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
('870622942', 'S33000509', 'S33000509', 'UT01', 'Utah Imaging Associates ', '', '', 'Utah Imaging Associates LLC', 'GROUP', 'Imaging Center', 'Mammography', '', NULL, 'B', 'PO Box 1288', 'Bountiful', 'Davis', 'UT', '84011', '8019240029', NULL, 'PO Box 1288', 'Bountiful', 'Davis', 'UT', '84011', '8019240029', '', 'WUUTIMAGE5', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1629076229', 0, 'Y', 0, '2013-04-15', NULL, NULL, 0, 0, NULL, NULL),
('870622942', 'S33000510', 'S33000510', 'UT01', 'Utah Imaging Associates ', '', '', 'Utah Imaging Associates LLC', 'GROUP', 'Imaging Center', 'Mammography', '', NULL, 'O', '1580 W Antelope Dr Ste 100', 'Layton', 'Davis', 'UT', '84041', '8017738644', NULL, '1580 W Antelope Dr Ste 100', 'Layton', 'Davis', 'UT', '84041', '8017738644', '', 'WUUTIMAGE5', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-04-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1629076229', 0, 'Y', 0, '2013-04-15', NULL, NULL, 41.0893, -111.994, NULL, NULL),
('870641300', 'S33000511', 'S33000511', 'UT01', 'Utah Hyperbaric Physicians', NULL, NULL, 'Utah Hyperbaric Physicians LLC', 'GROUP', 'Wound Care', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', '8002250953', '4056821586', NULL, NULL, '', NULL, NULL, '', '', 'WUEPIC5', 'WUSTDHCPC5', NULL, '0.00', '30.00', NULL, 3, '2007-01-01', '2007-03-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '836038', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870641300', 'S33000512', 'S33000512', 'UT01', 'Utah Hyperbaric Physicians', NULL, NULL, 'Utah Hyperbaric Physicians LLC', 'GROUP', 'Wound Care', NULL, NULL, NULL, 'O', '520 Medical Dr Ste 110', 'Bountiful', 'Davis', 'UT', '84010', '8013970890', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUEPIC5', 'WUSTDHCPC5', NULL, '0.00', '30.00', NULL, 3, '2007-01-01', '2007-03-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '836038', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870676995', 'S33000513', 'S33000513', 'UT01', 'Medicor ', NULL, NULL, 'Medicor LLC', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '2469 Fort Union Blvd Ste 105', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019425543', '8019444877', '3652 E Brighton Point Dr', 'Salt Lake City', '', 'UT', '84121', '', '', 'WMEDICOR5', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000901885', 0, 'N', 0, '2007-01-06', NULL, NULL, 0, 0, NULL, NULL),
('870676995', 'S33000514', 'S33000514', 'UT01', 'Medicor ', NULL, NULL, 'Medicor LLC', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'B', '3652 Brighton Point Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8006576369', '8019444877', '3652 E Brighton Point Dr', 'Salt Lake City', '', 'UT', '84121', '', '', 'WMEDICOR5', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000901885', 0, 'Y', 0, '2007-01-06', NULL, NULL, 0, 0, NULL, NULL),
('331020051', 'S33000515', 'S33000515', 'UT01', 'FirstMed Industrial Clinic M-F 7am-7pm', '', '', 'FirstMed Industrial Clinic', 'GROUP', 'Urgent Care', '', '', NULL, 'O', '441 S Redwood Rd', 'Salt Lake City', 'Salt Lake', 'UT', '84104', '8019732588', '8019736985', '441 S Redwood Rd', 'Salt Lake City', 'Salt Lake', 'UT', '84104', '8019732588', '8019736985', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1922141191', 0, 'N', 0, '2013-06-12', NULL, NULL, 40.7598, -111.939, NULL, NULL),
('870487570', 'S33000518', 'S33000518', 'UT01', 'St George Radiology', NULL, NULL, 'St George Radiology', 'GROUP', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 657', 'Orem', 'Utah', 'UT', '84059', '8012256246', '8012251525', '1380 E Medical Dr', 'St George', '', 'UT', '84790', '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790736130', 0, 'Y', 0, '2006-11-30', NULL, NULL, 0, 0, NULL, NULL),
('870284448', 'S33000519', 'S33000519', 'UT01', 'Utah Valley Radiology', NULL, NULL, 'Utah Valley Radiology', 'GROUP', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 657', 'Orem', 'Utah', 'UT', '84059', '8012256246', '8012251525', 'PO Box 657', 'Orem', '', 'UT', '84097', '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000903338', 0, 'Y', 0, '2007-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870666061', 'S33000520', 'S33000520', 'UT01', 'Copperview Medical Center Urgent Care', 'Copperview Medical Center Urgent Care', NULL, NULL, 'GROUP', 'Urgent Care', NULL, NULL, NULL, 'O', '3556 W 9800 S', 'South Jordan', 'Salt Lake', 'UT', '84095', '8015679780', NULL, '3556 W 9800 S', 'South Jordan', '', 'UT', '84095', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-06-01', '2007-03-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '904057', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('201066535', 'S33000521', 'S33000521', 'UT01', 'Millcreek Imaging Center', '', '', 'Millcreek Imaging Center', 'GROUP', 'Imaging Center', 'Radiology', '', NULL, 'O', '3738 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8013131955', '8013131965', '3738 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8013131955', '8013131965', '', NULL, NULL, '0.00', '31.00', '0.00', 3, '2006-04-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '0000904605', 0, 'N', 0, '2011-06-30', NULL, NULL, 40.6901, -111.866, NULL, NULL),
('201066535', 'S33000522', 'S33000522', 'UT01', 'Millcreek Imaging Center', '', '', 'Millcreek Imaging Center', 'GROUP', 'Imaging Center', 'Radiology', '', NULL, 'B', 'PO Box 404894', 'Atlanta', 'Fulton', 'GA', '30384', '6153737600', NULL, '3738 S 900 E', 'Salt Lake City', 'Fulton', 'UT', '84106', '6153737600', '', '', NULL, NULL, '0.00', '31.00', '0.00', 3, '2006-04-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '0000904605', 0, 'y', 0, '2011-06-30', NULL, NULL, 0, 0, NULL, NULL),
('870286381', 'S33000523', 'S33000523', 'UT01', 'Ogden Clinic', '', '', 'Ogden Clinic', 'GROUP', 'Primary Care with Extended Hours', 'Urgent Care', '', NULL, 'B', '4650 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8014794621', NULL, '4650 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8014794621', '          ', 'WUOGDCLIN5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-08-01', NULL, NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1578550083', 0, 'N', 0, '2010-04-28', NULL, NULL, 0, 0, NULL, NULL),
('870286381', 'S33000524', 'S33000524', 'UT01', 'Ogden Clinic - Canyon View M-F 8am-8pm  Sat-Sun 10am-5pm', '', '', 'Ogden Clinic - Canyon View', 'GROUP', 'Primary Care with Extended Hours', 'Urgent Care', '', NULL, 'O', '1159 12th St', 'Ogden', 'Weber', 'UT', '84404', '8013343000', NULL, '1159 12th St', 'Ogden', 'Weber', 'UT', '84404', '8013343000', '          ', 'WUOGDCLIN5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000904878', 0, 'N', 0, '2013-09-09', NULL, NULL, 41.244, -111.95, NULL, NULL),
('870286381', 'S33000525', 'S33000525', 'UT01', 'Ogden Clinic Urgent Care M-F 8am-8pm', '', '', 'Ogden Clinic - Canyon View', 'GROUP', 'Primary Care with Extended Hours', 'Urgent Care', '', NULL, 'O', '4650 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8014794621', NULL, '4650 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8014794621', '          ', 'WUOGDCLIN5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000904878', 0, 'N', 0, '2013-09-09', NULL, NULL, 41.1787, -111.949, NULL, NULL),
('870286381', 'S33000526', 'S33000526', 'UT01', 'Roy Family Medicine M-F 8am-8pm  Sat 10am-5pm', '', '', 'Ogden Clinic - Canyon View', 'GROUP', 'Primary Care with Extended Hours', 'Urgent Care', '', NULL, 'O', '5430 S 1900 W', 'Roy', 'Weber', 'UT', '84067', '8017799975', NULL, '5430 S 1900 W', 'Roy', 'Weber', 'UT', '84067', '8017799975', '          ', 'WUOGDCLIN5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-08-01', '2013-05-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000904878', 0, 'N', 0, '2013-09-09', NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'S33000527', 'S33000527', 'UT01', 'Epic Associates for Inpatient Medical', NULL, NULL, 'Associates for Inpatient Medical', 'GROUP', 'Hospitalist', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '905532', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'S33000528', 'S33000528', 'UT01', 'Epic Pioneer Valley Hospital', NULL, NULL, 'Pioneer Valley Hospital', 'GROUP', 'Hospitalist', NULL, NULL, NULL, 'O', '3460 Pioneer Pkwy', 'Salt Lake City', 'Salt Lake', 'UT', '84120', '8019643100', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '905532', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('245710270', 'S33000529', 'S33000529', 'UT01', 'Epic Salt Lake Regional Medical Center', NULL, NULL, 'Salt Lake Regional Medical Center', 'GROUP', 'Hospitalist', NULL, NULL, NULL, 'O', '1050 E S Temple', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013504111', NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WUSTDINT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417988833', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870222074', 'S33000532', 'S33000532', 'UT01', 'Milford Valley Hospital Pro Fees', NULL, NULL, 'Milford Valley Hospital Pro Fees', 'GROUP', 'Hospital', NULL, NULL, NULL, 'O', '451 N Main', 'Milford', 'Beaver', 'UT', '84751', '4353872411', NULL, 'PO Box 640', 'Milford', '', 'UT', '84751', '', '', '', NULL, NULL, '0.00', '4.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000906232', 0, 'Y', 0, '2006-10-19', NULL, NULL, 38.3934, -113.012, NULL, NULL),
('870222074', 'S33000533', 'S33000533', 'UT01', 'Milford Valley Hospital Pro Fees', NULL, NULL, 'Milford Valley Hospital Pro Fees', 'GROUP', 'Hospital', NULL, NULL, NULL, 'B', 'PO Box 640', 'Milford', 'Beaver', 'UT', '84751', '4353872411', NULL, 'PO Box 640', 'Milford', '', 'UT', '84751', '', '', '', NULL, NULL, '0.00', '4.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000906232', 0, 'Y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'S33000534', 'S33000534', 'UT01', 'San Juan Hospital Pro Fees', '', '', 'San Juan Hospital', 'GROUP', 'Hospital', NULL, NULL, NULL, 'O', '380 W 100 N ', 'Monticello', 'San Juan', 'UT', '84535', NULL, NULL, 'PO Box 308', 'Monticello', '', 'UT', '84535', '', '', NULL, NULL, NULL, '0.00', '8.00', NULL, 3, '2006-11-01', '2006-11-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942251459', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000616', 'S33000535', 'S33000535', 'UT01', 'San Juan Hospital Pro Fees', '', '', 'San Juan Hospital', 'GROUP', 'Hospital', NULL, NULL, NULL, 'B', 'PO Box 1054 ', 'Monticello', 'San Juan', 'UT', '84535', '4355872116', NULL, 'PO Box 308', 'Monticello', '', 'UT', '84535', '', '', NULL, NULL, NULL, '0.00', '8.00', NULL, 3, '2006-11-01', '2006-11-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|', '1942251459', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621762532', 'S33000536', 'S33000536', 'UT01', 'Ashley Valley Medical Center Pro Fees', NULL, NULL, 'Ashley Valley Medical Center Pro Fees', 'GROUP', NULL, NULL, NULL, NULL, 'O', '151 W 200 N', 'Vernal', 'Uintah', 'UT', '84078', '4357896757', NULL, '151 W 200 N', 'Vernal', '', 'UT', '84078', '', '', '', NULL, NULL, '0.00', '7.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000906687', 0, 'Y', 0, '2006-10-27', NULL, NULL, 40.4585, -109.531, NULL, NULL),
('900232757', 'S33000538', 'S33000538', 'UT01', 'The Sleep Institute of Utah', '', '', 'Sleep Institute Medical Clinic', 'GROUP', 'Sleep Disorders', '', '', NULL, 'O', '124 S Fairfield Rd Ste C', 'Layton', 'Davis', 'UT', '84041', '8015939576', '8015939611', '124 S Fairfield Rd Ste C', 'Layton', 'Davis', 'UT', '84041', '8015939576', '8015939611', 'WCSTSIU', '', '', '0.00', '100.00', '0.00', 3, '2006-11-01', '2012-09-12', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000908760', 0, 'Y', 0, '2014-05-27', NULL, NULL, 0, 0, NULL, NULL),
('900232757', 'S33000539', 'S33000539', 'UT01', 'The Sleep Institute of Utah', '', '', 'Sleep Institute Medical Clinic', 'GROUP', 'Sleep Disorders', '', '', NULL, 'O', '1325 W S Jordan Pkwy Ste 101', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012542895', '8012544715', '1325 W S Jordan Pkwy Ste 101', 'South Jordan', 'Salt Lake', 'UT', '84095', '8012542895', '8012544715', 'WCSTSIU', '', '', '0.00', '100.00', '0.00', 3, '2006-11-01', '2012-09-12', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000908760', 0, 'Y', 0, '2014-05-27', NULL, NULL, 0, 0, NULL, NULL),
('900232757', 'S33000540', 'S33000540', 'UT01', 'The Sleep Institute of Utah', '', '', 'Sleep Institute Medical Clinic', 'GROUP', 'Sleep Disorders', '', '', NULL, 'O', '280 W  River Park Dr Ste 350', 'Provo', 'Utah', 'UT', '84604', '8014374891', '8014374892', '280 W  River Park Dr Ste 350', 'Provo', 'Utah', 'UT', '84604', '8014374891', '8014374892', 'WCSTSIU', '', '', '0.00', '100.00', '0.00', 3, '2006-11-01', '2012-09-12', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000908760', 0, 'Y', 0, '2014-05-27', NULL, NULL, 0, 0, NULL, NULL),
('245711822', 'S33000541', 'S33000541', 'UT01', 'Utah Sleep Center', NULL, NULL, 'Utah Sleep Center', 'GROUP', 'Sleep Disorders', NULL, NULL, NULL, 'O', '515 E 4500 S Ste G220', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8017470921', NULL, 'PO Box 651004', 'Salt Lake City', '', 'UT', '841651004', '', '', 'WCSTUSC5', NULL, NULL, '0.00', '100.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023183043', 0, 'Y', 0, '2007-01-06', NULL, NULL, 40.6743, -111.876, NULL, NULL),
('245711822', 'S33000542', 'S33000542', 'UT01', 'Utah Sleep Center', NULL, NULL, 'Utah Sleep Center', 'GROUP', 'Sleep Disorders', NULL, NULL, NULL, 'B', 'PO Box 651004', 'Salt Lake City', 'Salt Lake', 'UT', '84165', '8017460292', '8017467243', 'PO Box 651004', 'Salt Lake City', '', 'UT', '841651004', '', '', 'WCSTUSC5', NULL, NULL, '0.00', '100.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023183043', 0, 'Y', 0, '2007-01-06', NULL, NULL, 0, 0, NULL, NULL),
('870517201', 'S33000543', 'S33000543', 'UT01', 'Central Utah Radiology', NULL, NULL, 'Central Utah Radiology', 'GROUP', 'Radiologist', NULL, NULL, NULL, 'O', '64 E 100 N', 'Gunnison', 'Sanpete', 'UT', '84634', '4356231242', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '909816', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870517201', 'S33000544', 'S33000544', 'UT01', 'Central Utah Radiology', NULL, NULL, 'Central Utah Radiology', 'GROUP', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 908', 'Bountiful', 'Davis', 'UT', '84011', '8012962113', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '909816', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('900182518', 'S33000549', 'S33000549', 'UT01', 'Riverwoods Urgent Care M-Sun 10am-10pm', '', '', 'Riverwoods Urgent Care LLC', 'GROUP', 'Urgent Care', '', '', NULL, 'O', '280 River Park Dr Ste 120', 'Provo', 'Utah', 'UT', '84604', '8012292011', '8012240242', '280 River Park Dr Ste 120', 'Provo', 'Utah', 'UT', '84604', '8012292011', '8012240242', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000912680', 0, 'N', 0, '2013-06-12', NULL, NULL, 40.3037, -111.662, NULL, NULL),
('870525465', 'S33000552', 'S33000552', 'UT01', 'Bookcliffs Pathology', NULL, NULL, 'Bookcliffs Pathology', 'GROUP', 'Pathology', NULL, NULL, NULL, 'O', '300 N Hospital Dr', 'Price', 'Carbon', 'UT', '84501', '4357349471', NULL, '300 N Hospital Dr', 'Price', '', 'UT', '84501', '', '', 'WEUHP', 'WUSTDHCPC5', NULL, '0.00', '20.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871650218', 0, 'Y', 0, '2007-01-07', NULL, NULL, 39.6051, -110.832, NULL, NULL),
