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
('870542586', 'UNIV01818', 'UNIV01818', 'UNIV', 'University of Utah Health Sciences Center', 'Martin', 'C', 'Gregory', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1912926049', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'UNIV01817', 'UNIV01817', 'UNIV', 'University of Utah Health Sciences Center', 'Irel', 'Scott', 'Eppich', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'NONE', '1689764276', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'UNIV01816', 'UNIV01816', 'UNIV', 'University of Utah Health Sciences Center', 'Alfred', 'K', 'Cheung', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1811087406', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'UNIV01815', 'UNIV01815', 'UNIV', 'University of Utah Health Sciences Center', 'Terrence', 'S', 'Bjordahl', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1710006408', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'UNIV01814', 'UNIV01814', 'UNIV', 'University of Utah Health Sciences Center', 'Srinivasan ', '', 'Beddhu', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1124118757', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'UNIV01813', 'UNIV01813', 'UNIV', 'University of Utah Health Sciences Center', 'Faris', '', 'Ahmed', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1881805372', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'UNIV01812', 'UNIV01812', 'UNIV', 'University of Utah Health Sciences Center', 'Josephine', 'D', 'Abraham', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1942260229', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00777', 'UNIV00777', 'UNIV', 'Primary Children''s Medical Center', 'Bradley', 'A', 'Yoder', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1598844060', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00776', 'UNIV00776', 'UNIV', 'Primary Children''s Medical Center', 'Susan', 'E', 'Wiedmeier', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1699854265', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00775', 'UNIV00775', 'UNIV', 'Primary Children''s Medical Center', 'Robert', 'M', 'Ward', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1144309717', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00774', 'UNIV00774', 'UNIV', 'Primary Children''s Medical Center', 'Shrena', '', 'Patel', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1811164031', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00773', 'UNIV00773', 'UNIV', 'Primary Children''s Medical Center', 'Elizabeth', 'A', 'O''Brien', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1396824868', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00772', 'UNIV00772', 'UNIV', 'Primary Children''s Medical Center', 'Donald', 'M', 'Null', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1013096585', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00771', 'UNIV00771', 'UNIV', 'Primary Children''s Medical Center', 'J', 'Ross', 'Milley', 'MD, PhD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1063591634', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00770', 'UNIV00770', 'UNIV', 'Primary Children''s Medical Center', 'Daniel', 'T', 'Malleske', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1881635472', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00769', 'UNIV00769', 'UNIV', 'Primary Children''s Medical Center', 'Con', 'Y', 'Ling', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1518938869', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00768', 'UNIV00768', 'UNIV', 'Primary Children''s Medical Center', 'Robert', 'H', 'Lane', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1528147097', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00767', 'UNIV00767', 'UNIV', 'Primary Children''s Medical Center', 'Jerald', 'D', 'King', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1215016886', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00766', 'UNIV00766', 'UNIV', 'Primary Children''s Medical Center', 'Camille', 'M', 'Fung', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1689627234', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00765', 'UNIV00765', 'UNIV', 'Primary Children''s Medical Center', 'Roger', 'G', 'Faix', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1992884464', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00764', 'UNIV00764', 'UNIV', 'Primary Children''s Medical Center', 'John', 'L', 'Dolcourt', 'MD, M.Ed.', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1851470421', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00763', 'UNIV00763', 'UNIV', 'Primary Children''s Medical Center', 'Robert', 'J', 'DiGeronimo', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1497788426', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00762', 'UNIV00762', 'UNIV', 'Primary Children''s Medical Center', 'David', 'M', 'Coulter', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1306925979', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00761', 'UNIV00761', 'UNIV', 'Primary Children''s Medical Center', 'Gary', 'M', 'Chan', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1316016512', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00759', 'UNIV00759', 'UNIV', 'Primary Children''s Medical Center', 'Ronald', 'S', 'Bloom', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1134208705', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00758', 'UNIV00758', 'UNIV', 'Primary Children''s Medical Center', 'Ryann', '', 'Bierer', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1518180397', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134258', 'UNIV00757', 'UNIV00757', 'UNIV', 'Primary Children''s Medical Center', 'Joanna', 'C', 'Beachy', 'MD, PhD', 'Neonatology', NULL, NULL, NULL, 'O', '100 Mario Cappechi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624100', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1457430928', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01239', 'UNIV01239', 'UNIV', 'University of Utah Health Sciences Center', 'Deborah', 'A', 'Yurgelun', 'PHD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1528237039', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01238', 'UNIV01238', 'UNIV', 'University of Utah Health Sciences Center', 'Michael', 'J', 'Voss', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'NONE', '1790985992', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01237', 'UNIV01237', 'UNIV', 'University of Utah Health Sciences Center', 'Michelle', 'L', 'Vo ', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1053558825', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01236', 'UNIV01236', 'UNIV', 'University of Utah Health Sciences Center', 'Paul', 'D', 'Thielking', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1124036595', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01235', 'UNIV01235', 'UNIV', 'University of Utah Health Sciences Center', 'Jan', 'I', 'Terpstra', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1477632941', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01234', 'UNIV01234', 'UNIV', 'University of Utah Health Sciences Center', 'Scott', 'R', 'Stiefel', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1235218801', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01233', 'UNIV01233', 'UNIV', 'University of Utah Health Sciences Center', 'Jeffrey', 'R', 'Sindt', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1205061827', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01232', 'UNIV01232', 'UNIV', 'University of Utah Health Sciences Center', 'Leonard', 'J', 'Schmidt', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1720178346', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01231', 'UNIV01231', 'UNIV', 'University of Utah Health Sciences Center', 'Steven', '', 'Ross', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1063592962', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01230', 'UNIV01230', 'UNIV', 'University of Utah Health Sciences Center', 'A ', 'Mason', 'Redd', 'PhD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1215027834', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01229', 'UNIV01229', 'UNIV', 'University of Utah Health Sciences Center', 'Duy', '', 'Pham', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1346404233', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01228', 