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
('953542081', 'W11008756', 'W11008756', 'CADT01', 'Smilecare', 'Editha', NULL, 'Poblete', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008224', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008744', 'W11008744', 'CADT01', 'Smilecare', 'Ramin', NULL, 'Shabtaie', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008665', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008736', 'W11008736', 'CADT01', 'Smilecare', 'Michael', 'John', 'Erickson', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006147', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008746', 'W11008746', 'CADT01', 'Smilecare', 'Vinh', 'T', 'Ngo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007838', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008747', 'W11008747', 'CADT01', 'Smilecare', 'Michael', 'Allen', 'Nelson', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007814', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008748', 'W11008748', 'CADT01', 'Smilecare', 'Paul', NULL, 'Murashige', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007764', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008749', 'W11008749', 'CADT01', 'Smilecare', 'Marjan', NULL, 'Mohammadi', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007658', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008750', 'W11008750', 'CADT01', 'Smilecare', 'David', NULL, 'Noriega', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007894', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008751', 'W11008751', 'CADT01', 'Smilecare', 'Sudabeh', NULL, 'Moavenian', 'DMD', 'Periodontist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007653', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008752', 'W11008752', 'CADT01', 'Smilecare', 'Fariba', NULL, 'Matinfar', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007472', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008753', 'W11008753', 'CADT01', 'Smilecare', 'Aiham', NULL, 'Machhadani', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007378', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008743', 'W11008743', 'CADT01', 'Smilecare', 'Alex', NULL, 'Avanessian', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005129', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008655', 'W11008655', 'CADT01', 'Smilecare', 'Colonya', 'C', 'Calhoun', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005530', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008647', 'W11008647', 'CADT01', 'Smilecare', 'Kent', 'Carl', 'Meierhenry', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007555', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008648', 'W11008648', 'CADT01', 'Smilecare', 'Nazanin', NULL, 'Alameh Zadeh', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004945', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008649', 'W11008649', 'CADT01', 'Smilecare', 'Yen', 'H', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007869', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008650', 'W11008650', 'CADT01', 'Smilecare', 'Sergio', 'L', 'Ferreira', 'DMD', 'Orthodontist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006231', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008651', 'W11008651', 'CADT01', 'Smilecare', 'Francis', NULL, 'Lewis', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007264', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008652', 'W11008652', 'CADT01', 'Smilecare', 'Vazrick', NULL, 'Navasartian', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007797', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008663', 'W11008663', 'CADT01', 'Smilecare', 'Robin', NULL, 'Reisz', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008355', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008654', 'W11008654', 'CADT01', 'Smilecare', 'Hongqui', NULL, 'Chang', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005643', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008644', 'W11008644', 'CADT01', 'Smilecare', 'Michael', 'C', 'Mai', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007398', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008656', 'W11008656', 'CADT01', 'Smilecare', 'Yeranui', NULL, 'Tutundzhyan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009210', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008657', 'W11008657', 'CADT01', 'Smilecare', 'Harry', NULL, 'Mclaughlin', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007527', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008658', 'W11008658', 'CADT01', 'Smilecare', 'Varsha', 'R', 'Katariya', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007041', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008659', 'W11008659', 'CADT01', 'Smilecare', 'Rozita', NULL, 'Bahadori', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005147', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008660', 'W11008660', 'CADT01', 'Smilecare', 'Loc', 'Q', 'Huynh', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006820', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008661', 'W11008661', 'CADT01', 'Smilecare', 'Bita', NULL, 'Moghaddas', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007657', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008662', 'W11008662', 'CADT01', 'Smilecare', 'Tederhi', 'T', 'Usude', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009342', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008653', 'W11008653', 'CADT01', 'Smilecare', 'Zainab', 'M', 'Hameed', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006543', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008637', 'W11008637', 'CADT01', 'Smilecare', 'Omeed', 'Butrus', 'Toma', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009127', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330981031', 