'UT', '84403', '8014798444', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833840', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870536032', 'W77009124', 'W77009124', 'UT01', 'Jordan Valley Family Health', 'Judith', 'L', 'Kirstein', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3570 W 9000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015691999', '8015692001', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275576027', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870536032', 'W77009125', 'W77009125', 'UT01', 'Jordan Valley Family Health', 'Amy', NULL, 'Ladue', 'FNP', 'Family Practice', NULL, NULL, NULL, 'O', '3570 W 9000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015691999', '8015692001', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1922034222', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870538118', 'W77009126', 'W77009126', 'UT01', 'Don H Hansen Physical Therapy', 'Don', 'H', 'Hansen', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '6319 Highland Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012659339', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2002-10-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834849', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870540039', 'W77009128', 'W77009128', 'UT01', 'Midtown Community Health', 'Angela', NULL, 'Epstein', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '670 28th St', 'Ogden', 'Weber', 'UT', '84403', '8013935355', '8013944609', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-02-27', '2007-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588660864', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870540039', 'W77009129', 'W77009129', 'UT01', 'Midtown Community Health', 'Ryan', 'R', 'Horning', 'PAC', 'Family Practice', 'Emergency Medicine', NULL, NULL, 'O', '670 28th St', 'Ogden', 'Weber', 'UT', '84403', '8013935355', '8013944609', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-02-27', '2007-01-01', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1497752372', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870540874', 'W77009130', 'W77009130', 'UT01', 'Red Butte Health Group', 'Katharine', 'D', 'Deiss', 'MD', 'Internal Medicine', 'Pediatrics', NULL, NULL, 'O', '160 S 1000 E Ste 120', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013634512', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2005-06-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831092', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870547294', 'W77009194', 'W77009194', 'UT01', 'Luras, John C', 'John', 'C', 'Luras', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '70 S 900 E Ste 8', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013598353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831386', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870549057', 'W77009198', 'W77009198', 'UT01', 'Utah Valley Pediatrics', 'Bradley', 'W', 'Anderson', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013738930', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-06-04', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124086186', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870549057', 'W77009200', 'W77009200', 'UT01', 'Utah Valley Pediatrics', 'Lynn', 'B', 'Barlow', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013738930', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831357', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77009201', 'W77009201', 'UT01', 'Utah Valley Pediatrics', 'Melissa', 'A', 'Kendall', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '716 W 800 N Ste 300', 'Orem', 'Utah', 'UT', '84057', '8012240421', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, 'Timpanogos Regional Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1598772089', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77009202', 'W77009202', 'UT01', 'Utah Valley Pediatrics', 'Scott', 'H', 'Mumford', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '8013730308', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-07-29', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275561391', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870549057', 'W77009203', 'W77009203', 'UT01', 'Utah Valley Pediatrics', 'Gregory', 'W', 'Nielsen', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '171 N 400 W Ste C12', 'Orem', 'Utah', 'UT', '84057', '8012244550', '8012254197', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-07-29', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427025378', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77009204', 'W77009204', 'UT01', 'Utah Valley Pediatrics', 'Polly', 'W', 'Sheffield', 'MD', 'General Surgery', 'Pediatrics', NULL, NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '8013730308', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-12-01', '2005-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215980974', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77009205', 'W77009205', 'UT01', 'Utah Valley Pediatrics', 'Daniel', 'G', 'Simmons', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '8013730308', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134196900', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77009206', 'W77009206', 'UT01', 'Utah Valley Pediatrics', 'Daniel', 'G', 'Simmons', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '171 N 400 W Ste C12', 'Orem', 'Utah', 'UT', '84057', '8012244550', '8012254197', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134196900', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'W77009207', 'W77009207', 'UT01', 'Utah Valley Pediatrics', 'Ryan', 'B', 'Wilcox', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', '1355 N University Ave Ste 210', 'Provo', 'Utah', 'UT', '84604', '8013748863', '8013730308', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-07-25', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679501720', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77009208', 'W77009208', 'UT01', 'Utah Physicians Care Center', 'Richard', 'W', 'Bennett', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '10965 S State St Ste 100', 'Sandy', 'Salt Lake', 'UT', '84070', '8015720311', '8015711369', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1407871510', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77009209', 'W77009209', 'UT01', 'Utah Physicians Care Center', 'Alireza', NULL, 'Falahati-Nini', 'MD', 'Internal Medicine', 'Endocrinology', NULL, NULL, 'O', '1160 E 3900 S Ste 1200', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012619651', '8012619656', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-08-24', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1417989971', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77009210', 'W77009210', 'UT01', 'Utah Physicians Care Center', 'David', 'B', 'Gubler', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1160 E 3900 S Ste 1200', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012619651', '8012619656', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2000-12-15', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1295797595', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77009211', 'W77009211', 'UT01', 'Utah Physicians Care Center', 'Thomas', 'A', 'Kurrus', 'MD', 'Internal Medicine', 'Infectious Disease', NULL, NULL, 'B', '5630 Waterbury Way Ste B102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012742000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831120567', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'W77009212', 'W77009212', 'UT01', 'Utah Physicians Care Center', 'Margaret', NULL, 'Lunt', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '5630 Waterbury Way Ste B102', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012742000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2001-01-01', '2006-10-31', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1326070731', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870567427', 'W77009305', 'W77009305', 'UT01', 'University Of Utah Emergency Physicians', 'mergency Physic', 'ians', 'University Of Utah E', 'GROUP', 'Emergency Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015876600', '8015876396', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-05-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833280', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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