'UNIV01228', 'UNIV', 'University of Utah Health Sciences Center', 'Brad', 'L', 'Murray', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1225122187', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01227', 'UNIV01227', 'UNIV', 'University of Utah Health Sciences Center', 'David', 'L', 'Moulton', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1588332353', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01225', 'UNIV01225', 'UNIV', 'Assessment and Referral Services', 'Kelly', 'J', 'Lundberg', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '450 S 900 E Suite 300', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '0', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1669562278', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01226', 'UNIV01226', 'UNIV', 'University of Utah Health Sciences Center', 'Clara', '', 'Michael', 'APRN', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1811087422', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870443046', 'UNIV01224', 'UNIV01224', 'UNIV', 'University of Utah Health Sciences Center', 'Kelly', 'J', 'Lundberg', 'MD', 'Mental Health', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817951', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1669562278', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('562627040', 'UNIV00584', 'UNIV00584', 'UNIV', 'University of Utah Health Sciences Center', 'Call', 'M', 'Holmgren', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1194805002', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00581', 'UNIV00581', 'UNIV', 'University of Utah Health Sciences Center', 'M', 'Sean', 'Esplin', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1205916111', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00580', 'UNIV00580', 'UNIV', 'University of Utah Health Sciences Center', 'Alexandra', 'G', 'Eller', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1922188838', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00578', 'UNIV00578', 'UNIV', 'University of Utah Health Sciences Center', 'Michael', 'L', 'Draper', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'NONE', '1992769368', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00579', 'UNIV00579', 'UNIV', 'Northeastern Nevada Regional Hospital', 'Michael', 'L', 'Draper', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '2001 Errecart Blvd', 'Elko', '', 'NV', '89801', '7757385151', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'NONE', '1992769368', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00577', 'UNIV00577', 'UNIV', 'University of Utah Health Sciences Center', 'Donna', 'S', 'Dizon-Townson', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1811918097', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00575', 'UNIV00575', 'UNIV', 'University of Utah Health Sciences Center', 'Erin', 'AS', 'Clark', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1457305757', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00576', 'UNIV00576', 'UNIV', 'Northeastern Nevada Regional Hospital', 'Erin', 'AS', 'Clark', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '2001 Errecart Blvd', 'Elko', '', 'NV', '89801', '7757385151', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1457305757', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00574', 'UNIV00574', 'UNIV', 'University of Utah Health Sciences Center', 'Jeanette', 'R', 'Chin', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1467628263', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00573', 'UNIV00573', 'UNIV', 'University of Utah Health Sciences Center', 'Janice', 'LB', 'Byrne', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'NONE', '1629158530', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00571', 'UNIV00571', 'UNIV', 'University of Utah Health Sciences Center', 'Zachary', 'S', 'Bowman', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1205031077', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00572', 'UNIV00572', 'UNIV', 'University of Utah Health Sciences Center', 'D', 'Ware', 'Branch', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'NONE', '1922012830', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'UNIV02151', 'UNIV02151', 'UNIV', 'UUHC - Redwood Center', 'John', '', 'Speed', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1326138959', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('562627040', 'UNIV00570', 'UNIV00570', 'UNIV', 'University of Utah Health Sciences Center', 'Robert', 'L', 'Andres', 'MD', 'Maternal Fetal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015818425', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1356362875', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV02046', 'UNIV02046', 'UNIV', 'UUHC - Greenwood Health Center', 'Susan', 'A', 'Terry', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '7495 South State Street', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1356363824', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV02042', 'UNIV02042', 'UNIV', 'UUHC - Redwood Center', 'Hugh', 'M', 'Stoneburner', 'PA', 'Internal Medicine', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1003991498', 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
('870616107', 'UNIV02031', 'UNIV02031', 'UNIV', 'UUHC - Westridge Center', 'Clinton', 'R', 'Sheffield', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '3730 West 4700 South', 'West Valley City', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1972745073', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV02022', 'UNIV02022', 'UNIV', 'South Jordan Health Center', 'Angelo', '', 'Pulgiano', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '5126 W Daybreak Parkway', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012134500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1952322836', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV02029', 'UNIV02029', 'UNIV', 'UUHC - Greenwood Health Center', 'Mehrnoosh ', '', 'Shakeri', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '7495 South State Street', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1386719821', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV02019', 'UNIV02019', 'UNIV', 'UUHC-Centerville Clinic', 'Marian', 'H', 'Pham', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '26 South Main Street', 'Centerville', 'Davis', 'UT', '84014', '8016937900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1285667980', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV02021', 'UNIV02021', 'UNIV', 'UUHC-Centerville Clinic', 'Erin', '', 'Probert', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '26 South Main Street', 'Centerville', 'Davis', 'UT', '84014', '8016937900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1871806174', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV02017', 'UNIV02017', 'UNIV', 'UUHC - Redstone Center', 'Mary', 'H', 'Parsons', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1743 West Redstone Center', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1508956129', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV02009', 'UNIV02009', 'UNIV', 'UUHC - Redstone Center', 'Timothy', 'W', 'Odell', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1743 West Redstone Center', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1972693588', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV02007', 'UNIV02007', 'UNIV', 'UUHC - Redwood Center', 'Kelly', 'P', 'Murnin', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1164512778', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01995', 'UNIV01995', 'UNIV', 'UUHC - Greenwood Health Center', 'Patrick', 'B', 'Lang', 'PA', 'Internal Medicine', NULL, NULL, NULL, 'O', '7495 South State Street', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1285794552', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01993', 'UNIV01993', 'UNIV', 'South Jordan Health Center', 'Toni', 'V', 'LaMalfa', 'CNM', 'Internal Medicine', NULL, NULL, NULL, 'O', '5126 W Daybreak Parkway', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012134500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1154424950', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01992', 'UNIV01992', 'UNIV', 'South Jordan Health Center', 'Hena', '', 'Kundra', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '5126 W Daybreak