'W11009773', 'W11009773', 'CADT01', 'California Smile', 'Stuart', 'Teruo', 'Tani', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '5638 Mission Ctr Rd Ste 104', 'San Diego', 'San Diego', 'CA', '92108', '6192937164', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008998', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('470943135', 'W11009189', 'W11009189', 'CADT01', NULL, 'Raquel', 'Requilman', 'Reyes', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8590 Rio San Diego Dr Ste 110', 'San Diego', 'San Diego', 'CA', '92108', '6192991122', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008365', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('562512640', 'W11008533', 'W11008533', 'CADT01', NULL, 'Dhafir', 'Jalal', 'Petros', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3530 Camino Del Rio N Ste 109', 'San Diego', 'San Diego', 'CA', '92108', '6192832093', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008167', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008631', 'W11008631', 'CADT01', 'Smilecare', 'Alireza', NULL, 'Farighi', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006201', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008632', 'W11008632', 'CADT01', 'Smilecare', 'Armen', NULL, 'Ambarachyan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005004', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008633', 'W11008633', 'CADT01', 'Smilecare', 'Kouros', NULL, 'Izadi', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006888', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11008634', 'W11008634', 'CADT01', 'Smilecare', 'Brenda', NULL, 'Caillouel', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '1333 Camino Del Rio S Ste 202', 'San Diego', 'San Diego', 'CA', '92108', '6192604990', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005522', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('201730293', 'W11009166', 'W11009166', 'CADT01', 'Tae Jun Ahn Dental Corporation', 'Shin', 'Suk', 'Ahn', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '7612 Linda Vista Rd Ste 112', 'San Diego', 'San Diego', 'CA', '92111', '8582790888', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-10-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004939', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11010311', 'W11010311', 'CADT01', 'Smilecare', 'Fariba', NULL, 'Matinfar', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007472', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009911', 'W11009911', 'CADT01', 'Smilecare', 'Rozita', NULL, 'Bahadori', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005147', 0, 'N', 0, '2008-08-25', 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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('953542081', 'W11009940', 'W11009940', 'CADT01', 'Smilecare', 'Duc', 'Thanh', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-06-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007849', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009512', 'W11009512', 'CADT01', 'Smilecare', 'Alberto', 'Otanez', 'Broas', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005426', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009693', 'W11009693', 'CADT01', 'Smilecare', 'Francis', 'D', 'Valenton', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009408', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009505', 'W11009505', 'CADT01', 'Smilecare', 'Sussan', NULL, 'Changizi', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005647', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330897758', 'W11010561', 'W11010561', 'CADT01', NULL, 'Mohamad', 'S', 'Tarabishi', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '6465 Balboa Ave Ste B', 'San Diego', 'San Diego', 'CA', '92111', '8582782700', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009001', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009665', 'W11009665', 'CADT01', 'Smilecare', 'Robin', NULL, 'Reisz', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008355', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010247', 'W11010247', 'CADT01', 'Smilecare', 'David', NULL, 'Noriega', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007894', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009497', 'W11009497', 'CADT01', 'Smilecare', 'Aman', NULL, 'Dhillon', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005966', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009822', 'W11009822', 'CADT01', 'Smilecare', 'Kent', 'Carl', 'Meierhenry', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007555', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11010148', 'W11010148', 'CADT01', 'Smilecare', 'Hsiao', 'Y', 'Meng', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-01-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007568', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('412096773', 'W11010526', 'W11010526', 'CADT01', NULL, 'Ehsan', NULL, 'Nasery', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '7625 Mesz College Dr Ste 100', 'San Diego', 'San Diego', 'CA', '92111', '8585144290', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007791', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009742', 'W11009742', 'CADT01', 'Smilecare', 'Sarosh', NULL, 'Habib', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006518', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009378', 'W11009378', 'CADT01', 'Smilecare', 'Roanna', 'M', 'Siangio', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008713', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('327461033', 'W11010813', 'W11010813', 'CADT01', NULL, 'Robert', 'Bradley', 'Jacob', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '7327 Clairemont Blvd', 'San Diego', 'San Diego', 'CA', '92111', '8582681006', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-02-22', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006899', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('952989211', 'W11010802', 'W11010802', 'CADT01', NULL, 'Richard', 'Dale', 'Katnik', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '7319 Clairemont Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92111', '8585699651', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-02-14', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007043', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009289', 'W11009289', 'CADT01', 'Smilecare', 'Jin Song', NULL, 'Yom', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009710', 0, 'N', 0, '2008-08-25', 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