('870525465', 'S33000553', 'S33000553', 'UT01', 'Bookcliffs Pathology', NULL, NULL, 'Bookcliffs Pathology', 'GROUP', 'Pathology', NULL, NULL, NULL, 'B', 'PO Box 974', 'Price', 'Carbon', 'UT', '84501', '4357349471', NULL, NULL, 'Price', '', NULL, '84501', '', '', 'WEUHP', 'WUSTDHCPC5', NULL, '0.00', '20.00', NULL, 3, '2007-01-01', '2007-03-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871650218', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870511413', 'S33000556', 'S33000556', 'UT01', 'Magic Rest Medical', '', '', 'Magic Rest Medical', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'B', 'PO Box 65785', 'Salt Lake City', 'Salt Lake', 'UT', '84165', '8012818688', NULL, 'PO Box 65785', 'Salt Lake City', '', 'UT', '84165', '', '', 'WUDME5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000914057', 0, 'Y', 0, '2006-12-20', NULL, NULL, 0, 0, NULL, NULL),
('870511413', 'S33000557', 'S33000557', 'UT01', 'Magic Rest Medical-Idaho Falls', '', '', 'Magic Rest Medical', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'b', 'PO Box 65785', 'Salt Lake City', 'Salt Lake', 'UT', '84165', '2085420088', NULL, 'PO Box 65785', 'Salt Lake City', '', 'UT', '84165', '', '', 'WUDME5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000914057', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870511413', 'S33000558', 'S33000558', 'UT01', 'Magic Rest Medical-Ogden', '', '', 'Magic Rest Medical', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'b', 'PO Box 65785', 'Salt Lake City', 'Salt Lake', 'UT', '84165', '8013935858', NULL, 'PO Box 65785', 'Salt Lake City', '', 'UT', '84165', '', '', 'WUDME5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000914057', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('651255095', 'S33000609', 'S33000609', 'UT01', 'Tooele Valley Urgent Care M-Sun 9am-10pm', '', '', 'Tooele Valley Urgent Care', 'GROUP', 'Urgent Care', '', '', NULL, 'O', '1244 N Main St Ste 201', 'Tooele', 'Tooele', 'UT', '84074', '4358823968', '4358823859', '1244 N Main St Ste 201', 'Tooele', 'Tooele', 'UT', '84074', '4358823968', '4358823859', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1831147982', 0, 'N', 0, '2013-06-12', NULL, NULL, 40.5556, -112.297, NULL, NULL),
('770594555', 'S33000617', 'S33000617', 'UT01', 'Avalon Care Center - Bountiful', '', '', 'Avalon Care Center', 'GROUP', 'Skilled Nursing Facility', '', '', NULL, 'O', '523 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8019512273', '8019511700', '523 N Main St', 'Bountiful', 'Davis', 'UT', '84010', '8019512273', '8019511700', '', '', '7', '0.00', '100.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000944917', 0, 'N', 0, '2013-10-18', NULL, NULL, 40.8947, -111.879, NULL, NULL),
('020572077', 'S33000618', 'S33000618', 'UT01', 'Coral Desert Rehabilitation', NULL, NULL, 'Coral Desert Rehabilitation', 'GROUP', 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '1490 E Foremaster Dr Bldg B', 'St George', 'Washington', 'UT', '84790', '4356745195', '4357739495', '1490 E Foremaster Dr', 'St George', '', 'UT', '84790', '', '', '', NULL, '7', '0.00', '100.00', '0.00', 3, '2006-11-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000945586', 0, 'N', 0, '2006-12-20', NULL, NULL, 37.0959, -113.551, NULL, NULL),
('841432944', 'S33000621', 'S33000621', 'UT01', 'Zion Eye Institute (Ophthalmology Services Only)', '', '', 'Zion Eye Institute', 'GROUP', 'Ambulatory Surgery Center', '', '', NULL, 'O', '1791 E 280 N', 'St George', 'Washington', 'UT', '84790', '4356562020', '4356734131', '1791 E 280 N', 'St George', 'Washington', 'UT', '84790', '4356562020', '4356734131', '', '', '2', '0.00', '0.00', '0.00', 3, '2006-11-01', NULL, NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1831182799', 0, 'N', 0, '2011-05-23', NULL, NULL, 37.1131, -113.545, NULL, NULL),
('200793782', 'S33000622', 'S33000622', 'UT01', 'Coral Desert Imaging Center', NULL, NULL, 'Coral Desert Imaging Center', 'GROUP', 'Imaging Center', 'Radiology', NULL, NULL, 'O', '1490 E Foremaster Dr Bldg C', 'St George', 'Washington', 'UT', '84790', '4359862238', '4359862237', '1490 E Foremaster Dr', 'St George', '', 'UT', '84790', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-11-01', '2007-04-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174642102', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870547967', 'S33000625', 'S33000625', 'UT01', 'Alpine Home Health', NULL, NULL, 'Alpine Home Health', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '1172 E 100 N Ste D', 'Payson', 'Utah', 'UT', '84651', '8014654401', '8014654366', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '4', '0.00', '100.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.0451, -111.713, NULL, NULL),
('870547967', 'S33000626', 'S33000626', 'UT01', 'Alpine Home Health', NULL, NULL, 'Alpine Home Health', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '990 W Bellwood Ln', 'Salt Lake City', 'Salt Lake', 'UT', '84123', '8017475500', '8014632001', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '4', '0.00', '100.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.6534, -111.92, NULL, NULL),
('870547967', 'S33000627', 'S33000627', 'UT01', 'Alpine Home Health', NULL, NULL, 'Alpine Home Health', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '259 S Orem Blvd', 'Orem', 'Utah', 'UT', '84058', '8012210669', '8012251529', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '4', '0.00', '100.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.2915, -111.695, NULL, NULL),
('870547967', 'S33000628', 'S33000628', 'UT01', 'Alpine Home Health', NULL, NULL, 'Alpine Home Health', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '277 N Spring Creek Pkwy', 'Providence', 'Cache', 'UT', '84332', '4357537001', '4352329918', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '4', '0.00', '100.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, '2006-10-19', NULL, NULL, 41.7135, -111.828, NULL, NULL),
('870547967', 'S33000629', 'S33000629', 'UT01', 'Alpine Home Health', NULL, NULL, 'Alpine Home Health', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '5478 S Adam Ave Pkwy Ste 1', 'Ogden', 'Weber', 'UT', '84405', '8013928880', NULL, 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '4', '0.00', '100.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, '2006-10-19', NULL, NULL, 41.1635, -111.969, NULL, NULL),
('870547967', 'S33000630', 'S33000630', 'UT01', 'Alpine Home Health', NULL, NULL, 'Alpine Home Health', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '97 N 100 E', 'Brigham City', 'Box Elder', 'UT', '84302', '4357341300', '4357537088', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '4', '0.00', '100.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('870547967', 'S33000631', 'S33000631', 'UT01', 'Alpine Home Care', NULL, NULL, 'Alpine Home Care', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'B', 'PO Box 65788', 'Salt Lake City', 'Salt Lake', 'UT', '84165', '8014862348', '8014668961', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '4', '0.00', '100.00', NULL, 3, '2006-10-01', '2006-10-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870547967', 'S33000632', 'S33000632', 'UT01', 'Alpine Home Health', NULL, NULL, 'Alpine Home Health', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '135 S Main St Ste 206', 'Heber City', 'Wasatch', 'UT', '84032', '4356541464', NULL, 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '4', '0.00', '100.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1114932969', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.5059, -111.414, NULL, NULL),
('043687810', 'S33000633', 'S33000633', 'UT01', 'Alpine Hospice Inc', NULL, NULL, 'Alpine Hospice Inc', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '990 W Bellwood Ln', 'Salt Lake City', 'Salt Lake', 'UT', '84123', '8017475500', '8014862001', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '3', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.6534, -111.92, NULL, NULL),
('043687810', 'S33000634', 'S33000634', 'UT01', 'Alpine Hospice Inc', NULL, NULL, 'Alpine Hospice Inc', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '259 S Orem Blvd', 'Orem', 'Utah', 'UT', '84058', '8012210669', '8012251529', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '3', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.2915, -111.695, NULL, NULL),
('043687810', 'S33000635', 'S33000635', 'UT01', 'Alpine Hospice Inc', NULL, NULL, 'Alpine Hospice Inc', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '277 N Spring Creek Pkwy', 'Providence', 'Cache', 'UT', '84332', '4357537001', '4352329918', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '3', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, '2006-10-19', NULL, NULL, 41.7135, -111.828, NULL, NULL),
('043687810', 'S33000636', 'S33000636', 'UT01', 'Alpine Hospice Inc', NULL, NULL, 'Alpine Hospice Inc', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '5478 S Adams Ave Pkwy Ste 1', 'Ogden', 'Weber', 'UT', '84405', '8013928880', '8013952498', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '3', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, '2006-10-19', NULL, NULL, 41.1635, -111.969, NULL, NULL),
('043687810', 'S33000637', 'S33000637', 'UT01', 'Alpine Hospice Inc', NULL, NULL, 'Alpine Hospice Inc', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '95 N 100 E', 'Brigham City', 'Box Elder', 'UT', '84302', '4357341300', '4357537088', 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '3', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, '2006-10-19', NULL, NULL, 41.5127, -112.014, NULL, NULL),
('043687810', 'S33000638', 'S33000638', 'UT01', 'Alpine Hospice Inc', NULL, NULL, 'Alpine Hospice Inc', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '135 S Main St Ste 206', 'Heber City', 'Wasatch', 'UT', '84032', '4356541464', NULL, 'PO Box 65788', 'Salt Lake City', '', 'UT', '84165', '', '', '', NULL, '3', '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1265430573', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.5059, -111.414, NULL, NULL),
('203506626', 'S33000639', 'S33000639', 'UT01', 'FirstMed Urgent Care', '', '', 'FirstMed Urgent Care', 'GROUP', 'Urgent Care', '', '', NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', NULL, 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000950509', 0, 'Y', 0, '2012-10-09', NULL, NULL, 0, 0, NULL, NULL),
('203506626', 'S33000640', 'S33000640', 'UT01', 'FirstMed Urgent Care', '', '', 'FirstMed Urgent Care', 'GROUP', 'Urgent Care', '', '', NULL, 'O', '214 W 1500 S', 'Bountiful', 'Davis', 'UT', '84010', '8012956483', '8013350339', '214 W 1500 S', 'Bountiful', 'Davis', 'UT', '84010', '8012956483', '8013350339', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-07-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000950509', 0, 'N', 0, '2012-10-09', NULL, NULL, 0, 0, NULL, NULL),
('112645333', 'S33000725', 'S33000725', 'UT01', 'Horizon Home Health (Carbon Iron Juab Sevier Summit Utah Was', '', '', 'Gentiva', 'GROUP', 'Home Health Agency', '', '', NULL, 'O', '204 W 540 N', 'Orem', 'Utah', 'UT', '84057', '8008160450', NULL, '204 W 540 N', 'Orem', 'Utah', 'UT', '84057', '8008160450', '          ', '', '', '4', '0.00', '35.00', '0.00', 3, '2006-11-01', '2010-07-28', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1720018856', 0, 'Y', 0, '2010-07-12', NULL, NULL, 0, 0, NULL, NULL),
('112645333', 'S33000726', 'S33000726', 'UT01', 'Heritage Brookside Home Care', '', '', 'Heritage Brookside Home Care', 'GROUP', 'Home Health Agency', '', '', NULL, 'O', '2970 S Main St Ste 301', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014740000', NULL, '2970 S Main St Ste 301', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014740000', '', '', NULL, '4', '0.00', '35.00', '0.00', 3, '2006-11-01', '2009-01-05', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1487686663', 0, 'N', 0, '2010-07-12', 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
('810582329', 'S33000727', 'S33000727', 'UT01', 'Good Shepherd Home Care', '', '', 'Good Shepherd Home Care', 'GROUP', 'Home Health Agency', 'Hospice', NULL, NULL, 'O', '4625 S 2300 E Ste 101', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012776474', '8012776475', '4625 S 2300 E Ste 101', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '8012776474', '8012776475', '', '', '4', '0.00', '100.00', '0.00', 3, '2006-12-01', '2010-12-31', 1, 0, 0, '', '', '', '', 'HCFA|UB|', '1457439705', 0, 'N', 0, '2013-03-13', NULL, NULL, 0, 0, NULL, NULL),
('870301532', 'S33000728', 'S33000728', 'UT01', 'Avalon Valley Rehabilitation Center', '', '', 'Avalon Valley Rehabilitation Center', 'GROUP', 'Skilled Nursing Facility', '', '', NULL, 'O', '2472 S 300 E', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014662211', '8014661061', '2472 S 300 E', 'Salt Lake City', 'Salt Lake', 'UT', '84115', '8014662211', '8014661061', '', NULL, '7', '0.00', '100.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000934642', 0, 'N', 0, '2012-10-02', NULL, NULL, 40.7169, -111.883, NULL, NULL),
('870616123', 'S33000729', 'S33000729', 'UT01', 'Intermountain Orthopedic Care', '', '', 'Intermountain Orthopedic Care ', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '800 N 700 W', 'Orem', 'Utah', 'UT', '84057', '8013769004', '8014891329', 'PO Box 970357', 'Orem', 'Utah', 'UT', '840970357', '8013769004', '8014891329', 'WUDME5', '', '', '0.00', '35.00', '0.00', 3, '2006-11-01', '2011-01-31', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1699798827', 0, 'N', 0, '2011-02-07', NULL, NULL, 0, 0, NULL, NULL),
('112645333', 'S33000734', 'S33000734', 'UT01', 'Gentiva Health Services USA INC', '', '', 'Gentiva Health Services USA INC', 'GROUP', 'Home Health Agency', '', '', NULL, 'B', 'PO Box 99767', 'Chicago', 'Cook', 'IL', '60696', '8133134129', '9138145663', 'PO Box 99767', 'Chicago', 'Cook', 'IL', '60696', '8133134129', '9138145663', '', '', '4', '0.00', '35.00', '0.00', 3, '2006-11-01', '2010-07-28', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000607346', 0, 'Y', 0, '2010-07-12', NULL, NULL, 0, 0, NULL, NULL),
('112645333', 'S33000735', 'S33000735', 'UT01', 'Gentiva Health Services', '', '', 'Gentiva Health Services USA INC', 'GROUP', 'Home Health Agency', '', '', NULL, 'B', 'FILE 70236', 'Los Angeles', 'Los Angeles', 'CA', '90074', '8008160450', NULL, 'FILE 70236', 'Los Angeles', 'Los Angeles', 'CA', '90074', '8008160450', '          ', '', '', '4', '0.00', '35.00', '0.00', 3, '2006-11-01', '2010-07-28', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000607346', 0, 'Y', 0, '2010-07-12', NULL, NULL, 0, 0, NULL, NULL),
('870616123', 'S33000791', 'S33000791', 'UT01', 'Intermountain Orthopedic Care', '', '', 'Intermountain Orthopedic Care ', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'B', 'PO Box 970357', 'Orem', 'Utah', 'UT', '84097', '8014912922', NULL, 'PO Box 970357', 'Orem', 'Utah', 'UT', '840970357', '8014912922', '', 'WUDME5', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1699798827', 0, 'Y', 0, '2011-02-07', NULL, NULL, 0, 0, NULL, NULL),