Parkway', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012134500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1851358949', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01991', 'UNIV01991', 'UNIV', 'UUHC - Redwood Center', 'Thomas', 'J', 'Kottarathil', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1205911997', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01964', 'UNIV01964', 'UNIV', 'South Jordan Health Center', 'Jasneet', '', 'Dhillon', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '5126 W Daybreak Parkway', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012134500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1639415870', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01939', 'UNIV01939', 'UNIV', 'UUHC - Greenwood Health Center', 'Richard', 'L', 'Anderson', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '7495 South State Street', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1861522070', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01961', 'UNIV01961', 'UNIV', 'UUHC - Greenwood Health Center', 'Julie', '', 'Day', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '7495 South State Street', 'Midvale', 'Salt Lake', 'UT', '84047', '8012139400', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1831274521', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01539', 'UNIV01539', 'UNIV', 'University of Utah Health Sciences Center', 'Peter', 'M', 'Yarbrough', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817818', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1386832202', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01538', 'UNIV01538', 'UNIV', 'University of Utah Health Sciences Center', 'Nathan', 'A', 'Wanner', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817818', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1720167299', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01537', 'UNIV01537', 'UNIV', 'University of Utah Health Sciences Center', 'Russell', 'G', 'Vinik', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817818', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1295825883', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01536', 'UNIV01536', 'UNIV', 'Madsen Health Center', 'Jenny', 'C', 'Tuan', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015817790', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1831358175', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01535', 'UNIV01535', 'UNIV', 'Madsen Health Center', 'Barry', 'M', 'Stults', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015817790', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1659461283', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01534', 'UNIV01534', 'UNIV', 'University of Utah Health Sciences Center', 'Michael', 'B', 'Strong', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817818', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1154359594', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01533', 'UNIV01533', 'UNIV', 'University of Utah Health Sciences Center', 'Matthew', 'T', 'Rondina', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817818', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1538183991', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01532', 'UNIV01532', 'UNIV', 'University of Utah Health Sciences Center', 'Nathan', 'J ', 'Ragle', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817818', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1942460803', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01531', 'UNIV01531', 'UNIV', 'University of Utah Health Sciences Center', 'Michael', 'J', 'Penrod', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817818', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1346294717', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870478993', 'UNIV01530', 'UNIV01530', 'UNIV', 'University of Utah Health Sciences Center', 'Robert', 'C', 'Pendleton', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817818', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1851314132', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870490866', 'UNIV01675', 'UNIV01675', 'UNIV', 'University of Utah Health Sciences Center', 'Giavonni', '', 'Lewis', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1528222775', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01674', 'UNIV01674', 'UNIV', 'University of Utah Health Sciences Center', 'John', 'T', 'Langell', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1376567768', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01672', 'UNIV01672', 'UNIV', 'University of Utah Health Sciences Center', 'Edward', 'J', 'Kimball', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1699865204', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01671', 'UNIV01671', 'UNIV', 'University of Utah Health Sciences Center', 'Robin', 'D', 'Kim ', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1679519771', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01670', 'UNIV01670', 'UNIV', 'University of Utah Health Sciences Center', 'Denise', 'L', 'Jost ', 'APRN', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1336239938', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01669', 'UNIV01669', 'UNIV', 'University of Utah Health Sciences Center', 'Kevin', '', 'James', 'APRN', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1558508440', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01668', 'UNIV01668', 'UNIV', 'University of Utah Health Sciences Center', 'Daniel', 'M', 'Ihnat', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1649245366', 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
('870490866', 'UNIV01667', 'UNIV01667', 'UNIV', 'University of Utah Health Sciences Center', 'John', 'R', 'Hyngstrom', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1780832469', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01666', 'UNIV01666', 'UNIV', 'University of Utah Health Sciences Center', 'Elisha', 'A', 'Haroldsen', 'PA-C', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1861798894', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01665', 'UNIV01665', 'UNIV', 'University of Utah Health Sciences Center', 'Robert', 'E', 'Glasgow', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1295825891', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01664', 'UNIV01664', 'UNIV', 'University of Utah Health Sciences Center', 'Katy', 'Y', 'Fu', 'APRN', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1679663272', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01663', 'UNIV01663', 'UNIV', 'University of Utah Health Sciences Center', 'Samuel', 'RG', 'Finlayson', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1275552424', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01662', 'UNIV01662', 'UNIV', 'University of Utah Health Sciences Center', 'Toby', 'M', 'Enniss', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1295915536', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01661', 'UNIV01661', 'UNIV', 'University of Utah Health Sciences Center', 'Richard', 'M', 'Craig', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1174613764', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01660', 'UNIV01660', 'UNIV', 'University of Utah Health Sciences Center', 'Alexander', 'L', 'Colonna', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1568659324', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01659', 'UNIV01659', 'UNIV', 'University of Utah Health Sciences Center', 'Charity', 'O', 'Coe', 'PA', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1184824005', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01658', 'UNIV01658', 'UNIV', 'University of Utah Health Sciences Center', 'Amalia', 'L', 'Cochran', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1801986492', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01657', 'UNIV01657', 'UNIV', 'University of Utah Health Sciences Center', 'Carla', '', 'Coats', 'APRN', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1932352853', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01656', 'UNIV01656', 'UNIV', 'University of Utah Health Sciences Center', 'Susanna', '', 'Chase', 'PA', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1548288129', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01655', 'UNIV01655', 'UNIV', 'University of