('953542081', 'W11010486', 'W11010486', 'CADT01', 'Smilecare', 'James', NULL, 'Bailey', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005150', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('952989211', 'W11010687', 'W11010687', 'CADT01', NULL, 'James', 'Manuel', 'Rodriguez', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '7319 Clairemont Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92111', '8585699651', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008455', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009370', 'W11009370', 'CADT01', 'Smilecare', 'Moravarid', NULL, 'Rouhani', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008494', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('952989211', 'W11010685', 'W11010685', 'CADT01', NULL, 'William', 'Albert', 'Olson', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '7319 Clairemont Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92111', '8585699651', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007967', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010010', 'W11010010', 'CADT01', 'Smilecare', 'Michael', 'D', 'Thai', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009040', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009362', 'W11009362', 'CADT01', 'Smilecare', 'Ehab', NULL, 'Samaan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008561', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009354', 'W11009354', 'CADT01', 'Smilecare', 'Ramzi', NULL, 'Sawabini', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008600', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010441', 'W11010441', 'CADT01', 'Smilecare', 'Stewart', NULL, 'Flachner', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006259', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('952989211', 'W11009054', 'W11009054', 'CADT01', NULL, 'Andrew', 'C', 'Dado', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '7319 Clairemont Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92111', '8585699651', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-05-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005872', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330707324', 'W11010689', 'W11010689', 'CADT01', NULL, 'Lee', 'Scott', 'Loomer', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '7327 Clairemont Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92111', '6192681006', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007324', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('770541866', 'W11008901', 'W11008901', 'CADT01', NULL, 'An', 'Thuy', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '7450 Clairemont Mesa Blvd Ste 201', 'San Diego', 'San Diego', 'CA', '92111', '8582683036', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-28', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007840', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010456', 'W11010456', 'CADT01', 'Smilecare', 'Warren', NULL, 'Dean', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005928', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010113', 'W11010113', 'CADT01', 'Smilecare', 'Alenda', NULL, 'Luptrawan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007368', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('810573762', 'W11009150', 'W11009150', 'CADT01', NULL, 'Jackie', 'Anh Dao', 'Pham', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4344 Convoy St Ste S', 'San Diego', 'San Diego', 'CA', '92111', '8586166468', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008178', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010351', 'W11010351', 'CADT01', 'Smilecare', 'Liliana', 'Gaby', 'Khabbaz', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007078', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010192', 'W11010192', 'CADT01', 'Smilecare', 'Thomas', 'Kurt', 'Sorensen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-12-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008817', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009828', 'W11009828', 'CADT01', 'Smilecare', 'Yen', 'H', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-11-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007869', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11010121', 'W11010121', 'CADT01', 'Smilecare', 'Michael', 'C', 'Mai', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007398', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009699', 'W11009699', 'CADT01', 'Smilecare', 'Carlos', 'E', 'Bonilla', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '3820 Convoy St', 'San Diego', 'San Diego', 'CA', '92111', '8585691100', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005350', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('330922570', 'W11008522', 'W11008522', 'CADT01', NULL, 'Nicholas', 'Noel', 'Gadler', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '6386 Alvarado Ct Ste 110', 'San Diego', 'San Diego', 'CA', '92120', '6192875000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006337', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330138487', 'W11008994', 'W11008994', 'CADT01', NULL, 'Mark', 'C', 'Browne', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '5995 Mission Gorge Rd', 'San Diego', 'San Diego', 'CA', '92120', '6192806500', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-10-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005456', 0, 'N', 0, '2008-08-25', 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