('112645333', 'S33000800', 'S33000800', 'UT01', 'Gentiva Health Services USA', '', '', 'Gentiva Health Services USA INC', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '488 E Winchester St Ste 140', 'Murray', 'Salt Lake', 'UT', '84107', '8008160450', '6022654984', '3 Huntington Quadrangle', 'Melville', '', 'New', '11747', '', '', NULL, NULL, '4', '0.00', '35.00', NULL, 3, '2006-11-01', '2007-04-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '607346', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('521262870', 'S33000804', 'S33000804', 'UT01', 'Dynasplint Systems', NULL, NULL, 'Dynasplint Systems Inc  (Custom Braces)', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '770 Ritchie Hwy Ste W 21', 'Severna Park', 'Anne Arundel', 'MD', '21146', '8006386771', '4105449149', '770 Ritchie Highway', 'Severna Park', '', 'MD', '211463923', '', '', 'WCSTDSS5', NULL, NULL, '0.00', '100.00', NULL, 3, '2006-12-01', '2006-12-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '6069', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('541707322', 'S33000805', 'S33000805', 'UT01', 'Care Rehab and Orthopedic Products  (Muscle Stimulators)', '', '', 'Care Rehab and Orthopedic Products  (Muscle Stimulators)', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'B', 'PO Box 716', 'Keysville', 'Charlotte', 'VA', '23947', '8004879644', NULL, 'PO Box 716', 'Keysville', 'Charlotte', 'VA', '23947', '8004879644', '', 'WCSTCROP5', NULL, NULL, '0.00', '20.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1578562468', 0, 'y', 0, '2012-09-24', NULL, NULL, 0, 0, NULL, NULL),
('411310335', 'S33000808', 'S33000808', 'UT01', 'Empi Inc (Neuromuscular Stimulator)', '', '', 'Empi Inc (Neuromuscular Stimulator)', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'O', '599 Cardigan Rd', 'St Paul', 'Ramsey', 'MN', '55126', '8003282536', NULL, '599 Cardigan Rd', 'St Paul', 'Ramsey', 'MN', '55126', '8003282536', '', 'WCSTEMPI5', 'DME90', NULL, '0.00', '15.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1174574032', 0, 'Y', 0, '2012-09-24', NULL, NULL, 0, 0, NULL, NULL),
('840611484', 'S33000809', 'S33000809', 'UT01', 'LabCorp of America Holdings', '', '', 'LabCorp of America Holdings', 'GROUP', 'Laboratory', '', '', NULL, 'B', 'PO Box 8018', 'Burlington', 'Alamance', 'NC', '27216', '8004444522', NULL, 'PO Box 8018', 'Burlington', 'Alamance', 'NC', '27216', '8004444522', '', 'WULABCORP5', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1104829159', 0, 'Y', 0, '2013-10-30', NULL, NULL, 0, 0, NULL, NULL),
('061128081', 'S33000811', 'S33000811', 'UT01', 'Dianon Systems Inc', '', '', 'Dianon Systems Inc', 'GROUP', 'Laboratory', '', '', NULL, 'B', '840 Research Pkwy', 'Oklahoma City', 'Oklahoma', 'OK', '73104', '8003282666', NULL, '840 Research Pkwy', 'Oklahoma City', 'Oklahoma', 'OK', '73104', '8003282666', '', 'WDIANON', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003819020', 0, 'y', 0, '2012-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870629690', 'S33000813', 'S33000813', 'UT01', 'EPIC', NULL, NULL, 'EPIC', 'GROUP', 'Emergency Medicine', NULL, NULL, NULL, 'O', 'PO Box 96398', 'Oklahoma', 'Oklahoma', 'OK', '73143', NULL, NULL, '370 E S Temple', 'Salt Lake City', '', 'UT', '84111', '', '', 'WCSTEPIC', NULL, NULL, '0.00', '30.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '836032', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870326048', 'S33000815', 'S33000815', 'UT01', 'Utah Pathology Services', NULL, NULL, 'Utah Pathology Services', 'GROUP', NULL, NULL, NULL, NULL, 'B', 'PO Box 30309', 'Charleston', 'Charleston', 'SC', '29417', '8435711197', '8435713824', 'PO Box 30309', 'Charleston', '', 'SC', '29417', '', '', 'WUSTDPATH5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000833719', 0, 'y', 0, '2006-11-17', NULL, NULL, 0, 0, NULL, NULL),
('020737510', 'S33000816', 'S33000816', 'UT01', 'Nurse Practitioner Healthcare Associates', '', '', 'Nurse Practitioner Healthcare Associates', 'GROUP', 'Urgent Care', '', '', NULL, 'O', '4568 S Highland Dr Ste 290', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '0000000000', '8012746129', '4568 S Highland Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84117', '0000000000', '8012746129', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000975095', 0, 'Y', 0, '2011-05-24', NULL, NULL, 40.6725, -111.841, NULL, NULL),
('202489484', 'S33000817', 'S33000817', 'UT01', 'Salt Lake Wound Care', '', '', 'Salt Lake Wound Care', 'GROUP', 'Wound Care', '', '', NULL, 'O', '3949 S 700 E Ste 180', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012882273', '8015341360', '3949 S 700 E Ste 180', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012882273', '8015341360', 'WUWOUND5', 'WUSTDER5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000956897', 0, 'N', 0, '2012-09-25', NULL, NULL, 40.6858, -111.871, NULL, NULL),
('203152323', 'S33000818', 'S33000818', 'UT01', 'Love Hospice', NULL, NULL, 'Love Hospice', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '1405 W 2200 S Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8019730900', '8019739571', '1405 W 2200 S', 'Salt Lake City', '', 'UT', '84119', '', '', '', NULL, '3', '0.00', '35.00', '0.00', 3, '2006-06-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000960510', 0, 'N', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('680595813', 'S33000819', 'S33000819', 'UT01', 'Silverado Hospice of Utah', NULL, NULL, 'Silverado Hospice of Utah', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '860 E 4500 S Ste 314', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8015061500', '8015061501', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '3', '0.00', '100.00', NULL, 3, '2006-11-01', '2007-04-07', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '961053', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('721595109', 'S33000820', 'S33000820', 'UT01', 'Farmington Bay Dialysis Center', '', '', 'Farmington Bay Dialysis Center', 'GROUP', 'Dialysis Center', '', '', NULL, 'O', '984 S Main St', 'Layton', 'Davis', 'UT', '84041', '8015818578', NULL, 'PO Box 27071', 'Salt Lake City', 'Davis', 'UT', '84127', '8015818578', '', '', NULL, NULL, '0.00', '60.00', '0.00', 3, '2007-01-01', '2008-12-31', NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1487753901', 0, 'N', 0, '2011-01-07', NULL, NULL, 0, 0, NULL, NULL),
('770631948', 'S33000821', 'S33000821', 'UT01', 'FirstMed Urgent Care M-Sun 10am-10pm', '', '', 'FirstMed Urgent Care', 'GROUP', 'Urgent Care', '', '', NULL, 'O', '5911 Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012666483', '8012666916', '5911 Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012666483', '8012666916', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-07-01', '2009-01-28', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000965812', 0, 'N', 0, '2013-06-12', NULL, NULL, 0, 0, NULL, NULL),
('870530623', 'S33000822', 'S33000822', 'UT01', 'Pioneer Care Center', NULL, NULL, 'Pioneer Care Center', NULL, 'Skilled Nursing Facility', NULL, NULL, NULL, 'O', '815 S 200 W', 'Brigham City', 'Box Elder', 'UT', '84302', '4357235289', '4327230579', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '7980', '0.00', NULL, NULL, 3, '2007-01-01', '2007-01-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588665236', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('202403892', 'S33000823', 'S33000823', 'UT01', 'Sleep Diagnostics of Utah Inc', NULL, NULL, 'Sleep Diagnostics of Utah Inc', 'GROUP', 'Sleep Disorders', NULL, NULL, NULL, 'B', 'PO Box 228', 'Kaysville', 'Davis', 'UT', '84037', '8015448660', '8015448676', '425 S Medical Dr', 'Bountiful', '', 'UT', '84010', '', '', 'WCSTSDU5', NULL, NULL, '0.00', '100.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000954955', 0, 'Y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('202489484', 'S33000824', 'S33000824', 'UT01', 'Salt Lake Wound Care', '', '', 'Salt Lake Wound Care', 'GROUP', 'Wound Care', '', '', NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', NULL, '8012880211', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '', '8012880211', 'WUWOUND5', 'WUSTDER5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000956897', 0, 'Y', 0, '2012-09-25', NULL, NULL, 0, 0, NULL, NULL),
('721595109', 'S33000825', 'S33000825', 'UT01', 'Farmington Bay Dialysis Center', '', '', 'Farmington Bay Dialysis Center', 'GROUP', 'Dialysis Center', '', '', NULL, 'B', 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', NULL, 'PO Box 27071', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015818578', '', '', NULL, NULL, '0.00', '60.00', '0.00', 3, '2007-01-01', '2008-12-31', NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1487753901', 0, 'Y', 0, '2011-01-07', NULL, NULL, 0, 0, NULL, NULL),
('770631948', 'S33000826', 'S33000826', 'UT01', 'FirstMed Urgent Care', '', '', 'FirstMed Urgent Care', 'GROUP', 'Urgent Care', '', '', NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', NULL, 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000965812', 0, 'Y', 0, '2012-03-20', NULL, NULL, 0, 0, NULL, NULL),
('870676923', 'S33000827', 'S33000827', 'UT01', 'Interpath PC', '', '', 'Interpath PC', 'GROUP', 'Laboratory', 'Pathology', NULL, NULL, 'B', 'PO Box 6094', 'Logan', 'Cache', 'UT', '84341', '8012984214', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDPATH5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000977347', 0, 'Y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('202403892', 'S33000828', 'S33000828', 'UT01', 'Sleep Diagnostics of Utah Inc', NULL, NULL, 'Sleep Diagnostics of Utah Inc', 'GROUP', 'Sleep Disorders', NULL, NULL, NULL, 'O', '425 Medical Dr Ste 208', 'Bountiful', 'Davis', 'UT', '84010', '8012982191', '8012982373', '425 S Medical Dr', 'Bountiful', '', 'UT', '84010', '', '', 'WCSTSDU5', NULL, NULL, '0.00', '100.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000954955', 0, 'Y', 0, '2006-10-19', NULL, NULL, 40.8873, -111.872, NULL, NULL),
('870676923', 'S33000829', 'S33000829', 'UT01', 'Interpath', '', '', 'Interpath PC', 'GROUP', 'Laboratory', 'Pathology', NULL, NULL, 'O', '576 W 900 S Ste 105', 'Bountiful', 'Davis', 'UT', '84010', '8012984214', NULL, 'PO Box 6094', 'Logan', '', 'UT', '84341', '', '', 'WUSTDPATH5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000977347', 0, 'N', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('411694999', 'S33000831', 'S33000831', 'UT01', 'Disetronic Medical Systems (Diabetic Equipment and Supplies)', NULL, NULL, 'Disetronic Medical Systems (Diabetic Equipment and Supplies)', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'b', '11800 Exit 5 Pkwy Ste 120', 'Fisher', 'Hamilton', 'IN', '46038', '8002807801', '8888100758', '11800 Exit 5 Pkwy', 'Fisher', '', 'IN', '46037', '', '', 'WDISETR', NULL, NULL, '0.00', '30.00', NULL, 3, '2006-12-01', '2006-12-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710980156', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('752608036', 'S33000832', 'S33000832', 'UT01', 'Orthofix Inc (Bone Growth Stimulators Physicians Only)', '', '', 'Orthofix Inc (Bone Growth Stimulators Physicians Only)', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'O', '3451 Plano Pkwy', 'Lewisville', 'Dallas', 'TX', '75284', '8005270404', '4697422881', '3451 Plano Pkwy', 'Lewisville', 'Dallas', 'TX', '75284', '8005270404', '4697422881', 'WCSTORFIX5', '', '', '0.00', '100.00', '0.00', 3, '2006-11-01', '2014-06-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000647859', 0, 'Y', 0, '2014-06-19', NULL, NULL, 0, 0, NULL, NULL),
('911490213', 'S33000834', 'S33000834', 'UT01', 'RS Medical (Muscle Stimulators', '', '', 'RS Medical (Muscle Stimulators', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'O', '14401 SE 1st St', 'Vancouver', 'Clark', 'WA', '98684', '8006830353', '8009291930', '14401 SE First St', 'Vancouver', 'Clark', 'WA', '98684', '8006830353', '8009291930', 'WCSTRSMED5', NULL, NULL, '0.00', '25.00', '0.00', 3, '2006-11-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '0000833766', 0, 'Y', 0, '2011-08-25', NULL, NULL, 0, 0, NULL, NULL),
('411694999', 'S33000836', 'S33000836', 'UT01', 'Disetronic Medical Systems (Diabetic Equipment and Supplies)', NULL, NULL, 'Disetronic Medical Systems (Diabetic Equipment and Supplies)', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'B', 'PO Box 86 SDS 12-2207', 'Minneapolis', 'Hennepin', 'MN', '55486', '8002807801', '8888100758', '11800 Exit 5 Pkwy', 'Fisher', '', 'IN', '46037', '', '', 'WDISETR', NULL, NULL, '0.00', '30.00', '0.00', 3, '2006-12-01', '2010-04-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1710980156', 0, 'Y', 0, '2008-10-08', NULL, NULL, 0, 0, NULL, NULL),
('752608036', 'S33000837', 'S33000837', 'UT01', 'Orthofix (Bone Growth Stimulators Physicians Only)', '', '', 'Orthofix Inc (Bone Growth Stimulators Physicians Only)', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'B', 'PO Box 849806', 'Dallas', 'Dallas', 'TX', '75284', '8005270404', '4697422881', 'PO Box 849806', 'Dallas', 'Dallas', 'TX', '75284', '8005270404', '4697422881', 'WCSTORFIX5', '', '', '0.00', '100.00', '0.00', 3, '2006-11-01', '2014-06-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000647859', 0, 'Y', 0, '2014-06-19', NULL, NULL, 0, 0, NULL, NULL),
('911490213', 'S33000839', 'S33000839', 'UT01', 'RS Medical', '', '', 'RS Medical (Muscle Stimulators', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'B', 'PO Box 872650', 'Vancouver', 'Clark', 'WA', '98687', '8006830353', '8009291930', '14401 SE First St', 'Vancouver', 'Clark', 'WA', '98684', '8006830353', '8009291930', 'WCSTRSMED5', NULL, NULL, '0.00', '25.00', '0.00', 3, '2006-11-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '0000833766', 0, 'Y', 0, '2011-08-25', NULL, NULL, 0, 0, NULL, NULL),
('522212112', 'S33000840', 'S33000840', 'UT01', 'LifeWatch', '', '', 'LifeWatch Inc', 'GROUP', 'Cardiac Monitoring', '', '', NULL, 'O', '1351 Abbott Ct', 'Buffalo Grove', 'Lake', 'IL', '60089', '8777749846', NULL, '1351 Abbott Ct', 'Buffalo Grove', 'Lake', 'IL', '60089', '8777749846', '          ', 'WCSTLWI5', '', '', '0.00', '100.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255367843', 0, 'N', 0, '2013-06-18', NULL, NULL, 0, 0, NULL, NULL),
('522212112', 'S33000841', 'S33000841', 'UT01', 'LifeWatch', '', '', 'LifeWatch Inc', 'GROUP', 'Cardiac Monitoring', '', '', NULL, 'B', '1161 Paysphere Cir', 'Chicago', 'Cook', 'IL', '60674', '8777202100', NULL, '1161 Paysphere Cir', 'Chicago', 'Cook', 'IL', '60674', '8777202100', '          ', 'WCSTLWI5', '', '', '0.00', '100.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000826890', 0, 'Y', 0, '2013-06-18', NULL, NULL, 0, 0, NULL, NULL),
('870276435', 'S33000842', 'S33000842', 'UT01', 'Uintah Basin Home Health', NULL, NULL, 'Uintah Basin Home Health', 'GROUP', 'Home Health Agency', NULL, NULL, NULL, 'O', '250 W 200 N', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357224691', NULL, '250 W 300 N', 'Roosevelt', '', 'UT', '84066', '', '', '', NULL, NULL, '0.00', '4.00', '0.00', 3, '2006-11-01', '2009-10-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508822347', 0, 'N', 0, '2009-10-27', NULL, NULL, 0, 0, NULL, NULL),
('870276435', 'S33000843', 'S33000843', 'UT01', 'Uintah Basin Hospice', NULL, NULL, 'Uintah Basin Hospice', 'GROUP', 'Hospice', NULL, NULL, NULL, 'O', '250 W 200 N', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357224691', NULL, '250 W 300 N', 'Roosevelt', '', 'UT', '84066', '', '', '', NULL, NULL, '0.00', '4.00', '0.00', 3, '2006-11-01', '2009-10-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629034376', 0, 'N', 0, '2009-10-27', NULL, NULL, 0, 0, NULL, NULL),
('201428952', 'S33000849', 'S33000849', 'UT01', 'Western Anesthesia Associates ', NULL, NULL, 'Western Anesthesia Associates ', 'GROUP', 'Anesthesiology', NULL, NULL, NULL, 'B', '1954 E Fort Union Blvd Ste 121', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8012992160', NULL, '1030 Woodmoor Dr', 'Bountiful', '', 'UT', '84010', '', '', '', NULL, '1000', '48.50', '35.00', '0.00', 3, '2006-06-01', NULL, 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174566277', 0, 'Y', 0, '2007-01-05', NULL, NULL, 0, 0, NULL, NULL),