Utah Health Sciences Center', 'Stacie', 'A', 'Carbine', 'PA', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1023278728', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01654', 'UNIV01654', 'UNIV', 'University of Utah Health Sciences Center', 'Paul', '', 'Campsen', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1427104017', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01653', 'UNIV01653', 'UNIV', 'University of Utah Health Sciences Center', 'Tawnya', 'L', 'Bowles', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1679554141', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01652', 'UNIV01652', 'UNIV', 'University of Utah Health Sciences Center', 'Bernadette', 'J', 'Bittner', 'APRN', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1578653101', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01651', 'UNIV01651', 'UNIV', 'University of Utah Health Sciences Center', 'Richard', 'G', 'Barton', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1043300676', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01650', 'UNIV01650', 'UNIV', 'University of Utah Health Sciences Center', 'Robert', 'H', 'Andtbacka', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1215042288', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'UNIV01649', 'UNIV01649', 'UNIV', 'University of Utah Health Sciences Center', 'Dominic', '', 'Albo, Jr', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015814314', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1407937295', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01347', 'UNIV01347', 'UNIV', 'University of Utah Health Sciences Center', 'John', 'F', 'Valentine', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1144263419', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870640775', 'UNIV02150', 'UNIV02150', 'UNIV', 'UUHC - Redwood Center', 'Richard', '', 'Craig', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1174613764', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01345', 'UNIV01345', 'UNIV', 'University of Utah Health Sciences Center', 'Christopher', 'C', 'Tietze', 'MD, PhD', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1811087448', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01346', 'UNIV01346', 'UNIV', 'University of Utah Health Sciences Center', 'Ashok', 'K', 'Tuteja', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1366532996', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01344', 'UNIV01344', 'UNIV', 'University of Utah Health Sciences Center', 'Kerin', '', 'Stevens', 'APRN', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1518197722', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01343', 'UNIV01343', 'UNIV', 'University of Utah Health Sciences Center', 'Niloy', 'J', 'Samadder', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1245432293', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01342', 'UNIV01342', 'UNIV', 'University of Utah Health Sciences Center', 'Kathryn', 'A', 'Peterson', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1225128846', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01341', 'UNIV01341', 'UNIV', 'University of Utah Health Sciences Center', 'Keisa', 'M', 'Lynch', 'APRN', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1972768539', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01340', 'UNIV01340', 'UNIV', 'University of Utah Health Sciences Center', 'Vinodhini', '', 'Kolandavelu', 'PA', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1801163464', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01339', 'UNIV01339', 'UNIV', 'UUHC - South Jordan Health Center', 'Priyanka', '', 'Kanth', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '5126 W Daybreak Parkway', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012134500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1679773469', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01336', 'UNIV01336', 'UNIV', 'University of Utah Health Sciences Center', 'Jenny', 'M', 'Hatch', 'PA', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1871876060', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01334', 'UNIV01334', 'UNIV', 'University of Utah Health Sciences Center', 'Juan', 'F', 'Gallegos-Orozco', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1619909314', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01338', 'UNIV01338', 'UNIV', 'UUHC-Redwood Center', 'Priyanka', '', 'Kanth', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1679773469', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870446925', 'UNIV01337', 'UNIV01337', 'UNIV', 'University of Utah Health Sciences Center', 'Priyanka', '', 'Kanth', 'MD', 'Gastroenterology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817802', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1679773469', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870616107', 'UNIV01981', 'UNIV01981', 'UNIV', 'UUHC - Parkway Center', 'Kyle', 'B', 'Hilton', 'PA-C', 'Family Practice', NULL, NULL, NULL, 'O', '145 W University Pkwy', 'Orem', 'Utah', 'UT', '84058', '8012348600', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1215360581', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01973', 'UNIV01973', 'UNIV', 'UUHC - Stansbury Health Center', 'Heather', '', 'George', 'PA-C', 'Family Practice', NULL, NULL, NULL, 'O', '220 Millpond Rd', 'Stansbury Park', 'Tooele', 'UT', '84074', '4358433000', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1093068017', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01965', 'UNIV01965', 'UNIV', 'South Jordan Health Center', 'Brian', 'M', 'Ely', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '5126 W Daybreak Parkway', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012134500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1447468293', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01963', 'UNIV01963', 'UNIV', 'South Jordan Health Center', 'Sheila', 'A', 'Deyette', 'APRN', 'Family Practice', NULL, NULL, NULL, 'O', '5126 W Daybreak Parkway', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012134500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1881038933', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01962', 'UNIV01962', 'UNIV', 'UUHC-Redwood Center', 'Sheila', 'A', 'Deyette', 'APRN', 'Family Practice', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1881038933', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01955', 'UNIV01955', 'UNIV', 'UUHC - Stansbury Health Center', 'Nadia', 'M', 'Cobb', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '220 Millpond Rd', 'Stansbury Park', 'Tooele', 'UT', '84074', '4358433000', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1790902179', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01953', 'UNIV01953', 'UNIV', 'UUHC - Parkway Center', 'Brett', '', 'Clayson', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '145 W University Pkwy', 'Orem', 'Utah', 'UT', '84058', '8012348600', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1457441040', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01951', 'UNIV01951', 'UNIV', 'UUHC - Redwood Center', 'Melissa', '', 'Cheng', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1518112358', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01948', 'UNIV01948', 'UNIV', 'UUHC - Redstone Center', 'Melissa', 'S ', 'Briley', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '1743 West Redstone Center', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1265439376', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01945', 'UNIV01945', 'UNIV', 'UUHC - Redstone Center', 'Joseph', 'H', 'Berman', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1743 West Redstone Center', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1780772624', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01947', 'UNIV01947', 'UNIV', 'UUHC - Redwood Center', 'Clarivette ', '', 'Bosch', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1245320860', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01944', 'UNIV01944', 'UNIV', 'UUHC-Redwood Center', 'John', 'W', 'Barrett', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1487688552', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01943', 'UNIV01943', 'UNIV', 'UUHC-Redwood Center', 'Ellois', 'W', 'Bailey', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1525 West 