('200912171', 'W11009999', 'W11009999', 'CADT01', NULL, 'Shohreh', NULL, 'Tourian', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '7451 Mission Gorge Rd', 'San Diego', 'San Diego', 'CA', '92120', '6195823000', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-04-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009149', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953167152', 'W11010785', 'W11010785', 'CADT01', NULL, 'David', 'D', 'Wynn', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '6495 Alvarado Rd Ste 102', 'San Diego', 'San Diego', 'CA', '92120', '6192878870', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '1998-08-04', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009691', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('557880105', 'W11010865', 'W11010865', 'CADT01', NULL, 'John', 'D', 'Neuenswander', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '6616 Mission Gorge Rd', 'San Diego', 'San Diego', 'CA', '92120', '6192807866', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1998-08-13', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007823', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330899375', 'W11008826', 'W11008826', 'CADT01', NULL, 'Richard', NULL, 'Torchia', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '6593 Riverdale St', 'San Diego', 'San Diego', 'CA', '92120', '6192827696', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009141', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11009094', 'W11009094', 'CADT01', 'Cox Dental Corporation', 'Paul', NULL, 'Anderson', 'DMD', 'Oral Surgeon', 'Dentist', NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005032', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('562360354', 'W11010525', 'W11010525', 'CADT01', 'Lajolla  Dental Specialty Group', 'Duc', 'H', 'Nguyen', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '4510 Executive Dr Ste 205', 'San Diego', 'San Diego', 'CA', '92121', '8585461802', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007847', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11009093', 'W11009093', 'CADT01', 'Cox Dental Corporation', 'Frederick', 'White', 'Hammond', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006547', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008465', 'W11008465', 'CADT01', 'Cox Dental Corporation', 'Timothy', NULL, 'Zaw', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009739', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008464', 'W11008464', 'CADT01', 'Cox Dental Corporation', 'Arash', NULL, 'Qadeer', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '9339 Genesee Ave Ste 240', 'San Diego', 'San Diego', 'CA', '92121', '8585521244', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008291', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008890', 'W11008890', 'CADT01', 'Cox Dental Corporation', 'Rebecca', NULL, 'Cataquiz', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-03-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005605', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330711192', 'W11009241', 'W11009241', 'CADT01', 'Orthodontics And General Dentistry', 'Reza', NULL, 'Kasiri', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '6755 Mira Mesa Blvd Ste 218', 'San Diego', 'San Diego', 'CA', '92121', '8585520052', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-05-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007040', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330695886', 'W11008630', 'W11008630', 'CADT01', NULL, 'Mario', 'Nicholas', 'Alberti', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4520 Executive Dr Ste 250', 'San Diego', 'San Diego', 'CA', '92121', '8586239024', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004949', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11009092', 'W11009092', 'CADT01', 'Cox Dental Corporation', 'Hien', NULL, 'Bui', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005474', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('204080863', 'W11008544', 'W11008544', 'CADT01', NULL, 'Mojdeh', NULL, 'Abbasian', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '9254 Scranton Rd Ste 108', 'San Diego', 'San Diego', 'CA', '92121', '8584534003', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004886', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008612', 'W11008612', 'CADT01', 'Cox Dental Corporation', 'Andrew', NULL, 'Chen', 'DMD', 'Orthodontist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005660', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008598', 'W11008598', 'CADT01', 'Cox Dental Corporation', 'Arash', NULL, 'Qadeer', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-09-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008291', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330881748', 'W11010645', 'W11010645', 'CADT01', 'Cosgrove Dental Corporation', 'Gaby', 'R', 'Cosgrove', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '9339 Genesee Ave Ste 240', 'San Diego', 'San Diego', 'CA', '92121', '8585521244', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2001-11-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005809', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330881748', 'W11009948', 'W11009948', 'CADT01', 'Cosgrove Dental Corporation', 'Tinou', 'D', 'Tran Roncone', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', '9339 Genesee Ave Ste 240', 'San Diego', 'San Diego', 