('621795217', 'S33000856', 'S33000856', 'UT01', 'Davis Hospital Physicians', NULL, '', 'Davis Hospital Physicians', 'GROUP', 'Clinic', NULL, NULL, NULL, 'O', 'PO Box 150610 ', 'Ogden', 'Weber', 'UT', '84415', '8018071000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('721608838', 'S33000857', 'S33000857', 'UT01', 'Peak Prosthetic Design        ', NULL, NULL, 'Peak Prosthetic Design        ', 'GROUP', 'Durable Medical Equipment', NULL, NULL, NULL, 'O', '1751 W Alexander St Ste 20', 'West Valley', 'Salt Lake', 'UT', '84119', '8019725270', NULL, '1751 W Alexander St', 'West Valley', '', 'UT', '84119', '', '', 'WUDME5', NULL, NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000986884', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.7188, -111.941, NULL, NULL),
('870658170', 'S33000863', 'S33000863', 'UT01', 'Utah Sleep Medicine Center', '', '', 'Utah Sleep Medicine Center', 'GROUP', 'Sleep Disorders', '', '', NULL, 'O', '1055 N 300 W Ste 402', 'Provo', 'Utah', 'UT', '84604', '8013574858', '8018122859', '1055 N 300 W Ste 402', 'Provo', 'Utah', 'UT', '84604', '8013574858', '8018122859', 'WCSTUSMC5', '', '', '0.00', '100.00', '0.00', 6, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000979842', 0, 'N', 0, '2013-03-29', NULL, NULL, 40.2476, -111.664, NULL, NULL),
('061776169', 'S33000864', 'S33000864', 'UT01', 'North Canyon', '', '', 'North Canyon', 'GROUP', 'Skilled Nursing Facility', '', '', NULL, 'O', '350 S 400 E', 'Bountiful', 'Davis', 'UT', '84010', '8013974700', '8013974790', '350 S 400 E', 'Bountiful', 'Davis', 'UT', '84010', '8013974700', '8013974790', '', '', '7', '0.00', '100.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000982424', 0, 'N', 0, '2012-12-26', NULL, NULL, 0, 0, NULL, NULL),
('870563433', 'S33000880', 'S33000880', 'UT01', 'Alpine Home Medical', '', '', 'Alpine Home Medical', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'O', '1260 N State St', 'Provo', 'Utah', 'UT', '84604', '8006867993', '8014754727', '1260 N State St', 'Provo', 'Utah', 'UT', '84604', '8006867993', '8014754727', 'WUDME5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', '2010-01-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000000420', 0, 'N', 0, '2014-01-20', NULL, NULL, 0, 0, NULL, NULL),
('870563433', 'S33000881', 'S33000881', 'UT01', 'Alpine Home Medical', '', '', 'Alpine Home Medical', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'O', '1708 E 5550 S Ste 19', 'Ogden', 'Weber', 'UT', '84403', '8006867993', '8014754727', '1708 E 5550 S Ste 19', 'Ogden', 'Weber', 'UT', '84403', '8006867993', '8014754727', 'WUDME5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', '2010-01-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000000420', 0, 'N', 0, '2014-01-20', NULL, NULL, 0, 0, NULL, NULL),
('870563433', 'S33000882', 'S33000882', 'UT01', 'Alpine Home Medical', '', '', 'Alpine Home Medical', 'GROUP', 'Durable Medical Equipment', '', '', NULL, 'O', '4030 S State St', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8006867993', '8014632880', '4030 S State St', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8006867993', '8014632880', 'WUDME5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', '2010-01-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000000420', 0, 'N', 0, '2014-01-20', NULL, NULL, 0, 0, NULL, NULL),
('061506129', 'S71000003', 'S71000003', 'UT01', 'Wee Care Pediatrics', '', '', 'Wee Care Pediatrics', 'GROUP', 'Pediatrics', '', '', NULL, 'O', '1580 W Antelope Dr Ste 100', 'Layton', 'Davis', 'UT', '84041', '8017738644', NULL, '1580 W Antelope Dr Ste 100', 'Layton', 'Davis', 'UT', '84041', '8017738644', '          ', 'WUSTDPEDE5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2011-06-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009555', 0, 'N', 0, '2013-06-26', NULL, NULL, 0, 0, NULL, NULL),
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('742412898', 'S71000723', 'S71000723', 'UT01', 'Community Health Centers Inc', '', '', 'Community Health Centers', 'GROUP', 'Primary Care with Extended Hours', '', '', NULL, 'O', '211 S 100 E', 'Tooele', 'Tooele', 'UT', '84074', '4358821697', '          ', '211 S 100 E', 'Tooele', 'Tooele', 'UT', '84074', '4358821697', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2014-04-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005779', 0, 'N', 0, '2014-04-22', NULL, NULL, 40.5265, -112.296, NULL, NULL),
('742412898', 'S71000725', 'S71000725', 'UT01', 'Stephen D Ratcliffe Medical', '', '', 'Community Health Centers', 'GROUP', 'Primary Care with Extended Hours', '', '', NULL, 'O', '1365 W 1000 N', 'Salt Lake City', 'Salt Lake', 'UT', '84116', '8013285750', '8015217463', '1365 W 1000 N', 'Salt Lake City', 'Salt Lake', 'UT', '84116', '8013285750', '8015217463', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005779', 0, 'N', 0, '2014-04-22', NULL, NULL, 40.791, -111.931, NULL, NULL),
('721598378', 'S71000736', 'S71000736', 'UT01', 'Southridge Foot & Ankle Clinic', 'Southridge Foot & Ankle Clinic', NULL, NULL, 'GROUP', 'Podiatry', NULL, NULL, NULL, 'O', '425 Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012983987', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2006-10-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('721598378', 'S71000737', 'S71000737', 'UT01', 'Southridge Foot & Ankle Clinic', 'Southridge Foot & Ankle Clinic', NULL, NULL, 'GROUP', 'Podiatry', NULL, NULL, NULL, 'O', '5872 S 900 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012558633', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2006-10-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743098318', 'S71000761', 'S71000761', 'UT01', 'Castle Valley Eyecare', NULL, NULL, 'Castle Valley Eyecare', 'GROUP', NULL, NULL, NULL, NULL, 'O', '69 E Main St', 'Price', 'Carbon', 'UT', '84501', '4356372000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUTALBERT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005600', 0, 'Y', 0, '2006-10-19', NULL, NULL, 39.5995, -110.81, NULL, NULL),
('742412898', 'S71000784', 'S71000784', 'UT01', 'Community Health Centers', '', '', 'Community Health Centers', 'GROUP', 'Primary Care with Extended Hours', '', '', NULL, 'B', '1798 S W Temple', 'South Salt Lake', 'Salt Lake', 'UT', '84115', '8014126930', '          ', '1798 S W Temple', 'South Salt Lake', 'Salt Lake', 'UT', '84115', '8014126930', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2014-04-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005779', 0, 'Y', 0, '2014-04-22', NULL, NULL, 0, 0, NULL, NULL),
('742412898', 'S71000785', 'S71000785', 'UT01', 'Community Health Centers', '', '', 'Community Health Centers', 'GROUP', 'Primary Care with Extended Hours', '', '', NULL, 'O', '461 S 400 E', 'Salt Lake City', 'Salt Lake', 'UT', '84111', '8015398617', '          ', '461 S 400 E', 'Salt Lake City', 'Salt Lake', 'UT', '84111', '8015398617', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2014-04-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005779', 0, 'N', 0, '2014-04-22', NULL, NULL, 40.7593, -111.88, NULL, NULL),
('752992731', 'S71000913', 'S71000913', 'UT01', 'Mountain West Radiology', 'Mountain West Radiology,', NULL, NULL, 'GROUP', 'Radiologist', NULL, NULL, NULL, 'O', '1244 N Main St', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('752992731', 'S71000914', 'S71000914', 'UT01', 'Mountain West Radiology', 'Mountain West Radiology,', NULL, NULL, 'GROUP', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 1210', 'Tooele', 'Tooele', 'UT', '84074', '4358433645', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('752992731', 'S71000925', 'S71000925', 'UT01', 'Mountain West Radiology', 'Mountain West Radiology,', NULL, NULL, 'GROUP', 'Radiologist', NULL, NULL, NULL, 'O', '2055 N Main St', 'Tooele', 'Tooele', 'UT', '84074', '4358433600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('810608733', 'S71000962', 'S71000962', 'UT01', 'Nexus Pain Care', '', '', 'Nexus Pain Care', 'GROUP', '', '', '', NULL, 'O', '806 S 1040 W', 'Payson', 'Utah', 'UT', '84651', '8014654999', NULL, '806 S 1040 W', 'Payson', 'Utah', 'UT', '84651', '8014654999', '          ', 'WUSTDPAIN5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', '2014-01-27', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007835', 0, 'Y', 0, '2014-01-31', NULL, NULL, 0, 0, NULL, NULL),
('752992731', 'S71000995', 'S71000995', 'UT01', 'Mountain West Radiology', 'Mountain West Radiology,', NULL, NULL, 'GROUP', 'Radiologist', NULL, NULL, NULL, 'O', '5204 S Redwood Rd', 'Salt Lake City', 'Salt Lake', 'UT', '84123', '4358433600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841367175', 'S71001002', 'S71001002', 'UT01', 'Canyon View Medical Group', '', '', 'Canyon View Medical Group', 'Group', 'Family Practice', '', '', NULL, 'O', '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', NULL, '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1538194477', 0, 'N', 0, '2014-04-21', NULL, NULL, 0, 0, NULL, NULL),
('841394394', 'S71001050', 'S71001050', 'UT01', 'Eye Care For You', 'Eye Care For You PC', NULL, NULL, 'GROUP', 'Optometry', NULL, NULL, NULL, 'O', '43 E 400 N', 'Logan', 'Cache', 'UT', '84321', '4357526453', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUTALBERT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841394394', 'S71001051', 'S71001051', 'UT01', 'Eye Care For You', 'Eye Care For You PC', NULL, NULL, 'GROUP', 'Optometry', NULL, NULL, NULL, 'B', '46 S State St', 'Preston', 'Franklin', 'ID', '83263', '2088523030', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUTALBERT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841367175', 'S71001064', 'S71001064', 'UT01', 'Canyon View Medical Group', '', '', 'Canyon View Medical Group', 'Group', 'Family Practice', '', '', NULL, 'O', '57 W Main St', 'Santaquin', 'Utah', 'UT', '84655', '8017543122', NULL, '57 W Main St', 'Santaquin', 'Utah', 'UT', '84655', '8017543122', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-06-01', '2008-08-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1538194477', 0, 'N', 0, '2014-04-21', NULL, NULL, 0, 0, NULL, NULL),
('870217443', 'S71001161', 'S71001161', 'UT01', 'East Carbon Medical Service', NULL, NULL, 'East Carbon Medical Service', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '305 Ctr St', 'East Carbon City', 'Carbon', 'UT', '84520', '4358884411', NULL, 'PO Box 930', 'East Carbon', '', 'UT', '84520', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006078', 0, 'Y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('841411398', 'S71001173', 'S71001173', 'UT01', 'Foothill Family Clinic', NULL, NULL, 'Foothill Family Clinic', 'GROUP', 'Urgent Care', NULL, NULL, NULL, 'O', '6360 S 3000 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8013651032', NULL, '6360 S 3000 E', 'Salt Lake City', '', 'UT', '84121', '', '', 'WUFOOTHIL5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006279', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841411398', 'S71001184', 'S71001184', 'UT01', 'Foothill Family Clinic M-F 8am-9pm  Sat-Sun 9am-12pm', '', '', 'Foothill Family Clinic', 'GROUP', 'Urgent Care', '', '', NULL, 'O', '2295 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8014863021', NULL, '2295 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8014863021', '          ', 'WUFOOTHIL5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006279', 0, 'Y', 0, '2014-01-22', NULL, NULL, 40.7206, -111.811, NULL, NULL),
('870235759', 'S71001242', 'S71001242', 'UT01', 'Central Utah Foot & Ankle Clinic', NULL, NULL, 'Central Utah Foot & Ankle Clinic', 'GROUP', NULL, '', '', NULL, 'O', '150 W 800 N', 'Provo', 'Utah', 'UT', '84601', '8013755353', NULL, '150 W 800 N', 'Provo', 'Utah', 'UT', '84601', '8013755353', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005621', 0, 'Y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('870218917', 'S71001246', 'S71001246', 'UT01', 'Tanner Memorial Clinic', '', '', 'Tanner Memorial Clinic', 'GROUP', 'Family Practice', 'Primary Care with Extended Hours', 'Urgent Care', NULL, 'O', '2121 Robins Dr', 'Layton', 'Davis', 'UT', '84041', '8017734840', NULL, '2121 Robins Dr', 'Layton', 'Davis', 'UT', '84041', '8017734840', '', 'WUTANNER5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-07-01', '2013-05-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009000', 0, 'N', 0, '2014-06-02', NULL, NULL, 0, 0, NULL, NULL),
('870212456', 'S71001300', 'S71001300', 'UT01', 'Jackson Family Clinic', '', '', 'Jackson Family Clinic', 'GROUP', 'Family Practice', '', '', NULL, 'O', '95 E Ctr St', 'Gunnison', 'Sanpete', 'UT', '84634', '4355287752', NULL, 'PO Box 960', 'Gunnison', 'Sanpete', 'UT', '84634', '4355287752', '          ', 'WiseSTD10A', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-12-01', '2011-09-12', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000006897', 0, 'Y', 0, '2011-09-21', NULL, NULL, 0, 0, NULL, NULL),
('870212456', 'S71001301', 'S71001301', 'UT01', 'Jackson Family Clinic', 'Jackson Family Clinic', NULL, NULL, 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '260 E Ctr St ', 'Monroe', 'Sevier', 'UT', '84754', '4355278866', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD10A', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-12-01', '2006-12-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '6897', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870218917', 'S71001310', 'S71001310', 'UT01', 'Tanner Memorial Clinic Mon-Fri 5pm-8pm Sat 9am-3pm', '', '', 'Tanner Memorial Clinic', 'GROUP', 'Family Practice', 'Primary Care with Extended Hours', 'Urgent Care', NULL, 'O', '2038 W 1900 S', 'Syracuse', 'Davis', 'UT', '84075', '8017734840', NULL, '2038 W 1900 S', 'Syracuse', 'Davis', 'UT', '84075', '8017734840', '', 'WUTANNER5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009000', 0, 'N', 0, '2014-06-02', NULL, NULL, 41.0863, -112.065, NULL, NULL),
('870281028', 'S71001352', 'S71001352', 'UT01', 'Central Utah Clinic PC', '', '', 'Central Utah Clinic PC', 'GROUP', '', '', '', NULL, 'O', '1184 E 80 N', 'American Fork', 'Utah', 'UT', '84003', '8017633885', '', '1184 E 80 N', 'American Fork', 'Utah', 'UT', '84003', '8017633885', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-06-01', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005619', 0, 'Y', 0, '2014-07-22', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'S71001353', 'S71001353', 'UT01', 'Central Utah Clinic PC', '', '', 'Central Utah Clinic PC', 'GROUP', '', '', '', NULL, 'O', '680 E Main St', 'Lehi', 'Utah', 'UT', '84043', '8017633885', '', '680 E Main St', 'Lehi', 'Utah', 'UT', '84043', '8017633885', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-06-01', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005619', 0, 'Y', 0, '2014-07-22', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'S71001354', 'S71001354', 'UT01', 'Central Utah Clinic PC', '', '', 'Central Utah Clinic PC', 'GROUP', '', '', '', NULL, 'O', '1120 E 100 N', 'Payson', 'Utah', 'UT', '84651', '8014654813', '', '1120 E 100 N', 'Payson', 'Utah', 'UT', '84651', '8014654813', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-06-01', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005619', 0, 'Y', 0, '2014-07-22', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'S71001357', 'S71001357', 'UT01', 'Central Utah Clinic PC', '', '', 'Central Utah Clinic PC', 'GROUP', '', '', '', NULL, 'O', '64 E 100 N', 'Gunnison', 'Sanpete', 'UT', '84634', '8013734366', '', '64 E 100 N', 'Gunnison', 'Sanpete', 'UT', '84634', '8013734366', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-06-01', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005619', 0, 'Y', 0, '2014-07-22', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'S71001359', 'S71001359', 'UT01', 'Central Utah Clinic PC', '', '', 'Central Utah Clinic PC', 'GROUP', '', '', '', NULL, 'O', '1152 E 200 N', 'American Fork', 'Utah', 'UT', '84003', '8017720698', '', '1152 E 200 N', 'American Fork', 'Utah', 'UT', '84003', '8017720698', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-06-01', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005619', 0, 'Y', 0, '2014-07-22', NULL, NULL, 0, 0, NULL, NULL),