2100 South', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1639432461', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01941', 'UNIV01941', 'UNIV', 'UUHC - Westridge Center', 'Crystal', 'M', 'Armstrong', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '3730 W. 4700 S.', 'West Valley City', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1275745606', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01938', 'UNIV01938', 'UNIV', 'UUHC-Centerville Clinic', 'Marisa', 'R', 'Adelman', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '26 South Main Street', 'Centerville', 'Davis', 'UT', '84014', '8016937900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1487847927', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01880', 'UNIV01880', 'UNIV', 'Sugar House Clinic', 'Traci', 'L', 'Wood ', 'PA-C', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1659643385', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01881', 'UNIV01881', 'UNIV', 'Madsen Health Center', 'David', 'M', 'Ziegler', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1508009929', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'UNIV01940', 'UNIV01940', 'UNIV', 'UUHC-Centerville Clinic', 'David', 'E', 'Anisman', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '26 South Main Street', 'Centerville', 'Davis', 'UT', '84014', '8016937900', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1346235793', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01879', 'UNIV01879', 'UNIV', 'Madsen Health Center', 'Christopher', 'A', 'Vis', 'PA-C', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1568763159', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01878', 'UNIV01878', 'UNIV', 'Sugar House Clinic', 'Sonja', '', 'Van Hala', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1023108610', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01877', 'UNIV01877', 'UNIV', 'Sugar House Clinic', 'Tracy', '', 'Syddall', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'Jordan Valley Medical Center', NULL, NULL, NULL, 'NONE', '1205070091', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01876', 'UNIV01876', 'UNIV', 'Sugar House Clinic', 'Kirsten', 'L', 'Stoesser', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1831289461', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01873', 'UNIV01873', 'UNIV', 'Madsen Health Center', 'Philip', 'A', 'Salko', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1700049160', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01872', 'UNIV01872', 'UNIV', 'Sugar House Clinic', 'Susan', '', 'Saffel-Shrier', 'RD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1740370360', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01875', 'UNIV01875', 'UNIV', 'Madsen Health Center', 'Malea', '', 'Satterwhite', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1912207895', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01874', 'UNIV01874', 'UNIV', 'Madsen Health Center', 'Osman', 'N', 'Sanyer', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1558451179', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01871', 'UNIV01871', 'UNIV', 'Madsen Health Center', 'Joanne', 'R', 'Rolls', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1285984070', 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
('870564069', 'UNIV01870', 'UNIV01870', 'UNIV', 'Madsen Health Center', 'Susan', 'D', 'Pohl', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1043271422', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01869', 'UNIV01869', 'UNIV', 'Sugar House Clinic', 'Karly', 'A', 'Pippitt', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1619155637', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01868', 'UNIV01868', 'UNIV', 'Sugar House Clinic', 'Nicholas', 'E', 'Monson', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1720303837', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01867', 'UNIV01867', 'UNIV', 'Sugar House Clinic', 'Michael', 'K', 'Magill', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1215976386', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01866', 'UNIV01866', 'UNIV', 'Sugar House Clinic', 'Jennifer', 'P', 'Leiser', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1851481469', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01865', 'UNIV01865', 'UNIV', 'Sugar House Clinic', 'Bernadette ', '', 'Kiraly', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1508956111', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01864', 'UNIV01864', 'UNIV', 'Sugar House Clinic', 'Kyle', '', 'Jones', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1568697241', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01863', 'UNIV01863', 'UNIV', 'Sugar House Clinic', 'John', 'C', 'Houchins', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1740211911', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01862', 'UNIV01862', 'UNIV', 'Madsen Health Center', 'Clarence', 'R', 'Henriksen', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1598919060', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01860', 'UNIV01860', 'UNIV', 'Madsen Health Center', 'Kyle', 'V', 'Goerl', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1962729467', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01861', 'UNIV01861', 'UNIV', 'Madsen Health Center', 'Jessica', 'L', 'Greenwood', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1982638250', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01859', 'UNIV01859', 'UNIV', 'Madsen Health Center', 'Andrew', 'W', 'Garrison', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'NONE', '1821219379', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01858', 'UNIV01858', 'UNIV', 'Sugar House Clinic', 'Katherine', '', 'Fortenberry', 'PhD', 'Family Practice', NULL, NULL, NULL, 'O', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8014130250', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1982902185', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'UNIV01857', 'UNIV01857', 'UNIV', 'Madsen Health Center', 'Luce', '', 'Forte ', 'PA', 'Family Practice', NULL, NULL, NULL, 'O', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015855382', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1992959985', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870468377', 'UNIV01459', 'UNIV01459', 'UNIV', 'Dermatology South Clinic', 'Steven', '', 'Wolf', 'PA', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1144305616', 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
('870468377', 'UNIV01460', 'UNIV01460', 'UNIV', 'U of U Dermatology Boise', 'John', 'J', 'Zone', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '1618 S Millennium Way ', 'Meridian', '', 'ID', '83642', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1336235068', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01457', 'UNIV01457', 'UNIV', 'University of Utah Health Sciences Center', 'Lindsay', '', 'Wilson', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1396068342', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01456', 'UNIV01456', 'UNIV', 'University of Utah Health Sciences Center', 'David', '', 'Wada', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1043411168', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01455', 'UNIV01455', 'UNIV', 'Huntsman Cancer Institute', 'David', '', 'Wada', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1043411168', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01452', 'UNIV01452', 'UNIV', 'University of Utah Health Sciences Center', 'Payam ', '', 'Tristani-Firouzi', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1407943921', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01454', 'UNIV01454', 'UNIV', 'University of Utah Health Sciences Center', 'Sheryll', 'L', 'Vanderhooft', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1356426829', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01453', 'UNIV01453', 'UNIV', 'Dermatology South Clinic', 'Payam ', '', 'Tristani-Firouzi', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1407943921', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01451', 'UNIV01451', 'UNIV', 'Huntsman Cancer Institute', 'Erika', '', 'Summers', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1386826006', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01450', 'UNIV01450', 'UNIV', 