'CA', '92121', '8585521244', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-06-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009168', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11009090', 'W11009090', 'CADT01', 'Cox Dental Corporation', 'Yumin', NULL, 'Yu', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-03-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009731', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('562360354', 'W11010523', 'W11010523', 'CADT01', 'Lajolla  Dental Specialty Group', 'Michael', NULL, 'Do', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '4510 Executive Dr Ste 205', 'San Diego', 'San Diego', 'CA', '92121', '8585461802', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2003-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005995', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('450469890', 'W11010627', 'W11010627', 'CADT01', 'Sorrento Mesa Dental Care', 'Firoozeh', NULL, 'Ahmadpour', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '6727 Flanders Dr Ste 105', 'San Diego', 'San Diego', 'CA', '92121', '8584523561', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-05-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004938', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008949', 'W11008949', 'CADT01', 'Cox Dental Corporation', 'Haris', NULL, 'Lakisic', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007181', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008929', 'W11008929', 'CADT01', 'Cox Dental Corporation', 'Tomasz', NULL, 'Ludwiczak', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-01-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007356', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008959', 'W11008959', 'CADT01', 'Cox Dental Corporation', 'Rodolfo', 'Amaya', 'Orozco', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2006-12-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007986', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008917', 'W11008917', 'CADT01', 'Cox Dental Corporation', 'Jon', 'Chen', 'Ou', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '11230 Sorrento Valley Rd Ste 130', 'San Diego', 'San Diego', 'CA', '92121', '8584589126', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008014', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330773587', 'W11008913', 'W11008913', 'CADT01', 'Cox Dental Corporation', 'Jon', 'Chen', 'Ou', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '9339 Genesee Ave Ste 240', 'San Diego', 'San Diego', 'CA', '92121', '8585521244', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008014', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('562360354', 'W11009249', 'W11009249', 'CADT01', 'Lajolla  Dental Specialty Group', 'Arthur', NULL, 'Johnson', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '4510 Executive Dr Ste 205', 'San Diego', 'San Diego', 'CA', '92121', '8585461802', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-05-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006957', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('911987550', 'W11010800', 'W11010800', 'CADT01', NULL, 'Tinou', 'D', 'Tran Roncone', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', '9339 Genesee Ave Ste 240', 'San Diego', 'San Diego', 'CA', '92121', '8586387771', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '1999-08-09', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009168', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('562360354', 'W11008501', 'W11008501', 'CADT01', 'Lajolla  Dental Specialty Group', 'Fabrice', 'J', 'Gallez', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', '4510 Executive Dr Ste 205', 'San Diego', 'San Diego', 'CA', '92121', '8585461802', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006346', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009640', 'W11009640', 'CADT01', 'Smilecare', 'Harpreet', NULL, 'Brar', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005405', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009637', 'W11009637', 'CADT01', 'Smilecare', 'Mohammad', NULL, 'Bustati', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005499', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009612', 'W11009612', 'CADT01', 'Smilecare', 'Hesham', 'Mahmoud', 'Hassan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006611', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009655', 'W11009655', 'CADT01', 'Smilecare', 'Bijan', NULL, 'Aflatooni', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004926', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11008457', 'W11008457', 'CADT01', 'Smilecare', 'Ofelia', NULL, 'Rivera', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008410', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('953542081', 'W11009649', 'W11009649', 'CADT01', 'Smilecare', 'Nazanin', NULL, 'Attaie', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005119', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009648', 'W11009648', 'CADT01', 'Smilecare', 'Vahid', NULL, 'Babaeian', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005137', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009647', 'W11009647', 'CADT01', 'Smilecare', 'Maryam', NULL, 'Bagheri', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005145', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009644', 'W11009644', 'CADT01', 'Smilecare', 'Violet', NULL, 'Baitchev', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005160', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009646', 'W11009646', 'CADT01', 'Smilecare', 'Rozita', NULL, 'Bahadori', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005147', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009623', 'W11009623', 'CADT01', 'Smilecare', 'Thong', NULL, 'Duong', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006058', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009607', 