('870280366', 'S71001365', 'S71001365', 'UT01', 'Obstetrics And Gynecology Clinic', 'Obstetrics And Gynecology', NULL, NULL, 'GROUP', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '850 E 300 S', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013221214', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870218917', 'S71001380', 'S71001380', 'UT01', 'Tanner Memorial Clinic Mon-Fri 5pm-8pm Sat 9am-3pm', '', '', 'Tanner Memorial Clinic', 'GROUP', 'Family Practice', 'Primary Care with Extended Hours', 'Urgent Care', NULL, 'O', '380 N 400 W', 'Kaysville', 'Davis', 'UT', '84037', '8017734840', NULL, '380 N 400 W', 'Kaysville', 'Davis', 'UT', '84037', '8017734840', '', 'WUTANNER5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009000', 0, 'N', 0, '2014-06-02', NULL, NULL, 41.0412, -111.946, NULL, NULL),
('870281028', 'S71001396', 'S71001396', 'UT01', 'Wasatch Otolaryngology Group', '', '', 'Wasatch Otolaryngology Group', 'GROUP', '', '', '', NULL, 'O', '39 Professional Way', 'Payson', 'Utah', 'UT', '84651', '8014654805', NULL, '1055 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8014654805', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-06-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000009522', 0, 'Y', 0, '2011-04-13', NULL, NULL, 0, 0, NULL, NULL),
('870281028', 'S71001421', 'S71001421', 'UT01', 'Central Utah Clinic PC', '', '', 'Central Utah Clinic PC', 'GROUP', '', '', '', NULL, 'O', '680 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8012245373', '', '680 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8012245373', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-06-01', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005619', 0, 'Y', 0, '2014-07-22', NULL, NULL, 0, 0, NULL, NULL),
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('870355239', 'S71002300', 'S71002300', 'UT01', 'Advanced Eye Care', NULL, NULL, 'Advanced Eye Care', 'GROUP', NULL, NULL, NULL, NULL, 'O', '3590 W 9000 S', 'West Jordan', 'Salt Lake', 'UT', '84088', '8012558633', NULL, '1250 E 3900 S', 'Salt Lake City', '', 'UT', '84124', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000004920', 0, 'Y', 0, '2007-01-06', NULL, NULL, 40.5879, -111.976, NULL, NULL),
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('870373083', 'S71002336', 'S71002336', 'UT01', 'Heart And Lung Institute', '', '', 'Physician Group of Utah Inc', 'GROUP', '', '', '', NULL, 'O', '3570 W 9000 S Ste 110', 'West Jordan', 'Salt Lake', 'UT', '84088', '8012330140', '          ', '3570 W 9000 S Ste 110', 'West Jordan', 'Salt Lake', 'UT', '84088', '8012330140', '          ', 'WUSTDCARD5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-10-01', '2014-04-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006645', 0, 'Y', 0, '2014-04-21', NULL, NULL, 40.588, -111.975, NULL, NULL),
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('870395551', 'S71002389', 'S71002389', 'UT01', 'Sports & Family Medical Group', NULL, NULL, 'Sports & Family Medical Group', 'GROUP', NULL, NULL, NULL, NULL, 'O', '990 Medical Dr', 'Brigham City', 'Box Elder', 'UT', '84302', '4357232311', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', '0.00', '55.46', 3, '2006-04-01', '2010-10-31', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008868', 0, 'y', 0, '2006-08-31', NULL, NULL, 0, 0, NULL, NULL),
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('870395551', 'S71002397', 'S71002397', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '864 S Main St', 'Brigham City', 'Box Elder', 'UT', '84302', '4357236033', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'S71002401', 'S71002401', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '291 E 4500 S', 'Murray', 'Salt Lake', 'UT', '84107', '8012612829', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870373083', 'S71002417', 'S71002417', 'UT01', 'Heart And Lung Institute', '', '', 'Physician Group of Utah Inc', 'GROUP', '', '', '', NULL, 'O', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012630140', '          ', '5979 S Fashion Blvd', 'Murray', 'Salt Lake', 'UT', '84107', '8012630140', '          ', 'WUSTDCARD5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-10-01', '2014-04-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006645', 0, 'Y', 0, '2014-04-21', NULL, NULL, 40.6415, -111.883, NULL, NULL),
('870373377', 'S71002418', 'S71002418', 'UT01', 'Cataract & Lasik Center of Utah', '', '', 'Cataract & Lasik Center of Utah', 'GROUP', 'Ophthalmology', '', '', NULL, 'B', '175 N 400 W', 'Orem', 'Utah', 'UT', '84057', '8004373937', NULL, NULL, NULL, 'Utah', NULL, NULL, '8004373937', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005606', 0, 'Y', 0, '2011-03-01', NULL, NULL, 0, 0, NULL, NULL),
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('870395551', 'S71002447', 'S71002447', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '390 N University Ave', 'Provo', 'Utah', 'UT', '84601', '8013770898', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870437878', 'S71003049', 'S71003049', 'UT01', 'Beaver Medical Clinic', '', '', 'Beaver Medical Clinic', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '1059 N 100 W', 'Beaver', 'Beaver', 'UT', '84713', '4354387280', NULL, 'PO Box 1670', 'Beaver', '', 'UT', '84713', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005240', 0, 'Y', 0, '2006-11-07', NULL, NULL, 38.2882, -112.643, NULL, NULL),
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('870413860', 'S71003109', 'S71003109', 'UT01', 'Now Care Clinic', 'Now Care Clinic', NULL, NULL, 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '5475 S 500 E', 'Ogden', 'Weber', 'UT', '84405', '8014792111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDFAM5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-06-01', '2006-06-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('200041310', 'S71003361', 'S71003361', 'UT01', 'Rocky Mountain Care Clinic', 'Rocky Mountain Care Clini', NULL, NULL, 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '1775 S 4130 W', 'Salt Lake City', 'Salt Lake', 'UT', '84104', '8019757799', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDFAM5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-11-01', '2006-11-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200302299', 'S71003425', 'S71003425', 'UT01', 'Mountain View Orthopaedics & Sports Medicine', 'Mountain View Orthopaedics & Sports Medicine', NULL, NULL, 'GROUP', NULL, NULL, NULL, NULL, 'O', '1486 E Skyline Dr', 'Ogden', 'Weber', 'UT', '84405', '8014755683', NULL, '1486 E Skyline Dr', 'Ogden', '', 'UT', '84405', '', '', 'WUOGORTH5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474130', 'S71003455', 'S71003455', 'UT01', 'Northeastern Utah Medical Group', '', '', 'Northeastern Utah Medical Group', 'GROUP', '', '', '', NULL, 'O', '175 N 100 W Ste 102', 'Vernal', 'Uintah', 'UT', '84078', '4357812030', NULL, '210 W 300 N 75-3', 'Roosevelt', 'Uintah', 'UT', '84066', '4357812030', '', 'WURURAL5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-11-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1982664199', 0, 'Y', 0, '2011-05-13', NULL, NULL, 40.4582, -109.53, NULL, NULL),
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('223887117', 'S71003583', 'S71003583', 'UT01', 'Mountain Valley Eye Institute', NULL, NULL, 'Mountain Valley Eye Institute', 'GROUP', 'Ophthalmology', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, '1471 Hwy 40', 'Heber City', '', 'UT', '84032', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007726', 0, 'Y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
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('270003942', 'S71003631', 'S71003631', 'UT01', 'Nebo Vision Clinic', 'Nebo Vision Clinic', NULL, NULL, 'GROUP', 'Optometry', NULL, NULL, NULL, 'O', '48 S Main St', 'Nephi', 'Juab', 'UT', '84648', '4356232100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUTALBERT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870470731', 'S71003636', 'S71003636', 'UT01', 'Ungricht Eye Associates', 'Ungricht Eye Associates', NULL, NULL, 'GROUP', 'Ophthalmology', NULL, NULL, NULL, 'O', '5770 S 250 E', 'Murray', 'Salt Lake', 'UT', '84107', '8013144420', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2006-10-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870467930', 'S71003651', 'S71003651', 'UT01', 'Kane County Medical Clinic', 'Kane County Medical Clini', NULL, NULL, NULL, 'Clinic', NULL, NULL, NULL, 'O', '355 N Main St', 'Kanab', 'Kane', 'UT', '84741', '4356444100', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '5.00', NULL, 3, '2006-11-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870471479', 'S71003760', 'S71003760', 'UT01', 'Wasatch Medical Center', NULL, NULL, 'Wasatch Medical Center', 'GROUP', NULL, '', '', NULL, 'O', '575 S State St', 'Orem', 'Utah', 'UT', '84058', '8012252926', NULL, '575 S State St', 'Orem', 'Utah', 'UT', '84058', '8012252926', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009516', 0, 'Y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('562485184', 'S71003844', 'S71003844', 'UT01', 'Hyperbaric Medicine Physicians ', NULL, NULL, 'Hyperbaric Medicine Physicians LLC', 'GROUP', 'Wound Care', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', '8009623303', NULL, 'PO Box 96398', 'Oklahoma City', '', 'OK', '73143698', '', '', 'WUEPIC5', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006824', 0, 'Y', 0, '2007-01-05', NULL, NULL, 0, 0, NULL, NULL),
('870474130', 'S71003863', 'S71003863', 'UT01', 'Northeastern Utah Medical Group', '', '', 'Northeastern Utah Medical Group', 'GROUP', '', '', '', NULL, 'O', '582 N 1700 W', 'Vernal', 'Uintah', 'UT', '84078', '4357812511', NULL, '210 W 300 N 75-3', 'Roosevelt', 'Uintah', 'UT', '84066', '4357812511', '', 'WURURAL5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-11-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1982664199', 0, 'Y', 0, '2011-05-13', NULL, NULL, 40.4653, -109.566, NULL, NULL),
('621650578', 'S71004003', 'S71004003', 'UT01', 'Ogden Regional Medical Center', 'Ogden Regional Medical Ce', NULL, NULL, NULL, 'Clinic', NULL, NULL, NULL, 'B', 'PO Box 409654', 'Atlanta', 'Fulton', 'GA', '30384', '8014792484', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2358', '0.00', '36.00', NULL, 3, '2006-10-01', '2006-10-01', 1, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621762570', 'S71004008', 'S71004008', 'UT01', 'Ashley Valley Physician Practice', '', '', 'Ashley Valley Physician Practice', 'GROUP', 'Family Practice', '', '', NULL, 'B', 'PO Box 876', 'Price', 'Carbon', 'UT', '84501', '8013529500', '          ', 'PO Box 876', 'Price', 'Carbon', 'UT', '84501', '8013529500', '          ', 'WURURAL5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-10-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005100', 0, 'Y', 0, '2014-06-27', NULL, NULL, 0, 0, NULL, NULL),
('621795211', 'S71004010', 'S71004010', 'UT01', 'Family Health Partners', 'Family Health Partners', NULL, NULL, 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '620 E 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8017464000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2007-01-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870479370', 'S71004056', 'S71004056', 'UT01', 'Mountain West Cardiovascular Associates', NULL, NULL, 'Mountain West Cardiovascular Associates', 'GROUP', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '24 S 1100 E', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8012663418', NULL, '1160 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012663418', '          ', 'WUSTDCARD5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007734', 0, 'Y', 0, '2006-10-19', NULL, NULL, 40.7689, -111.86, 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
('870479370', 'S71004097', 'S71004097', 'UT01', 'Mountain West Cardiovascular Associates', '', '', 'Mountain West Cardiovascular Associates', 'GROUP', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '3725 W 4100 S', 'West Valley', 'Salt Lake', 'UT', '84120', '8019681818', NULL, '1160 E 3900 S', 'Salt Lake City', '', 'UT', '84124', '', '', 'WUSTDCARD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009050', 0, 'Y', 0, '2007-01-19', NULL, NULL, 40.682, -111.979, NULL, NULL),
('870481325', 'S71004161', 'S71004161', 'UT01', 'Westside Medical Clinic', 'Westside Medical Clinic', NULL, NULL, 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '5430 S 1900 W', 'Roy', 'Weber', 'UT', '84067', '8017799975', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-06-01', '2007-03-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1558439117', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('731652742', 'S71004167', 'S71004167', 'UT01', 'Alpine Spine  Sports And Rehabilitation', '', '', 'Alpine Spine  Sports And Rehabilitation', 'GROUP', '', '', '', NULL, 'O', '5405 S 500 E', 'Ogden', 'Weber', 'UT', '84405', '8014790312', NULL, '5405 S 500 E', 'Ogden', 'Weber', 'UT', '84405', '8014790312', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', '2011-03-22', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000004990', 0, 'Y', 0, '2011-03-24', NULL, NULL, 0, 0, NULL, NULL),
('870478213', 'S71004233', 'S71004233', 'UT01', 'Eyre Dermatology Clinic', NULL, NULL, 'Eyre Dermatology Clinic', 'GROUP', NULL, NULL, NULL, NULL, 'O', '486 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8014310300', NULL, '486 W 800 N', 'Orem', '', 'UT', '84057', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006180', 0, 'Y', 0, '2006-10-19', NULL, NULL, 40.3121, -111.708, NULL, NULL),
('742412898', 'S71004277', 'S71004277', 'UT01', 'Oquirrhview Clinic Medical', '', '', 'Community Health Centers', 'GROUP', 'Primary Care with Extended Hours', '', '', NULL, 'O', '4745 S 3200 W', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019646214', '8019829232', '4745 S 3200 W', 'Salt Lake City', 'Salt Lake', 'UT', '84118', '8019646214', '8019829232', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005779', 0, 'N', 0, '2014-04-22', NULL, NULL, 40.6664, -111.967, NULL, NULL),
('742412898', 'S71004283', 'S71004283', 'UT01', 'Community Health Centers Inc', '', '', 'Community Health Centers', 'GROUP', 'Primary Care with Extended Hours', '', '', NULL, 'O', '8446 Harrison St', 'Midvale', 'Salt Lake', 'UT', '84047', '8015665494', '          ', '8446 Harrison St', 'Midvale', 'Salt Lake', 'UT', '84047', '8015665494', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2014-04-17', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005779', 0, 'N', 0, '2014-04-22', NULL, NULL, 40.5972, -111.901, NULL, NULL),