'Dermatology South Clinic', 'Erika', '', 'Summers', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1386826006', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01449', 'UNIV01449', 'UNIV', 'University of Utah Health Sciences Center', 'Erika', '', 'Summers', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1386826006', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01448', 'UNIV01448', 'UNIV', 'Huntsman Cancer Institute', 'Bradley', 'K', 'Summers', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'Logan Regional Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'NONE', '1164403259', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01446', 'UNIV01446', 'UNIV', 'Dermatology South Clinic', 'Richard', '', 'Sontheimer', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1376511600', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01447', 'UNIV01447', 'UNIV', 'Dermatology South Clinic', 'Bradley', 'K', 'Summers', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, 'Logan Regional Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'NONE', '1164403259', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01445', 'UNIV01445', 'UNIV', 'University of Utah Health Sciences Center', 'Richard', 'D', 'Sontheimer', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1376511600', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01444', 'UNIV01444', 'UNIV', 'Dermatology South Clinic', 'Douglas', 'L', 'Powell', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1043316300', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01443', 'UNIV01443', 'UNIV', 'Dermatology Daybreak ', 'Kimberly', '', 'Petitt', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '5126  West Daybreak Parkway', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012134500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1093789299', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01442', 'UNIV01442', 'UNIV', 'Dermatology South Clinic', 'Kimberly', '', 'Petitt', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1093789299', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01439', 'UNIV01439', 'UNIV', 'Dermatology South Clinic', 'Marta', 'J', 'Petersen', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1972601508', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01440', 'UNIV01440', 'UNIV', 'UUHC - Redstone Center', 'Marta', 'J', 'Petersen', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '1743 West Redstone Center', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1972601508', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01441', 'UNIV01441', 'UNIV', 'UUHC - Redstone Center', 'Kimberly', '', 'Petitt', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '1743 West Redstone Center', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1093789299', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01438', 'UNIV01438', 'UNIV', 'University of Utah Health Sciences Center', 'Marta', 'J', 'Petersen', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1972601508', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01436', 'UNIV01436', 'UNIV', 'Dernatology-Parkway', 'Richard', 'L', 'Moss', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '145 W. University Parkway', 'Orem', 'Utah', 'UT', '84058', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1952472292', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01437', 'UNIV01437', 'UNIV', 'Dermatology South Clinic', 'Tyler', '', 'Nelson', 'PA', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1477860385', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01435', 'UNIV01435', 'UNIV', 'Dermatology Daybreak ', 'Richard', 'L', 'Moss', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '5126  West Daybreak Parkway', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012134500', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1952472292', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01434', 'UNIV01434', 'UNIV', 'University of Utah Health Sciences Center', 'Richard', 'L', 'Moss', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1952472292', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01433', 'UNIV01433', 'UNIV', 'University of Utah Health Sciences Center', 'Adrienne', '', 'McMaster', 'PA', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1003095373', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01430', 'UNIV01430', 'UNIV', 'UUHC - Redstone Center', 'Bethany', '', 'Lewis', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '1743 West Redstone Center', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1215181797', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01431', 'UNIV01431', 'UNIV', 'University of Utah Health Sciences Center', 'Bethany', '', 'Lewis', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1215181797', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01432', 'UNIV01432', 'UNIV', 'Stansbury Park Clinic', 'Bethany', '', 'Lewis', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '220 Millpond Rd', 'Stansbury Park', 'Tooele', 'UT', '84074', '4358433000', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1215181797', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01429', 'UNIV01429', 'UNIV', 'Dermatology South Clinic', 'Kristin', 'M', 'Leiferman', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1295833788', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01428', 'UNIV01428', 'UNIV', 'University of Utah Health Sciences Center', 'Kristin', 'M', 'Leiferman', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1295833788', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01424', 'UNIV01424', 'UNIV', 'University of Utah Health Sciences Center', 'Gerald', 'G', 'Krueger', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1578661302', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01425', 'UNIV01425', 'UNIV', 'Dermatology South Clinic', 'Gerald', 'G', 'Krueger', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1578661302', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01426', 'UNIV01426', 'UNIV', 'UUHC - Redstone Center', 'Sancy', 'A', 'Leachman', 'MD, PhD', 'Dermatology', NULL, NULL, NULL, 'O', '1743 West Redstone Center', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1295833788', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01427', 'UNIV01427', 'UNIV', 'Huntsman Cancer Institute', 'Sancy', 'A', 'Leachman', 'MD, PhD', 'Dermatology', NULL, NULL, NULL, 'O', '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1295833788', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01423', 'UNIV01423', 'UNIV', 'Dermatology South Clinic', 'Stephanie', 'Z', 'Klein', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84133', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1124233242', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01422', 'UNIV01422', 'UNIV', 'Huntsman Cancer Institute', 'Mark', 'A', 'Hyde', 'PA', 'Dermatology', NULL, NULL, NULL, 'O', '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1821018854', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01421', 'UNIV01421', 'UNIV', 'Dermatology South Clinic', 'Christopher', 'M', 'Hull', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '6095 S. Fashion Place Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1477659746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'UNIV01420', 'UNIV01420', 'UNIV', 'University of Utah Health Sciences Center', 'Christopher', 'M', 'Hull', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, '2014-01-23', NULL, 0, 12, 0, NULL, NULL, NULL, NULL, 'NONE', '1477659746', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('621801973', 'W12039463', 'W12039463', 'UT01', 'Davis Medical Group', 'Steven', 'J', 'Potter', 'MD', 'Family Practice', '', '', NULL, 'B', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8019843418', '8019843479', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8019843418', '8019843479', 'WUSTDINT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2013-10-01', '2014-04-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1407922446', 0, 'N', 0, '2013-10-18', NULL, NULL, 0, 0, NULL, NULL);