'W11009607', 'CADT01', 'Smilecare', 'Loc', 'Q', 'Huynh', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006820', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009645', 'W11009645', 'CADT01', 'Smilecare', 'James', NULL, 'Bailey', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005150', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009632', 'W11009632', 'CADT01', 'Smilecare', 'Lawrence', 'M', 'Cheng', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005667', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009631', 'W11009631', 'CADT01', 'Smilecare', 'Daniel', 'C', 'Cheng', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005665', 0, 'N', 0, '2008-08-25', 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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('953542081', 'W11009405', 'W11009405', 'CADT01', 'Smilecare', 'Eugene', NULL, 'Pylen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008289', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009581', 'W11009581', 'CADT01', 'Smilecare', 'Kent', 'Carl', 'Meierhenry', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007555', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009573', 'W11009573', 'CADT01', 'Smilecare', 'Kent', 'N', 'Do', 'DMD', 'Pedodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PD', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005994', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009575', 'W11009575', 'CADT01', 'Smilecare', 'Alireza', NULL, 'Moheb', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007659', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009576', 'W11009576', 'CADT01', 'Smilecare', 'Marjan', NULL, 'Mohammadi', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007658', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009602', 'W11009602', 'CADT01', 'Smilecare', 'Susan', 'C', 'Karimkhan Zand', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007035', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009577', 'W11009577', 'CADT01', 'Smilecare', 'Bita', NULL, 'Moghaddas', 'DDS', 'Endodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5EN', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007657', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009554', 'W11009554', 'CADT01', 'Smilecare', 'Gloria', NULL, 'Nollie', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007890', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009599', 'W11009599', 'CADT01', 'Smilecare', 'Hangama', 'Kazem', 'Sadat', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008524', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009598', 'W11009598', 'CADT01', 'Smilecare', 'Liliana', 'Gaby', 'Khabbaz', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007078', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009578', 'W11009578', 'CADT01', 'Smilecare', 'Daniel', 'A', 'Mobati', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007654', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009579', 'W11009579', 'CADT01', 'Smilecare', 'Sudabeh', NULL, 'Moavenian', 'DMD', 'Periodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007653', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009580', 'W11009580', 'CADT01', 'Smilecare', 'Hsiao', 'Y', 'Meng', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007568', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009597', 'W11009597', 'CADT01', 'Smilecare', 'Gordon', NULL, 'Kilmer', 'DMD', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007087', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009596', 'W11009596', 'CADT01', 'Smilecare', 'John', NULL, 'Kirby', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007104', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009571', 'W11009571', 'CADT01', 'Smilecare', 'Reza', NULL, 'Nazari', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007799', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009590', 'W11009590', 'CADT01', 'Smilecare', 'Francis', NULL, 'Lewis', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007264', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009587', 'W11009587', 'CADT01', 'Smilecare', 'Michael', 'C', 'Mai', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007398', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009523', 'W11009523', 'CADT01', 'Smilecare', 'Tederhi', 'T', 'Usude', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009342', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009586', 'W11009586', 'CADT01', 'Smilecare', 'Marie', 'C', 'Mansour', 'DMD', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007418', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009585', 'W11009585', 'CADT01', 'Smilecare', 'Fariba', NULL, 'Matinfar', 'DDS', 'Periodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5PE', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007472', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009588', 'W11009588', 'CADT01', 'Smilecare', 'Aiham', NULL, 'Machhadani', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007378', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009595', 'W11009595', 'CADT01', 'Smilecare', 'Geoffrey', 'Robert', 'Kopecky', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007141', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009584', 'W11009584', 'CADT01', 'Smilecare', 'William', NULL, 'Mcglashan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007515', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009594', 'W11009594', 'CADT01', 'Smilecare', 'Michael', 'E', 'Koury', 'DDS', 'Oral Surgeon', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OS', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007151', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009591', 'W11009591', 'CADT01', 'Smilecare', 'Suong', 'T', 'Le', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007230', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009583', 'W11009583', 'CADT01', 'Smilecare', 'Harry', NULL, 'Mclaughlin', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007527', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009592', 'W11009592', 'CADT01', 'Smilecare', 'Shu', 'Y', 'Law', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007217', 0, 'N', 0, '2008-08-25', 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