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('870492272', 'S71004764', 'S71004764', 'UT01', 'Utah Cardiology  PC', NULL, NULL, 'Utah Cardiology  PC', 'GROUP', NULL, NULL, NULL, NULL, 'O', '520 Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8013973000', NULL, '520 E Medical Dr', 'Bountiful', '', 'UT', '84010', '', '', 'WUUTCARD5', 'WUSTDHCPC5', NULL, '0.00', '23.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009344', 0, 'Y', 0, '2006-11-09', NULL, NULL, 40.8873, -111.87, NULL, NULL),
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('870517201', 'S71004856', 'S71004856', 'UT01', 'Central Utah Radiology', NULL, NULL, 'Central Utah Radiology', 'GROUP', 'Radiologist', NULL, NULL, NULL, 'O', '48 W 1500 N', 'Nephi', 'Juab', 'UT', '84648', '4356231242', NULL, 'PO Box 908', 'Bountiful', '', 'UT', '84011', '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005622', 0, 'Y', 0, '2006-12-21', NULL, NULL, 39.7306, -111.839, NULL, NULL),
('870503202', 'S71004876', 'S71004876', 'UT01', 'Mountain West Ear Nose And Throat', '', '', 'Mountain West Ear Nose and Throat', 'GROUP', '', '', '', NULL, 'O', '1551 Renaissance Towne Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012955581', NULL, '1551 Renaissance Towne Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012955581', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007735', 0, 'Y', 0, '2013-01-04', NULL, NULL, 40.8737, -111.888, NULL, NULL),
('870484924', 'S71004886', 'S71004886', 'UT01', 'Oculoplastic Surgery', 'Oculoplastic Surgery, Inc', NULL, NULL, 'GROUP', 'Oculoplastic Surgery', NULL, NULL, NULL, 'O', '1002 E S Temple Ste 308', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013633355', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870509414', 'S71004930', 'S71004930', 'UT01', 'Mountain Utah Family Medicine', NULL, NULL, 'Mountain Utah Family Medicine', 'GROUP', NULL, NULL, NULL, NULL, 'O', '850 N Main St', 'Richfield', 'Sevier', 'UT', '84701', '4358969561', NULL, '850 N Main St', 'Richfield', '', 'UT', '84701', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007725', 0, 'Y', 0, '2006-10-19', NULL, NULL, 38.781, -112.085, NULL, NULL),
('870519172', 'S71004950', 'S71004950', 'UT01', 'Utah Heart Clinic', 'Utah Heart Clinic', NULL, NULL, 'GROUP', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '5292 College Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84123', '8014083900', NULL, '324 10th Ave', 'Salt Lake City', '', 'UT', '84103', '', '', 'WUSTDCARD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-06-01', '2007-04-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '9350', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870212456', 'S71004964', 'S71004964', 'UT01', 'Jackson Family Clinic', '', '', 'Jackson Family Clinic', 'GROUP', 'Family Practice', '', '', NULL, 'B', 'PO Box 669', 'Gunnison', 'Sanpete', 'UT', '84634', '4355287752', NULL, 'PO Box 960', 'Gunnison', 'Sanpete', 'UT', '84634', '4355287752', '          ', 'WiseSTD10A', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2006-12-01', '2011-09-12', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000006897', 0, 'N', 0, '2011-09-21', NULL, NULL, 0, 0, NULL, NULL),
('870217443', 'S71004967', 'S71004967', 'UT01', 'East Carbon Medical Service', NULL, NULL, 'East Carbon Medical Service', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 930', 'East Carbon City', 'Carbon', 'UT', '84520', '4358884441', NULL, 'PO Box 930', 'East Carbon', '', 'UT', '84520', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006078', 0, 'Y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'S71004995', 'S71004995', 'UT01', 'Utah Cardiology  PC', NULL, NULL, 'Utah Cardiology  PC', 'GROUP', NULL, NULL, NULL, NULL, 'O', '4403 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8013873400', NULL, '520 E Medical Dr', 'Bountiful', '', 'UT', '84010', '', '', 'WUUTCARD5', 'WUSTDHCPC5', NULL, '0.00', '23.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009344', 0, 'Y', 0, '2006-11-09', NULL, NULL, 41.1828, -111.949, NULL, NULL),
('870519691', 'S71005005', 'S71005005', 'UT01', 'Utah Cancer Specialists', '', '', 'Utah Cancer Specialists', 'GROUP', '', '', '', NULL, 'O', '4052 Pioneer Pkwy Ste 101', 'West Valley', 'Salt Lake', 'UT', '84120', '8019671000', NULL, '4052 Pioneer Pkwy Ste 101', 'West Valley', 'Salt Lake', 'UT', '84120', '8019671000', '', 'WUSTDONC5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009343', 0, 'Y', 0, '2012-04-06', NULL, NULL, 40.6985, -111.988, NULL, NULL),
('870218917', 'S71005015', 'S71005015', 'UT01', 'Tanner Memorial Clinic', '', '', 'Tanner Memorial Clinic', 'GROUP', 'Family Practice', 'Primary Care with Extended Hours', 'Urgent Care', NULL, 'B', 'PO Box 337', 'Layton', 'Davis', 'UT', '84041', '8017734840', NULL, 'PO Box 337', 'Layton', 'Davis', 'UT', '84041', '8017734840', '', 'WUTANNER5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009000', 0, 'Y', 0, '2014-06-02', NULL, NULL, 0, 0, NULL, NULL),
('870498921', 'S71005050', 'S71005050', 'UT01', NULL, 'Duane E Townsend, MD, PC', NULL, NULL, 'GROUP', 'Gynecology', NULL, NULL, NULL, 'O', '1485 S Highway 40', 'Heber City', 'Wasatch', 'UT', '84032', '4359018123', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-12-01', '2006-12-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870499839', 'S71005095', 'S71005095', 'UT01', 'Seitz Eyecare', NULL, NULL, 'Seitz Eyecare', 'GROUP', NULL, NULL, NULL, NULL, 'O', '185 N Vernal Ave', 'Vernal', 'Uintah', 'UT', '84078', '4357891552', NULL, '185 N Vernal Ave', 'Vernal', '', 'UT', '84078', '', '', 'WURURAL5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008650', 0, 'Y', 0, '2006-10-19', NULL, NULL, 40.4584, -109.529, NULL, NULL),
('870501344', 'S71005097', 'S71005097', 'UT01', 'Pediatric Care', 'Pediatric Care, Inc', NULL, NULL, 'GROUP', 'Pediatrics', NULL, NULL, NULL, 'O', '1055 N 300 W', 'Provo', 'Utah', 'UT', '84604', '8013577800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2006-10-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870525682', 'S71005114', 'S71005114', 'UT01', 'Retina Associates of Utah', '', '', 'Retina Associates Of Utah', 'GROUP', 'Ophthalmology', '', '', NULL, 'O', '1055 N 300 W', 'Provo', 'Utah', 'UT', '84604', '8013577999', '8013577020', '1250 E 3900 S', 'Salt Lake City', 'Utah', 'UT', '84124', '8013577999', '8013577020', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000008363', 0, 'Y', 0, '2011-01-19', NULL, NULL, 0, 0, NULL, NULL),
('870525682', 'S71005115', 'S71005115', 'UT01', 'Retina Associates of Utah', '', '', 'Retina Associates Of Utah', 'GROUP', 'Ophthalmology', '', '', NULL, 'O', '272 1/2 N Main St', 'Logan', 'Cache', 'UT', '84321', '8013122020', '8013122022', '1250 E 3900 S', 'Salt Lake City', 'Cache', 'UT', '84124', '8013122020', '8013122022', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000008363', 0, 'Y', 0, '2011-01-19', NULL, NULL, 0, 0, NULL, NULL),
('870525682', 'S71005116', 'S71005116', 'UT01', 'Retina Associates of Utah', 'Retina Associates Of Utah', NULL, NULL, 'GROUP', 'Ophthalmology', NULL, NULL, NULL, 'O', '359 8th Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84103', '8014082020', NULL, '1250 E 3900 S', 'Salt Lake City', '', 'UT', '84124', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-06-01', '2006-06-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '8363', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870235759', 'S71005126', 'S71005126', 'UT01', 'Central Utah Foot & Ankle Clinic', NULL, NULL, 'Central Utah Foot & Ankle Clinic', 'GROUP', NULL, '', '', NULL, 'O', '120 N 1220 E', 'American Fork', 'Utah', 'UT', '84003', '8017564200', NULL, '120 N 1220 E', 'American Fork', 'Utah', 'UT', '84003', '8017564200', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005621', 0, 'Y', 0, '2006-10-19', NULL, NULL, 0, 0, NULL, NULL),
('870519172', 'S71005138', 'S71005138', 'UT01', 'Utah Heart Clinic', 'Utah Heart Clinic', NULL, NULL, 'GROUP', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '5323 S Woodrow St', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8014083900', NULL, '324 10th Ave', 'Salt Lake City', '', 'UT', '84103', '', '', 'WUSTDCARD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-06-01', '2007-11-09', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '9350', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870519691', 'S71005144', 'S71005144', 'UT01', 'Utah Cancer Specialists', '', '', 'Utah Cancer Specialists', 'GROUP', '', '', '', NULL, 'O', '196 E 2000 N Ste 107', 'Tooele', 'Tooele', 'UT', '84074', '4358433619', NULL, '196 E 2000 N Ste 107', 'Tooele', 'Tooele', 'UT', '84074', '4358433619', '          ', 'WUSTDONC5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009343', 0, 'N', 0, '2012-04-06', NULL, NULL, 40.5656, -112.294, NULL, NULL),
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('870550275', 'S71005830', 'S71005830', 'UT01', 'Cottonwood Pediatrics', NULL, NULL, 'Cottonwood Pediatrics', 'GROUP', 'Primary Care with Extended Hours', NULL, NULL, NULL, 'O', '7138 S 2000 E Ste 106', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8019421800', NULL, '7138 S 2000 E', 'Salt Lake City', '', 'UT', '84121', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-06-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009639', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.6215, -111.834, NULL, NULL),
('870543318', 'S71005845', 'S71005845', 'UT01', 'Mountain West Gastroenterology PC', '', '', 'Mountain West Gastroenterology PC', 'GROUP', '', '', '', NULL, 'O', '520 Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012980057', NULL, '520 Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012980057', '          ', 'WCSTMTWEST5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2013-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007737', 0, 'Y', 0, '2013-12-13', NULL, NULL, 0, 0, NULL, NULL),
('870543318', 'S71005892', 'S71005892', 'UT01', 'Mountain West Gastroenterology PC', '', '', 'Mountain West Gastroenterology PC', 'GROUP', '', '', '', NULL, 'O', '5770 S 250 E', 'Murray', 'Salt Lake', 'UT', '84107', '8013144222', NULL, '5770 S 250 E', 'Murray', 'Salt Lake', 'UT', '84107', '8013144222', '          ', 'WCSTMTWEST5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2013-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000007738', 0, 'Y', 0, '2013-12-13', NULL, NULL, 0, 0, NULL, NULL),
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('161767581', 'S71005955', 'S71005955', 'UT01', 'Layton Family Practice', '', '', 'Layton Family Practice', 'GROUP', 'Family Practice', '', '', NULL, 'O', '124 S Fairfield Rd', 'Layton', 'Davis', 'UT', '84041', '8015469441', NULL, '124 S Fairfield Rd', 'Layton', 'Davis', 'UT', '84041', '8015469441', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-07-01', '2011-10-01', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1538220306', 0, 'Y', 0, '2011-09-20', NULL, NULL, 0, 0, NULL, NULL),
('870326862', 'S71005959', 'S71005959', 'UT01', 'Ogden Womens Clinic', NULL, NULL, 'Ogden Women''s Clinic', 'GROUP', NULL, NULL, NULL, NULL, 'O', '4403 Harrison Blvd', 'Ogden', 'Weber', 'UT', '84403', '8013874400', NULL, '4403 Harrison Bvld', 'Ogden', '', 'UT', '84403', '', '', 'Wise+', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1063536613', 0, 'Y', 0, '2006-11-17', NULL, NULL, 41.1828, -111.949, NULL, NULL),
('870562898', 'S71006022', 'S71006022', 'UT01', 'Spine & Sports Medicine Inc', NULL, NULL, 'Spine & Sports Medicine Inc', 'GROUP', 'Sports Medicine', NULL, NULL, NULL, 'B', '1250 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012611946', NULL, '3336 S Pioneer Pkwy', 'West Valley', '', 'UT', '84120', '', '', 'WUSTDNEUR5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', '2010-04-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008865', 0, 'Y', 0, '2007-01-26', NULL, NULL, 0, 0, NULL, NULL),
('870562898', 'S71006023', 'S71006023', 'UT01', 'Spine & Sports Medicine Inc', NULL, NULL, 'Spine & Sports Medicine Inc', 'GROUP', 'Sports Medicine', NULL, NULL, NULL, 'O', '3336 Pioneer Pkwy', 'Salt Lake City', 'Salt Lake', 'UT', '84120', '8019643249', NULL, '3336 S Pioneer Pkwy', 'West Valley', '', 'UT', '84120', '', '', 'WUSTDNEUR5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', '2010-04-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008865', 0, 'y', 0, '2007-01-26', NULL, NULL, 0, 0, NULL, NULL),
('870548726', 'S71006039', 'S71006039', 'UT01', 'Snow Creek Emergency Center', 'Snow Creek Emergency Cent', NULL, NULL, 'GROUP', 'Emergency Medicine', NULL, NULL, NULL, 'O', '1600 Snow Creek Dr', 'Park City', 'Summit', 'UT', '84060', '4356550055', NULL, 'PO Box 95970', 'South Jordan', '', 'UT', '84095', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-07-01', '2006-07-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'S71006044', 'S71006044', 'UT01', 'Utah Valley Pediatrics', '', '', 'Utah Valley Pediatrics', 'GROUP', '', '', '', NULL, 'O', '1055 N 300 W', 'Provo', 'Utah', 'UT', '84604', '8013717883', NULL, '1355 N University', 'Provo', 'Utah', 'UT', '84604', '8013717883', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000009368', 0, 'N', 0, '2011-04-13', NULL, NULL, 0, 0, NULL, NULL),
('870549057', 'S71006046', 'S71006046', 'UT01', 'Utah Valley Pediatrics', '', '', 'Utah Valley Pediatrics', 'GROUP', '', '', '', NULL, 'O', '1159 E 200 N', 'American Fork', 'Utah', 'UT', '84003', '8017565609', NULL, '1355 N University', 'Provo', 'Utah', 'UT', '84604', '8017565609', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000009368', 0, 'N', 0, '2011-04-13', NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'S71006057', 'S71006057', 'UT01', 'Mountain Medical Physician Specialists', NULL, NULL, 'Mountain Medical Physician Specialists', 'GROUP', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 29684', 'Phoenix', 'Maricopa', 'AZ', '85038', '8017134402', NULL, '5444 Green St', 'Murray', '', 'UT', '84107', '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007720', 0, 'Y', 0, '2006-12-11', NULL, NULL, 0, 0, NULL, NULL),
('870565773', 'S71006058', 'S71006058', 'UT01', 'Mountain Medical Vascular Specialists', NULL, NULL, 'Mountain Medical Vascular Specialists', 'GROUP', NULL, NULL, NULL, NULL, 'O', '5323 S Woodrow St Ste 101', 'Murray', 'Salt Lake', 'UT', '84107', '8017131010', NULL, '5444 Green St', 'Murray', '', 'UT', '84107', '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007722', 0, 'Y', 0, '2006-12-11', NULL, NULL, 40.6549, -111.895, NULL, NULL),
('870354442', 'S71006066', 'S71006066', 'UT01', 'Rocky Mountain Womens Health Center', '', '', 'Physician Group of Utah Inc', 'GROUP', '', '', '', NULL, 'O', '1580 W Antelope Dr Ste 280', 'Layton', 'Davis', 'UT', '84041', '8017760880', '          ', '1580 W Antelope Dr Ste 280', 'Layton', 'Davis', 'UT', '84041', '8017760880', '          ', 'WRYMTWOM', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2007-01-01', '2014-04-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1447387519', 0, 'Y', 0, '2014-04-21', NULL, NULL, 41.0893, -111.994, NULL, NULL),
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('870375459', 'S71006326', 'S71006326', 'UT01', 'Reiser III, A Hamer', 'Reiser III, A Hamer', NULL, NULL, 'GROUP', 'Clinic', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8014085155', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-12-01', '2006-12-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870574267', 'S71006340', 'S71006340', 'UT01', 'The Er Group  ', NULL, NULL, 'The Er Group  LLC', 'GROUP', 'Emergency Medicine', NULL, NULL, NULL, 'B', 'PO Box 96398', 'Oklahoma City', 'Oklahoma', 'OK', '73143', NULL, NULL, 'PO Box 96398', 'Oklahoma City', '', 'OK', '84143', '', '', '', NULL, NULL, '0.00', '10.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009048', 0, 'Y', 0, '2007-01-05', NULL, NULL, 0, 0, NULL, NULL),