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('462146167', 'W12039465', 'W12039465', 'ILCHIGSTD', 'Lumen Cardiovascular Specialists', 'Asif', '', 'Serajian', 'DO', 'Cardiovascular Disease', '', '', NULL, 'B', 'PO Box 12139', 'Chicago', 'Cook', 'IL', '04195', '8153062888', '6308341017', 'PO Box 12139', 'Chicago', 'Cook', 'IL', '04195', '8153062888', '6308341017', 'CHIG13', 'CHIHCPCS02', '', '0.00', '40.00', '0.00', 3, '2013-10-01', NULL, 0, 0, 0, 'Elmhurst Memorial Hospital', NULL, '', '', 'HCFA|UB|DEN|', '1790897049', 0, 'N', 0, '2013-10-18', NULL, NULL, 0, 0, NULL, NULL),
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('300176561', 'W12039469', 'W12039469', 'ILCHIGSTD', 'Midwest Orthopaedics at Rush', 'Charles', 'A', 'Bush-Joseph', 'MD', 'Orthopedic Surgery', '', '', NULL, 'O', '2450 S Wolf Rd Ste F', 'Westchester', 'Cook', 'IL', '60154', '7082362750', '7085626875', '2450 S Wolf Rd Ste F', 'Westchester', 'Cook', 'IL', '60154', '7082362750', '7085626875', 'CHIG13', 'CHIHCPCS02', '', '0.00', '40.00', '0.00', 3, '2013-10-01', NULL, 0, 0, 0, 'Elmhurst Memorial Hospital', '', '', '', 'HCFA|UB|', '1821077736', 0, 'N', 0, '2014-04-25', NULL, NULL, 41.8438, -87.9012, NULL, NULL),
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('202042779', 'W12039472', 'W12039472', 'ILCHIGSTD', 'Suburban Retina', 'Matthew', 'J', 'Welch', 'MD', 'Ophthalmology', '', '', NULL, 'O', '130 S Main St Ste 206', 'Lombard', 'Dupage', 'IL', '60148', '6304249877', '6304249878', '130 S Main St Ste 206', 'Lombard', 'Dupage', 'IL', '60148', '6304249877', '6304249878', 'CHIG13', 'CHIHCPCS02', '', '0.00', '40.00', '0.00', 3, '2013-10-01', NULL, 0, 0, 0, 'Elmhurst Memorial Hospital', '', '', '', 'HCFA|UB|', '1316100977', 0, 'N', 0, '2014-04-25', NULL, NULL, 41.8856, -88.0184, NULL, NULL),
('202042779', 'W12039473', 'W12039473', 'ILCHIGSTD', 'Suburban Retina', 'Matthew', 'J', 'Welch', 'MD', 'Ophthalmology', '', '', NULL, 'O', '715 Lake St Ste 120', 'Oak Park', 'Cook', 'IL', '60301', '7083580701', '7083580702', '715 Lake St Ste 120', 'Oak Park', 'Cook', 'IL', '60301', '7083580701', '7083580702', 'CHIG13', 'CHIHCPCS02', '', '0.00', '40.00', '0.00', 3, '2013-10-01', NULL, 0, 0, 0, 'Elmhurst Memorial Hospital', '', '', '', 'HCFA|UB|', '1316100977', 0, 'N', 0, '2014-04-25', NULL, NULL, 41.8886, -87.793, NULL, NULL),
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('201436587', 'W12039501', 'W12039501', 'TXHOUSTD', 'Leka Gajula', 'Leka', '', 'Gajula', 'MD', 'Gastroenterology', '', '', NULL, 'O', '16651 SW Fwy Ste 370', 'Sugar Land', 'Fort Bend', 'TX', '77479', '2815651009', '8522010901', '16651 SW Fwy Ste 370', 'Sugar Land', 'Fort Bend', 'TX', '77479', '2815651009', '8522010901', 'HOUSTON4', 'TXHCPC13', '', '0.00', '45.00', '0.00', 3, '2013-11-30', NULL, 0, 0, 0, 'Houston Methodist Sugar Land Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1033119748', 0, 'N', 0, '2013-10-31', NULL, NULL, 29.5915, -95.6304, NULL, NULL),
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('621801973', 'W12039504', 'W12039504', 'UT01', 'Physician Group of Utah', 'Zachary', '', 'Stucki', '', 'Psychiatry', '', '', NULL, 'B', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8019843418', '8019843479', 'PO Box 281415', 'Atlanta', 'Fulton', 'GA', '30384', '8019843418', '8019843479', 'WUSTDINT5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2013-09-30', '2014-04-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1831343292', 0, 'N', 0, '2013-10-18', NULL, NULL, 0, 0, NULL, NULL),
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('760250396', 'W12039525', 'W12039525', 'TXHOUSTD', 'Urology Associates of Houston', 'Matthew', 'D', 'Hoggatt', 'MD', 'Urology', '', '', NULL, 'O', '11914 Astoria Ste 520', 'Houston', 'Harris', 'TX', '77089', '2814812804', '2813325266', '11914 Astoria Ste 520', 'Houston', 'Harris', 'TX', '77089', '2814812804', '2813325266', 'HOUSTON4', 'TXHCPC13', '', '0.00', '45.00', '0.00', 3, '2013-11-30', NULL, 0, 0, 0, 'Clear Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1285646471', 0, 'N', 0, '2013-11-01', NULL, NULL, 29.5851, -95.2071, NULL, NULL),
('760250396', 'W12039526', 'W12039526', 'TXHOUSTD', 'Urology Associates of Houston', 'Matthew', 'D', 'Hoggatt', 'MD', 'Urology', '', '', NULL, 'O', '250 Blossom St Ste 220', 'Webster', 'Harris', 'TX', '77598', '2813320202', '2813325266', '250 Blossom St Ste 220', 'Webster', 'Harris', 'TX', '77598', '2813320202', '2813325266', 'HOUSTON4', 'TXHCPC13', '', '0.00', '45.00', '0.00', 3, '2013-11-30', NULL, 0, 0, 0, 'Clear Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1285646471', 0, 'N', 0, '2013-11-01', NULL, NULL, 29.5436, -95.126, NULL, NULL),
('760250396', 'W12039527', 'W12039527', 'TXHOUSTD', 'Urology Associates of Houston', 'Matthew', 'D', 'Hoggatt', 'MD', 'Urology', '', '', NULL, 'O', '8619 W Broadway Ste 101', 'Pearland', 'Brazoria', 'TX', '77584', '2813320202', '2813325266', '8619 W Broadway Ste 101', 'Pearland', 'Brazoria', 'TX', '77584', '2813320202', '2813325266', 'HOUSTON4', 'TXHCPC13', '', '0.00', '45.00', '0.00', 3, '2013-11-30', NULL, 0, 0, 0, 'Clear Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1285646471', 0, 'N', 0, '2013-11-01', NULL, NULL, 29.5589, -95.3538, NULL, NULL),
('810231784', 'W12039529', 'W12039529', 'WYBILLINGS', 'Billings Clinic - Gastroenterology', 'Raj', 'J', 'Shah', 'MD', 'Gastroenterology', '', '', NULL, 'O', '801 N 29th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382763', '801 N 29th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382763', '', '', '', '0.00', '17.00', '0.00', 3, '2013-10-04', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1114017894', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
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('810231784', 'W12039534', 'W12039534', 'WYBILLINGS', 'Billings Clinic', 'Joslyn', '', 'Thompson', 'MD', 'Cardiology', '', '', NULL, 'B', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-09-24', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1124454905', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039536', 'W12039536', 'WYBILLINGS', 'Billings Clinic - Cardiology', 'Joslyn', '', 'Thompson', 'MD', 'Cardiology', '', '', NULL, 'O', '1020 N 27th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382000', '4062382066', '1020 N 27th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382000', '4062382066', '', '', '', '0.00', '17.00', '0.00', 3, '2013-09-24', '2014-03-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1124454905', 0, 'N', 0, '2014-03-13', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039535', 'W12039535', 'WYBILLINGS', 'Billings Clinic', 'Joslyn', '', 'Thompson', 'MD', 'Cardiology', '', '', NULL, 'M', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-09-24', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1124454905', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039539', 'W12039539', 'WYBILLINGS', 'Billings Clinic', 'Michelle', 'A', 'Proper', 'MD', 'Radiation Oncology', '', '', NULL, 'M', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-13', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003088634', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039540', 'W12039540', 'WYBILLINGS', 'Billings Clinic - Radiation Oncology', 'Michelle', 'A', 'Proper', 'MD', 'Radiation Oncology', '', '', NULL, 'O', '801 N 29th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382572', '801 N 29th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382572', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-13', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003088634', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039538', 'W12039538', 'WYBILLINGS', 'Billings Clinic', 'Michelle', 'A', 'Proper', 'MD', 'Radiation Oncology', '', '', NULL, 'B', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-13', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003088634', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039541', 'W12039541', 'WYBILLINGS', 'Billings Clinic', 'Daen', 'E', 'Scott', 'APRN', 'Endocrinology', '', '', NULL, 'M', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-09-10', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1790049674', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039542', 'W12039542', 'WYBILLINGS', 'Billings Clinic', 'Holly', 'A', 'Silvers', 'APRN', 'Neurosurgery', '', '', NULL, 'M', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-09-10', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1588099881', 0, 'N', 