('953542081', 'W11009593', 'W11009593', 'CADT01', 'Smilecare', 'Hoa', 'Vincent', 'Lai', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007178', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009582', 'W11009582', 'CADT01', 'Smilecare', 'Shahriar', NULL, 'Mehrvarzi', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007552', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009601', 'W11009601', 'CADT01', 'Smilecare', 'Varsha', 'R', 'Katariya', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007041', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009589', 'W11009589', 'CADT01', 'Smilecare', 'Alenda', NULL, 'Luptrawan', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007368', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009561', 'W11009561', 'CADT01', 'Smilecare', 'Daniel', 'Dung Tien', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007845', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009555', 'W11009555', 'CADT01', 'Smilecare', 'Atoosa', NULL, 'Nikaeen', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007879', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009606', 'W11009606', 'CADT01', 'Smilecare', 'Catherine', 'S', 'Irasusta', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006868', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('953542081', 'W11009556', 'W11009556', 'CADT01', 'Smilecare', 'Hien', 'Tam', 'Nguyen', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '8997 Mira Mesa Blvd', 'San Diego', 'San Diego', 'CA', '92126', '8585365550', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2005-04-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007852', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
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('900085398', 'W11010128', 'W11010128', 'CADT01', NULL, 'Shaheen', NULL, 'Tourian', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '9855 Erma Rd Ste 137', 'San Diego', 'San Diego', 'CA', '92131', '8585668516', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-02-29', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009148', 0, 'N', 0, '2008-08-25', 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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('721525189', 'W11010620', 'W11010620', 'CADT01', NULL, 'Lilia', NULL, 'Larin', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2937 Beyer Blvd', 'San Diego', 'San Diego', 'CA', '92154', '6194243758', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-06-30', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007197', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('521078157', 'W11010671', 'W11010671', 'CADT01', NULL, 'Jerome', 'A', 'Bannister', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '4370 Palm Ave Ste C', 'San Diego', 'San Diego', 'CA', '92154', '6194288682', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2001-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005179', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330781803', 'W11010746', 'W11010746', 'CADT01', NULL, 'Julio', 'Hector', 'Alonso', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2987 Coronado Ave Ste A', 'San Diego', 'San Diego', 'CA', '92154', '6194295979', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '1998-09-25', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004984', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330707470', 'W11010659', 'W11010659', 'CADT01', NULL, 'Florencio', 'Tomas', 'Burquez', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '1270 Picador Blvd Ste L', 'San Diego', 'San Diego', 'CA', '92154', '6196909318', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2001-07-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005491', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('205626086', 'W11008902', 'W11008902', 'CADT01', NULL, 'Jaime', NULL, 'Acuna', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3350 Palm Ave Ste 101', 'San Diego', 'San Diego', 'CA', '92154', '6194243456', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-02-28', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004899', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('952559255', 'W11010859', 'W11010859', 'CADT01', 'Ez Smiles Dental Care', 'Richard', 'W', 'Vogel', 'DMD', 'Dentist', NULL, NULL, NULL, 'O', '1850 Coronado Ave Ste 404', 'San Diego', 'San Diego', 'CA', '92154', '6194231991', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-09-19', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000009458', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('593842378', 'W11008607', 'W11008607', 'CADT01', 'Dental Arts Of Coronado Avenue', 'Jaime', NULL, 'Acuna', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2987 Coronado Ave Ste A', 'San Diego', 'San Diego', 'CA', '92154', '6194295959', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2007-08-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000004899', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('010590421', 'W11010598', 'W11010598', 'CADT01', NULL, 'Jose', 'L', 'Lopez', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '3490 Palm Ave', 'San Diego', 'San Diego', 'CA', '92154', '6194231351', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2002-08-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007329', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330826591', 