('870574277', 'S71006369', 'S71006369', 'UT01', NULL, 'Roth, James T', NULL, NULL, 'GROUP', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '1600 Snow Creek Dr', 'Park City', 'Summit', 'UT', '84060', '4356550055', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-10-01', '2006-10-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870577952', 'S71006377', 'S71006377', 'UT01', 'Western Newborn Specialists', NULL, NULL, 'Western Newborn Specialists', 'GROUP', 'Neonatology', 'Pediatrics', NULL, NULL, 'O', '1140 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8017436520', NULL, 'PO Box 520691', 'Salt Lake City', '', 'UT', '84152', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841271558', 0, 'Y', 0, '2006-12-21', NULL, NULL, 40.6871, -111.859, NULL, NULL),
('870609595', 'S71006399', 'S71006399', 'UT01', 'Utah County Medical Associates', '', '', 'Utah County Medical Associates', 'GROUP', 'Primary Care with Extended Hours', '', '', NULL, 'O', '97 S Professional Way Ste 2', 'Payson', 'Utah', 'UT', '84651', '8014654896', NULL, '97 S Professional Way', 'Payson', 'Utah', NULL, '84651', '8014654896', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000009347', 0, 'N', 0, '2011-11-14', NULL, NULL, 0, 0, NULL, NULL),
('870579572', 'S71006422', 'S71006422', 'UT01', 'Jordan Vision Clinic', NULL, NULL, 'Jordan Vision Clinic', 'GROUP', NULL, NULL, NULL, NULL, 'O', '9237 Redwood Rd', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015612020', NULL, '9237 S Redwood Rd', 'West Jordan', '', 'UT', '84088', '', '', 'WUTALBERT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1679615660', 0, 'Y', 0, '2006-11-07', NULL, NULL, 40.5835, -111.939, NULL, NULL),
('870583479', 'S71006423', 'S71006423', 'UT01', 'Phase II Center for Womens Health', NULL, NULL, 'Phase II Center for Women''s Health', 'GROUP', NULL, NULL, NULL, NULL, 'O', '348 E 4500 S', 'Murray', 'Salt Lake', 'UT', '84107', '8012629800', NULL, 'PO Box 572528', 'Salt Lake City', '', 'UT', '84157', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008187', 0, 'Y', 0, '2006-12-15', NULL, NULL, 40.6743, -111.881, NULL, NULL),
('870395551', 'S71006429', 'S71006429', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '147 W 400 N', 'Orem', 'Utah', 'UT', '84057', '8012219060', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'S71006432', 'S71006432', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '112 E 100 N', 'Logan', 'Cache', 'UT', '84321', '4357534744', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'S71006435', 'S71006435', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '610 N Main St', 'Clearfield', 'Davis', 'UT', '84015', '8017737448', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'S71006437', 'S71006437', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '111 S 1200 E', 'Lehi', 'Utah', 'UT', '84043', '8017680500', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870603341', 'S71006469', 'S71006469', 'UT01', NULL, 'Ivan', 'Dean', 'Flint', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '196 W 2000 N Ste 107', 'Tooele', 'Tooele', 'UT', '84074', '8012623600', NULL, '1260 E 3900 S', 'Salt Lake City', '', 'UT', '84124', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-12-01', '2006-12-01', 0, NULL, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1962484485', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'S71006473', 'S71006473', 'UT01', 'Utah County Medical Associates', '', '', 'Utah County Medical Associates', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '1055 N 300 W', 'Provo', 'Utah', 'UT', '84604', '8013758889', NULL, '97 S Professional Way', 'Payson', '', 'UT', '84651', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-06-01', '2007-03-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '9347', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870609595', 'S71006474', 'S71006474', 'UT01', 'Utah County Medical Associates', '', '', 'Utah County Medical Associates', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '39 Professional Way', 'Payson', 'Utah', 'UT', '84651', '8014653201', NULL, '97 S Professional Way', 'payson', '', NULL, '84651', '', '', 'WUUVPN10', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-06-01', '2007-04-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '9347', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'S71006491', 'S71006491', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '1273 W 12600 S', 'Riverton', 'Salt Lake', 'UT', '84065', '8014460383', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870569381', 'S71006514', 'S71006514', 'UT01', 'Cache Valley Cardiology', NULL, NULL, 'Cache Valley Cardiology', 'GROUP', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '1300 N 500 E', 'Logan', 'Cache', 'UT', '84341', '4357558200', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005512', 0, 'Y', 0, '2006-10-19', NULL, NULL, 41.7563, -111.821, NULL, NULL),
('870569543', 'S71006517', 'S71006517', 'UT01', 'Basin Clinic', NULL, NULL, 'Basin Clinic', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'B', '379 N 500 W Ste 1A', 'Vernal', 'Uintah', 'UT', '84078', '4357891165', NULL, '379 N 500 W', 'Vernal', '', 'UT', '84078', '', '', 'WUSTDFAM5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005210', 0, 'Y', 0, '2006-12-11', NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'S71006539', 'S71006539', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '185 S Main St', 'Kamas', 'Summit', 'UT', '84036', '4357832838', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'S71006541', 'S71006541', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '715 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8016850588', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870395551', 'S71006593', 'S71006593', 'UT01', NULL, NULL, NULL, 'Chiropractic Health Plan', 'GROUP', NULL, NULL, NULL, NULL, 'O', '352 S 200 W', 'Farmington', 'Davis', 'UT', '84025', '8014517900', NULL, '867 E 9400 S', 'Sandy', '', 'UT', '84094', '', '', 'WLABRAD', 'WUSTDHCPC5', NULL, '0.00', NULL, '55.46', 3, '2006-04-01', '2007-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '5681', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('876000545', 'S71008269', 'S71008269', 'UT01', 'Health Clinics Of Utah', NULL, NULL, 'Health Clinics Of Utah', 'GROUP', 'Health Department', '', '', NULL, 'O', '150 E Ctr St', 'Provo', 'Utah', 'UT', '84606', '8013747011', NULL, '150 E Ctr St', 'Provo', 'Utah', 'UT', '84606', '8013747011', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006632', 0, 'Y', 0, '2013-07-25', NULL, NULL, 40.2337, -111.656, NULL, NULL),
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('331020051', 'S71008341', 'S71008341', 'UT01', 'FirstMed Industrial Clinic', '', '', 'FirstMed Industrial Clinic', 'GROUP', 'Urgent Care', '', '', NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', NULL, 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8012946907', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-07-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1922141191', 0, 'Y', 0, '2012-03-20', NULL, NULL, 0, 0, NULL, NULL),
('876000309', 'S71008401', 'S71008401', 'UT01', 'Garfield Memorial Clinic', 'Garfield Memorial Clinic', NULL, NULL, 'GROUP', NULL, NULL, NULL, NULL, 'O', '200 N 400 E', 'Panguitch', 'Garfield', 'UT', '84759', '4356768842', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '15.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870678993', 'S71008442', 'S71008442', 'UT01', 'Families First Pediatrics', '', '', 'Families First Pediatrics', 'GROUP', 'Pediatrics', '', '', NULL, 'B', 'PO Box 95868', 'South Jordan', 'Salt Lake', 'UT', '84095', NULL, NULL, 'PO Box 95868', 'South Jordan', 'Salt Lake', 'UT', '84095', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006195', 0, 'Y', 0, '2013-07-25', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870682101', 'S71008500', 'S71008500', 'UT01', 'Salt Lake Orthopaedic Clinic', NULL, NULL, 'Salt Lake Orthopaedic Clinic', 'GROUP', NULL, NULL, NULL, NULL, 'O', '1160 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012628486', NULL, '1160 E 3900 S', 'Salt Lake City', '', 'UT', '84121', '', '', 'WUSLORTH5', 'wUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-04-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811913429', 0, 'Y', 0, NULL, NULL, NULL, 40.6871, -111.858, NULL, NULL),
('876000309', 'S71008564', 'S71008564', 'UT01', 'Orderville Clinic', NULL, NULL, 'Orderville Clinic', 'GROUP', NULL, NULL, NULL, NULL, 'O', '425 E State St', 'Orderville', 'Kane', 'UT', '84758', '4356482108', NULL, 'PO Box 389', 'Panguitch', '', 'UT', '84759', '', '', '', NULL, NULL, '0.00', '15.00', '0.00', 3, '2006-09-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007981', 0, 'Y', 0, '2007-03-20', NULL, NULL, 37.2421, -112.697, NULL, NULL),
('876000525', 'S71008612', 'S71008612', 'UT01', 'University Hospital Physicians', 'University Hospital Physicians', NULL, NULL, 'GROUP', 'Family Practice', NULL, NULL, NULL, 'O', '50 N Medical Dr ', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDMULT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '4880', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('876000525', 'S71008614', 'S71008614', 'UT01', 'University Hospital Physicians', 'University Hospital Physicians', NULL, NULL, 'GROUP', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510721 ', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015717505', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUSTDMULT5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '4879', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('900098068', 'S71008620', 'S71008620', 'UT01', 'Richard G Seegmiller, DPM', 'Richard G Seegmiller, DPM', NULL, NULL, 'GROUP', 'Podiatry', NULL, NULL, NULL, 'O', '620 Medical Dr', 'Bountiful', 'Davis', 'UT', '84010', '8012925070', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870481325', 'S71008736', 'S71008736', 'UT01', 'Westside Medical Clinic', '', '', 'Westside Medical Clinic', 'GROUP', 'Primary Care with Extended Hours', '', '', NULL, 'O', '1477 N 2000 W Ste C', 'Clinton', 'Davis', 'UT', '84015', '8017748888', '8018258519', '1477 N 2000 W Ste C', 'Clinton', 'Davis', 'UT', '84015', '8017748888', '8018258519', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1558439117', 0, 'N', 0, '2014-04-08', NULL, NULL, 41.1353, -112.064, NULL, NULL),
('954893928', 'S71008789', 'S71008789', 'UT01', 'Exodus Healthcare Network', NULL, NULL, 'Exodus Healthcare Network', 'GROUP', 'Family Practice', NULL, NULL, NULL, 'B', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', '', 'UT', '84044', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006176', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('954893928', 'S71008790', 'S71008790', 'UT01', 'Exodus Healthcare Network', '', '', 'Exodus Healthcare Network', 'GROUP', 'Family Practice', '', '', NULL, 'O', '3336 Pioneer Pkwy', 'Salt Lake City', 'Salt Lake', 'UT', '84120', '8012509638', NULL, '3336 Pioneer Pkwy', 'Salt Lake City', 'Salt Lake', 'UT', '84120', '8012509638', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006176', 0, 'Y', 0, '2014-04-09', NULL, NULL, 40.6991, -111.99, NULL, NULL),
('900098068', 'S71008794', 'S71008794', 'UT01', NULL, 'Richard G Seegmiller, DPM', NULL, NULL, 'GROUP', 'Podiatry', NULL, NULL, NULL, 'O', '1660 W Antelope Dr', 'Layton', 'Davis', 'UT', '84041', '8018254709', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('900188420', 'S71008796', 'S71008796', 'UT01', 'Gynecology Affiliates', NULL, NULL, 'Gynecology Affiliates', 'GROUP', NULL, NULL, NULL, NULL, 'O', '1140 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012688222', NULL, '1140 E 3900 S', 'Salt Lake City', '', 'UT', '841241242', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-10-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006517', 0, 'Y', 0, '2006-10-19', NULL, NULL, 40.6871, -111.859, NULL, NULL),
('954893928', 'S71008875', 'S71008875', 'UT01', 'Exodus Healthcare Network', '', '', 'Exodus Healthcare Network', 'GROUP', 'Family Practice', '', '', NULL, 'O', '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', NULL, '8211 W 3500 S', 'Magna', 'Salt Lake', 'UT', '84044', '8012509638', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000006176', 0, 'Y', 0, '2014-04-09', NULL, NULL, 40.6965, -112.088, NULL, NULL),
('870489599', 'S71008919', 'S71008919', 'UT01', 'Intermountain Pediatric Clinic', 'Intermountain Pediatric C', NULL, NULL, 'GROUP', 'Pediatrics', NULL, NULL, NULL, 'O', '615 Arapeen Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015817761', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-11-01', '2006-11-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '6864', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'S71008972', 'S71008972', 'UT01', 'Utah Cardiology  PC', NULL, NULL, 'Utah Cardiology  PC', 'GROUP', NULL, NULL, NULL, NULL, 'O', '2132 N 1700 W Ste 200', 'Layton', 'Davis', 'UT', '84041', '8017760174', NULL, '520 E Medical Dr', 'Bountiful', '', 'UT', '84010', '', '', 'WUUTCARD5', 'WUSTDHCPC5', NULL, '0.00', '23.00', '0.00', 3, '2006-12-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009344', 0, 'Y', 0, '2006-11-09', NULL, NULL, 41.0892, -111.997, NULL, NULL),
('870498345', 'S71008980', 'S71008980', 'UT01', NULL, 'Leonard J Swinyer MD PC', NULL, NULL, 'GROUP', 'Dermatology', NULL, NULL, NULL, 'O', '3920 S 1100 E', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012668841', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-12-01', '2006-12-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870498921', 'S71008982', 'S71008982', 'UT01', NULL, 'Duane E Townsend, MD, PC', NULL, NULL, 'GROUP', 'Gynecology', NULL, NULL, NULL, 'B', '6339 Starview Dr', 'Park City', 'Summit', 'UT', '84098', '4359018123', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-12-01', '2006-12-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870507858', 'S71009001', 'S71009001', 'UT01', 'Neurological Associates', '', '', 'Neurological Associates', 'GROUP', 'Neurology', '', '', NULL, 'O', '50 S Medical Dr', 'Payson', 'Utah', 'UT', '84651', '8014654809', NULL, '50 S Medical Dr', 'Payson', 'Utah', 'UT', '84651', '8014654809', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1912963372', 0, 'Y', 0, '2014-04-15', NULL, NULL, 0, 0, NULL, NULL),
('870507858', 'S71009002', 'S71009002', 'UT01', 'Neurological Associates', '', '', 'Neurological Associates', 'GROUP', 'Neurology', '', '', NULL, 'O', '52 N 1100 E', 'American Fork', 'Utah', 'UT', '84003', '8017630901', NULL, '52 N 1100 E', 'American Fork', 'Utah', 'UT', '84003', '8017630901', '', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1912963372', 0, 'Y', 0, '2014-04-15', NULL, NULL, 0, 0, NULL, NULL),
('870517201', 'S71009027', 'S71009027', 'UT01', 'Central Utah Radiology', NULL, NULL, 'Central Utah Radiology', 'GROUP', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 908', 'Bountiful', 'Davis', 'UT', '84011', '4356231242', NULL, 'PO Box 908', 'Bountiful', '', 'UT', '84011', '', '', 'WUSTDRAD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005622', 0, 'Y', 0, '2006-12-21', NULL, NULL, 0, 0, NULL, NULL),