0, '2013-10-28', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039546', 'W12039546', 'WYBILLINGS', 'Billings Clinic - Maternal Fetal Medicine', 'James', 'M', 'Alexander', 'MD', 'Maternal Fetal Medicine', '', '', NULL, 'O', '801 N 29th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382806', '801 N 29th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382806', '', '', '', '0.00', '17.00', '0.00', 3, '2013-10-03', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255361739', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039544', 'W12039544', 'WYBILLINGS', 'Billings Clinic', 'James', 'M', 'Alexander', 'MD', 'Maternal Fetal Medicine', '', '', NULL, 'B', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-10-03', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255361739', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039545', 'W12039545', 'WYBILLINGS', 'Billings Clinic', 'James', 'M', 'Alexander', 'MD', 'Maternal Fetal Medicine', '', '', NULL, 'M', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-10-03', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255361739', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039550', 'W12039550', 'WYBILLINGS', 'Billings Clinic', 'Jessica', '', 'Scheer', 'APRN', 'Hospitalist', '', '', NULL, 'M', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-14', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1164854329', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039548', 'W12039548', 'WYBILLINGS', 'Billings Clinic - Hospitalist', 'Jessica', '', 'Scheer', 'APRN', 'Hospitalist', '', '', NULL, 'O', '2800 10th Ave N', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382572', '2800 10th Ave N', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382572', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-14', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1164854329', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039549', 'W12039549', 'WYBILLINGS', 'Billings Clinic', 'Jessica', '', 'Scheer', 'APRN', 'Hospitalist', '', '', NULL, 'B', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-14', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1164854329', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039552', 'W12039552', 'WYBILLINGS', 'Billings Clinic', 'Diann', 'L', 'Spear', 'LCSW', 'Endocrinology', '', '', NULL, 'B', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-08', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1205995404', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039554', 'W12039554', 'WYBILLINGS', 'Billings Clinic - Endocrinology', 'Diann', 'L', 'Spear', 'LCSW', 'Endocrinology', '', '', NULL, 'O', '1045 N 30th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382413', '1045 N 30th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382413', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-08', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1205995404', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039553', 'W12039553', 'WYBILLINGS', 'Billings Clinic', 'Diann', 'L', 'Spear', 'LCSW', 'Endocrinology', '', '', NULL, 'M', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-08', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1205995404', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039556', 'W12039556', 'WYBILLINGS', 'Billings Clinic - West End Clinic', 'Heather', 'A', 'Schroder', 'APRN', 'Family Practice', '', '', NULL, 'O', '2675 Central Ave', 'Billings', 'Yellowstone', 'MT', '59102', '4062382501', '4062382978', '2675 Central Ave', 'Billings', 'Yellowstone', 'MT', '59102', '4062382501', '4062382978', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-09', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1124450853', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039557', 'W12039557', 'WYBILLINGS', 'Billings Clinic', 'Heather', 'A', 'Schroder', 'APRN', 'Family Practice', '', '', NULL, 'B', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-09', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1124450853', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039558', 'W12039558', 'WYBILLINGS', 'Billings Clinic', 'Heather', 'A', 'Schroder', 'APRN', 'Family Practice', '', '', NULL, 'M', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-08-09', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1124450853', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039560', 'W12039560', 'WYBILLINGS', 'Billings Clinic', 'Robert', 'D', 'Ficalora', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', 'PO Box 31315', 'Billings', 'Yellowstone', 'MT', '59107', '4062382617', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-10-09', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1568441020', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039562', 'W12039562', 'WYBILLINGS', 'Billings Clinic - Internal Medicine', 'Robert', 'D', 'Ficalora', 'MD', 'Internal Medicine', '', '', NULL, 'O', '801 N 29th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382771', '801 N 29th St', 'Billings', 'Yellowstone', 'MT', '59101', '4062382501', '4062382771', '', '', '', '0.00', '17.00', '0.00', 3, '2013-10-09', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1568441020', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('810231784', 'W12039561', 'W12039561', 'WYBILLINGS', 'Billings Clinic', 'Robert', 'D', 'Ficalora', 'MD', 'Internal Medicine', '', '', NULL, 'M', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', 'PO Box 37000', 'Billings', 'Yellowstone', 'MT', '59107', '0000000000', '0000000000', '', '', '', '0.00', '17.00', '0.00', 3, '2013-10-09', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1568441020', 0, 'N', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('710948567', 'W12039563', 'W12039563', 'NA01', 'Life Care Solutions', '', '', 'Life Care Solutions', '', 'Durable Medical Equipment', '', '', NULL, 'B', '1220 Research Dr', 'Redlands', 'San Bernardino', 'CA', '92374', '9512714447', '9515475096', '1220 Research Dr', 'Redlands', 'San Bernardino', 'CA', '92374', '9512714447', '9515475096', 'DME7012', '', '', '0.00', '35.00', '0.00', 3, '2013-10-21', NULL, 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1689956575', 0, 'Y', 0, '2013-10-21', NULL, NULL, 0, 0, NULL, NULL),
('900404141', 'W12039564', 'W12039564', 'UTDT01', '39th Street Dental', 'Richard', '', 'Clegg', 'DDS', 'Dentist', '', '', NULL, 'O', '1377 E 3900 S Ste 101', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012721199', NULL, '1377 E 3900 S Ste 101', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012721199', '          ', 'UT000A', '', '', '0.00', '20.00', '0.00', 8, '2013-08-01', '2014-01-01', 0, 0, 0, '', '', '', '', 'DEN|', '1679586911', 0, 'N', 0, '2014-03-14', NULL, NULL, 0, 0, NULL, NULL),
('208359141', 'W12039565', 'W12039565', 'UTDT01', 'Crawford Leishman Dental Group', 'Blake', '', 'Gutierrez', 'DDS', 'Dentist', '', '', NULL, 'O', '265 W Center St', 'Orem', 'Utah', 'UT', '84057', '8012255888', NULL, '265 W Center St', 'Orem', 'Utah', 'UT', '84057', '8012255888', '          ', 'UT000A', '', '', '0.00', '20.00', '0.00', 8, '2013-08-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '1043585730', 0, 'N', 0, '2013-10-22', NULL, NULL, 0, 0, NULL, NULL),
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('830234097', 'W12039581', 'W12039581', 'WYT1', 'Campbell County Clinics OB/GYN Specialists', '', '', 'Campbell County Clinics OB/GYN Specialists', '', 'Obstetrics and Gynecology', '', '', NULL, 'O', '1414 W 4th St', 'Gillette', 'Campbell', 'WY', '82716', '3076863855', '3076868190', '1414 W 4th St', 'Gillette', 'Campbell', 'WY', '82716', '3076863855', '3076868190', '', '', '', '0.00', '19.00', '0.00', 6, '2013-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1740463520', 0, 'Y', 0, '2013-10-22', NULL, NULL, 0, 0, NULL, NULL);
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('452700181', 'W12039664', 'W12039664', 'UTDT01', 'IDA Endodontics - Comfort Dental of Clinton', 'Thomas', '', 'Vandenberghe', 'DDS', 'Endodontist', '', '', NULL, 'O', '2207 W 1800 N', 'Clearfield', 'Davis', 'UT', '84015', '8018253993', NULL, '2207 W 1800 N', 'Clearfield', 'Davis', 'UT', '84015', '8018253993', '          ', 'UT0SPA', '', '', '0.00', '20.00', '0.00', 8, '2013-09-01', NULL, 0, 0, 0, '', '', '', '', 'DEN|', '1770506610', 0, 'N', 0, '2013-10-23', NULL, NULL, 0, 0, NULL, NULL);