('870519691', 'S71009059', 'S71009059', 'UT01', 'Utah Cancer Specialists', '', '', 'Utah Cancer Specialists', 'GROUP', '', '', '', NULL, 'O', '1034 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013578200', NULL, '1034 N 500 W', 'Provo', 'Utah', 'UT', '84604', '8013578200', '          ', 'WUSTDONC5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009343', 0, 'N', 0, '2012-04-06', NULL, NULL, 40.2469, -111.667, NULL, NULL),
('870519691', 'S71009061', 'S71009061', 'UT01', 'Utah Cancer Specialists', '', '', 'Utah Cancer Specialists', 'GROUP', '', '', '', NULL, 'O', '520 Medical Dr Ste 340', 'Bountiful', 'Davis', 'UT', '84010', '8012966665', NULL, '520 Medical Dr Ste 340', 'Bountiful', 'Davis', 'UT', '84010', '8012966665', '', 'WUSTDONC5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009343', 0, 'Y', 0, '2012-04-06', NULL, NULL, 40.8873, -111.87, NULL, NULL),
('870525682', 'S71009086', 'S71009086', 'UT01', 'Retina Associates of Utah', '', '', 'Retina Associates Of Utah', 'GROUP', 'Ophthalmology', '', '', NULL, 'O', '1660 W Antelope Dr Ste 325', 'Layton', 'Davis', 'UT', '84041', '8017758222', '8017758223', '1250 E 3900 S', 'Salt Lake City', 'Davis', 'UT', '84124', '8017758222', '8017758223', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000008363', 0, 'Y', 0, '2011-01-19', NULL, NULL, 0, 0, NULL, NULL),
('870532738', 'S71009117', 'S71009117', 'UT01', 'Davis Family Physicians', '', '', 'Davis Family Physicians', 'GROUP', '', '', '', NULL, 'O', '3225 W Gordon Ave', 'Layton', 'Davis', 'UT', '84041', '8017737232', NULL, '2084 N 1700 W', 'Layton', 'Davis', 'UT', '84041', '8017737232', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-06-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005913', 0, 'Y', 0, '2011-09-20', NULL, NULL, 41.0747, -112.027, NULL, NULL),
('870536032', 'S71009125', 'S71009125', 'UT01', 'Jordan Valley Family Health', NULL, NULL, 'Jordan Valley Family Health', 'GROUP', 'Primary Care with Extended Hours', NULL, NULL, NULL, 'O', '3570 W 9000 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015691999', '8015692001', '3570 W 9000 S', 'West Jordan', '', 'UT', '84088', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-06-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007000', 0, 'N', 0, '2006-10-19', NULL, NULL, 40.588, -111.975, NULL, NULL),
('870541126', 'S71009132', 'S71009132', 'UT01', 'The Smart Clinic', '', '', 'The Smart Clinic', 'GROUP', '', '', '', NULL, 'O', '10011 Centennial Pkwy Ste 150', 'Sandy', 'Salt Lake', 'UT', '84070', '8016767627', NULL, '10011 Centennial Pkwy', 'Sandy', 'Salt Lake', 'UT', '84047', '8016767627', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000009053', 0, 'Y', 0, '2011-07-28', NULL, NULL, 40.5696, -111.895, NULL, NULL),
('870549057', 'S71009201', 'S71009201', 'UT01', 'Utah Valley Pediatrics', '', '', 'Utah Valley Pediatrics', 'GROUP', '', '', '', NULL, 'O', '716 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8012240421', NULL, '1355 N University', 'Provo', 'Utah', 'UT', '84604', '8012240421', '          ', 'WUUVPN10', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-06-01', '2010-07-14', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '0000009369', 0, 'N', 0, '2011-04-13', NULL, NULL, 0, 0, NULL, NULL),
('870550021', 'S71009212', 'S71009212', 'UT01', 'Utah Physicians Care Center PC', '', '', 'Utah Physicians Care Center PC', 'GROUP', 'Internal Medicine', '', '', NULL, 'B', '5630 Waterbury Way', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012742000', NULL, '5630 Waterbury Way', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8012742000', '', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1396761193', 0, 'Y', 0, '2014-07-16', NULL, NULL, 0, 0, NULL, NULL),
('870550275', 'S71009224', 'S71009224', 'UT01', 'Cottonwood Pediatrics', '', '', 'Cottonwood Pediatrics', 'GROUP', '', '', '', NULL, 'O', '114 E 12450 S', 'Draper', 'Salt Lake', 'UT', '84020', '8015233001', NULL, '7138 S 2000 E', 'Salt Lake City', 'Salt Lake', 'UT', '84121', '8015233001', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-06-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '0000005812', 0, 'y', 0, '2011-01-23', NULL, NULL, 40.5249, -111.887, NULL, NULL),
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('870474130', 'S71011184', 'S71011184', 'UT01', 'Northeastern Utah Medical Group', '', '', 'Northeastern Utah Medical Group', 'GROUP', '', '', '', NULL, 'O', '210 W 300 N Ste 75-3', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357224691', NULL, '210 W 300 N 75-3', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357224691', '', 'WURURAL5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-11-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1982664199', 0, 'Y', 0, '2011-05-13', NULL, NULL, 40.3034, -109.995, 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
('870474130', 'S71011188', 'S71011188', 'UT01', 'Northeastern Utah Medical Group', '', '', 'Northeastern Utah Medical Group', 'GROUP', '', '', '', NULL, 'O', '250 W 300 N', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357224691', NULL, '210 W 300 N 75-3', 'Roosevelt', 'Duchesne', 'UT', '84066', '4357224691', '', 'WURURAL5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2006-11-01', NULL, NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1982664199', 0, 'Y', 0, '2011-05-13', NULL, NULL, 40.3034, -109.996, NULL, NULL),
('870479370', 'S71011196', 'S71011196', 'UT01', 'The Heart Center', '', '', 'Mountain West Cardiovascular Associates', 'GROUP', 'Clinic', NULL, NULL, NULL, 'O', '196 E 2000 N', 'Tooele', 'Tooele', 'UT', '84074', '8012623600', NULL, '1160 E 3900 S', 'Salt Lake City', '', 'UT', '84124', '', '', 'WUSTDCARD5', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '9050', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('200685493', 'S77000135', 'S77000135', 'UT01', 'Premier Plastic Surgery Group of Utah', 'Larry', 'G', 'Leonard', 'MD', 'Plastic Surgery', 'Hand Surgery', NULL, NULL, 'O', '1795 Sidewinder Dr Ste 200', 'Park City', 'Summit', 'UT', '84060', '4356470074', '4356475716', '1795 Sidewinder Dr', 'Park City', 'Summit', 'UT', '84060', '4356470074', '4356475716', 'WiseSTD10A', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 8, '2006-11-01', '2010-07-26', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972523942', 0, 'Y', 0, '2006-10-27', NULL, NULL, 0, 0, NULL, NULL),
('200961076', 'S77000138', 'S77000138', 'UT01', 'Summit Pain Management', 'Stephen', 'P', 'Lordon', 'MD', 'Pain Management', NULL, NULL, NULL, 'O', '5250 Commerce Dr Ste 305', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012627246', NULL, '5250 Commerce Dr Ste 305', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012627246', '', 'WUSTDPAIN5', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1275532020', 0, 'N', 0, '2012-12-27', NULL, NULL, 40.6564, -111.899, NULL, NULL),
('201051917', 'S77000139', 'S77000139', 'UT01', 'Shadow Mountain Family Physicians', 'Joseph', 'F', 'Kasper', 'MD', 'Family Practice', '', '', NULL, 'O', '3855 W 7800 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84088', '8012825952', '8012825952', '3855 W 7800 S Ste 100', 'West Jordan', 'Salt Lake', 'UT', '84088', '8012825952', '8012825952', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', '2008-12-16', 0, 0, 0, 'St Marks Hospital', '', '', '', 'HCFA|UB|', '1972581528', 0, 'N', 0, '2013-03-27', NULL, NULL, 0, 0, NULL, NULL),
('201076909', 'S77000140', 'S77000140', 'UT01', NULL, 'Brandt', 'R', 'Gibson', 'DPM', 'Podiatry', '', '', NULL, 'O', '36 N 1100 E Ste B', 'American Fork', 'Utah', 'UT', '84003', '8017560765', '8017561405', '36 N 1100 E Ste B', 'American Fork', 'Utah', 'UT', '84003', '8017560765', '8017561405', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1841271095', 0, 'N', 0, '2013-08-19', NULL, NULL, 40.3771, -111.769, NULL, NULL),
('201101197', 'S77000141', 'S77000141', 'UT01', 'Utah Orthopaedic Specialists', 'Justin', 'P', 'Hawes', 'MD', 'Orthopedic Surgery', '', '', NULL, 'O', '5323 S Woodrow St Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8017471020', NULL, '5323 S Woodrow St Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8017471020', '', 'WUSLORTH5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, 'St Marks Hospital', '', '', '', 'HCFA|UB|', '1508896226', 0, 'N', 0, '2014-04-17', NULL, NULL, 40.6549, -111.895, NULL, NULL),
('201232475', 'S77000144', 'S77000144', 'UT01', 'Draper Family Practice', 'Jennifer', 'J', 'McMahon', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '12422 S 450 E Ste A', 'Draper', 'Salt Lake', 'UT', '84020', '8017481600', '8017481601', '12422 S 450 E', 'Draper', '', 'UT', '840208050', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-12-01', '2008-07-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1881662351', 0, 'N', 0, '2007-04-19', NULL, NULL, 0, 0, NULL, NULL),
('201262568', 'S77000145', 'S77000145', 'UT01', 'Davis Surgical Associates', 'Peter', 'V', 'Wilson', 'MD', 'General Surgery', '', '', NULL, 'O', '1580 W Antelope Dr Ste 130', 'Layton', 'Davis', 'UT', '84041', '8017289555', NULL, '1580 W Antelope Dr Ste 130', 'Layton', 'Davis', 'UT', '84041', '8017289555', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1518998921', 0, 'N', 0, '2012-09-28', NULL, NULL, 41.0893, -111.994, NULL, NULL),
('200685493', 'S77000146', 'S77000146', 'UT01', NULL, 'Larry', 'G', 'Leonard', 'MD', 'Plastic Surgery', 'Hand Surgery', NULL, NULL, 'B', '1795 Sidewinder Dr Ste 200', 'Park City', 'Summit', 'UT', '84060', '8014082508', '8014085192', '1795 Sidewinder Dr', 'Park City', '', 'UT', '84060', '', '', 'WiseSTD10A', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-11-01', '2006-11-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972523942', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('200798210', 'S77000147', 'S77000147', 'UT01', '', 'Scott', 'D', 'Urban', 'DMD, MD', 'Oral/Maxillofacial Surgery', 'Oral Surgeon', '', NULL, 'O', '7611 Jordan Landing Blvd Ste 102', 'West Jordan', 'Salt Lake', 'UT', '84084', '8012825363', '8012825360', '7611 Jordan Landing Blvd Ste 102', 'West Jordan', 'Salt Lake', 'UT', '84084', '8012825363', '8012825360', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2007-01-01', '2013-03-25', 0, 0, 0, 'Jordan Valley Medical Center', '', '', '', 'HCFA|UB|', '1750389367', 0, 'N', 0, '2014-07-23', NULL, NULL, 0, 0, NULL, NULL),
('200832792', 'S77000148', 'S77000148', 'UT01', 'Cache Valley Allergy and Family Medicine', 'F', ' Matthew', 'Johnson', 'MD', 'Family Practice', 'Allergy and Immunology', NULL, NULL, 'O', '550 E 1400 N Ste L', 'Logan', 'Cache', 'UT', '84341', '4357506212', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-04-08', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '830916', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('201099890', 'S77000151', 'S77000151', 'UT01', 'Utah Orthopaedic Specialists', 'Brian', 'W', 'Fukushima', 'MD', 'Orthopedic Surgery', 'Sports Medicine', '', NULL, 'O', '5323 S Woodrow Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8017471020', NULL, '5323 S Woodrow Ste 200', 'Murray', 'Salt Lake', 'UT', '84107', '8017471020', '', 'WUSLORTH5', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, 'St Marks Hospital', '', '', '', 'HCFA|UB|', '1073543740', 0, 'N', 0, '2014-06-10', NULL, NULL, 40.6549, -111.895, NULL, NULL),
('201113635', 'S77000153', 'S77000153', 'UT01', 'Davis Surgical Assoc', 'Joseph', 'W', 'Jensen', 'DO', 'General Surgery', '', '', NULL, 'O', '1580 W Antelope Dr Ste 130', 'Layton', 'Davis', 'UT', '84041', '8017289555', NULL, '1580 W Antelope Dr Ste 130', 'Layton', 'Davis', 'UT', '84041', '8017289555', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1164463477', 0, 'N', 0, '2012-05-24', NULL, NULL, 41.0893, -111.994, NULL, NULL),
('201114165', 'S77000156', 'S77000156', 'UT01', NULL, 'Gregory', 'D', 'Hammond', 'MD', 'Pulmonary', 'Sleep Medicine', '', NULL, 'O', '520 E Medical Dr Ste 200', 'Bountiful', 'Davis', 'UT', '84010', '8012997821', NULL, '520 E Medical Dr Ste 200', 'Bountiful', 'Davis', 'UT', '84010', '8012997821', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-12-01', '2010-08-31', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1942374020', 0, 'N', 0, '2012-06-27', NULL, NULL, 0, 0, NULL, NULL),
('201577619', 'S77000158', 'S77000158', 'UT01', 'Bedtime Kids Care', 'Jim', 'J', 'Gould', 'MD', 'Pediatrics', 'Urgent Care', '', NULL, 'O', '196 E 2000 N Ste 104', 'Tooele', 'Tooele', 'UT', '84074', '4358438380', NULL, '196 E 2000 N Ste 104', 'Tooele', 'Tooele', 'UT', '84074', '4358438380', '          ', 'WiseSTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', '2011-10-18', 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1649200296', 0, 'N', 0, '2012-03-21', NULL, NULL, 0, 0, NULL, NULL),
('201581429', 'S77000159', 'S77000159', 'UT01', 'Maternal Fetal Services of Utah', 'Steven', 'L', 'Clark', 'MD', 'Maternal Fetal Medicine', 'Perinatology', NULL, NULL, 'O', '1140 E 3900 S Ste 390', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8017434700', '8017436603', '1140 E 3900 S Ste 390', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8017434700', '8017436603', 'Wise+', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2006-11-01', '2010-03-08', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1255326633', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('201581429', 'S77000161', 'S77000161', 'UT01', 'Maternal Fetal Services of Utah', 'Gary', 'A', 'Dildy', 'MD', 'Perinatology', NULL, NULL, NULL, 'O', '3100 Channing Way', 'Idaho Falls', 'Bonneville', 'ID', '83404', '2085296111', NULL, '3 Maryland Farms', 'Brentwood', 'Bonneville', 'TN', '37027', '2085296111', '', 'Wise+', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2006-11-01', '2010-08-31', NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1083765226', 0, 'N', 0, '2011-08-25', NULL, NULL, 0, 0, NULL, NULL),
('201610002', 'S77000162', 'S77000162', 'UT01', 'Wasatch Anesthesia', NULL, NULL, 'Wasatch Anesthesia Inc', 'GROUP', 'Anesthesiology', NULL, NULL, NULL, 'O', '3460 Pioneer Pkwy', 'Salt Lake City', 'Salt Lake', 'UT', '84120', '8019939501', '8017335618', '1954 E Fort Union Bvld', 'Salt Lake City', '', 'UT', '84121', '', '', NULL, NULL, NULL, '0.00', '20.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982616843', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('201722705', 'S77000165', 'S77000165', 'UT01', 'PM Pediatrics', 'Jim', 'J', 'Gould', 'MD', 'Pediatrics', 'Urgent Care', NULL, NULL, 'O', '196 E 2000 N Ste 110', 'Tooele', 'Tooele', 'UT', '84074', '4358825437', '4358438382', 'PO Box 117', 'Salt Lake City', '', 'UT', '84110', '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1649200296', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('201935776', 'S77000168', 'S77000168', 'UT01', 'Elk Ridge Family Practice', 'Dennis', 'M', 'Concoby', 'DO', 'Family Practice', NULL, NULL, NULL, 'B', '1172 E US Highway 6 Ste 11', 'Payson', 'Utah', 'UT', '84651', '8014656100', '8014656114', NULL, NULL, '', NULL, NULL, '', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', NULL, 3, '2006-09-01', '2006-09-01', 0, NULL, 0, 'Mountain View Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1386605715', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('201262568', 'S77000171', 'S77000171', 'UT01', 'Davis Surgical Associates', 'Peter', 'V', 'Wilson', 'MD', 'General Surgery', '', '', NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', NULL, 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', '', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1518998921', 0, 'Y', 0, '2012-09-28', NULL, NULL, 0, 0, NULL, NULL);