'W11008547', 'W11008547', 'CADT01', NULL, 'Maria', 'L', 'Rhi', 'DDS', 'Orthodontist', NULL, NULL, NULL, 'O', '3327 Palm Ave', 'San Diego', 'San Diego', 'CA', '92154', '6194234581', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5OR', NULL, NULL, '0.00', '100.00', '0.00', 8, '2008-01-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000008376', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('330781803', 'W11010680', 'W11010680', 'CADT01', NULL, 'Yolanda', 'A', 'Garcia Lorett', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2987 Coronado Ave Ste A', 'San Diego', 'San Diego', 'CA', '92154', '6194295979', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2000-12-31', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000006359', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('617013013', 'W11010674', 'W11010674', 'CADT01', NULL, 'Yadira', NULL, 'Barr', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '2004 Dairy Mart Rd Ste 120', 'San Ysidro', 'San Diego', 'CA', '92173', '6194282436', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2001-05-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000005201', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('161694659', 'W11010005', 'W11010005', 'CADT01', NULL, 'Maximo', 'Daniel', 'Meza Crespo', 'DDS', 'Dentist', NULL, NULL, NULL, 'O', '342 W San Ysidro Blvd Ste D', 'San Ysidro', 'San Diego', 'CA', '92173', '6194282577', NULL, NULL, NULL, 'San Diego', NULL, NULL, NULL, NULL, '5GP', NULL, NULL, '0.00', '100.00', '0.00', 8, '2004-04-15', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'DEN|', '0000007589', 0, 'N', 0, '2008-08-25', NULL, NULL, 0, 0, NULL, NULL),
('275429896', 'W11012209', 'W11012209', 'ID01', NULL, 'Dorothy', 'A', 'Spenner', 'LCPC LMFT', 'Mental Health', 'Marriage and Family Therapy', 'Counseling', NULL, 'O', '136 S Academy Ave', 'Eagle', 'Ada', 'ID', '83616', '2088597256', NULL, '136 S Academy Ave', 'Eagle', 'Ada', 'ID', '83616', '2088597256', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1093768756', 0, 'n', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('275429896', 'W11012210', 'W11012210', 'ID01', NULL, 'Dorothy', 'A', 'Spenner', 'LCPC LMFT', 'Mental Health', 'Marriage and Family Therapy', 'Counseling', NULL, 'O', '136 S Academy Ave', 'Eagle', 'Ada', 'ID', '83616', '2088597256', NULL, '136 S Academy Ave', 'Eagle', 'Ada', 'ID', '83616', '2088597256', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1093768756', 0, 'n', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W11012203', 'W11012203', 'UT01', 'University Health Care', 'Timothy', 'W', 'Odell', 'MD', 'Internal Medicine', '', '', NULL, 'o', '1743 W Redstone Ctr Ste 115', 'Park City', 'Summit', 'UT', '84098', '4356589200', NULL, '1743 W Redstone Ctr Ste 115', 'Park City', 'Summit', 'UT', '84098', '4356589200', '          ', 'WISESTDU', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-08-06', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972693588', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('743134271', 'W11012195', 'W11012195', 'UT01', 'University Health Care', 'Shaji', 'C', 'Menon', 'MD', 'Pediatric Cardiology', 'Pediatrics', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625400', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625400', '', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2008-07-01', '2012-05-01', 0, 0, 0, 'Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1841278066', 0, 'N', 0, '2014-05-27', NULL, NULL, 0, 0, NULL, NULL),
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('820471268', 'W11012232', 'W11012232', 'ID01', 'Sage Health Care PLLC', 'Jude', 'A', 'Boutkaska', 'PA', 'Mental Health', '', '', NULL, 'B', '413 N Allumbaugh St Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', NULL, '413 N Allumbaugh St Ste 101', 'Boise', 'Ada', 'ID', '83704', '2083231125', '', 'IDSTD', 'WUSTDHCPC5', NULL, '0.00', '30.00', '0.00', 6, '2008-09-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1891820767', 0, 'Y', 0, '2014-04-16', NULL, NULL, 43.6086, -116.268, NULL, NULL),
('953641024', 'W11012229', 'W11012229', 'ID02', 'Oliver Chiropractic', 'Herbert', 'W', 'Oliver', 'DC', 'Chiropractic', '', '', NULL, 'O', '5515 Overland Rd', 'Boise', 'Ada', 'ID', '83705', '2083763111', NULL, '5515 Overland Rd', 'Boise', 'Ada', 'ID', '83705', '2083763111', '          ', 'IDCHIRO1', '', '', '0.00', '35.00', '0.00', 3, '2008-09-01', '2011-12-31', 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1700835428', 0, 'N', 0, '2012-01-23', NULL, NULL, 0, 0, NULL, NULL),
('820484941', 'W11012233', 'W11012233', 'ID01', 'Center for Hope and Healing', 'Cathie', 'D', 'Wick', 'LCSW', 'Mental Health', 'Social Worker', 'Counseling', NULL, 'O', '3631 Overland Rd', 'Boise', 'Ada', 'ID', '83705', '2083430441', NULL, '3631 Overland Rd', 'Boise', 'Ada', 'ID', '83705', '2083430441', '', 'IDMA', '', '', '0.00', '35.00', '0.00', 8, '2008-09-01', '2010-10-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1497961460', 0, 'N', 0, '2014-05-21', NULL, NULL, 0, 0, NULL, NULL),
('820484941', 'W11012234', 'W11012234', 'ID01', 'Center for Hope and Healing', 'Cathie', 'D', 'Wick', 'LCSW', 'Mental Health', 'Social Worker', 'Counseling', NULL, 'O', '3631 Overland Rd', 'Boise', 'Ada', 'ID', '83705', '2083430441', NULL, '3631 Overland Rd', 'Boise', 'Ada', 'ID', '83705', '2083430441', '', 'IDMA', NULL, '', '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1497961460', 0, 'n', 0, '2014-05-21', NULL, NULL, 0, 0, NULL, NULL),
('870738370', 'W11012240', 'W11012240', 'ID01', NULL, 'Merrie', 'L', 'Asher', 'LCPC', 'Mental Health', 'Counseling', '', NULL, 'B', 'PO Box 8144', 'Boise', 'Ada', 'ID', '83707', '2083319029', NULL, 'PO Box 8144', 'Boise', 'Ada', 'ID', '83707', '2083319029', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1801914619', 0, 'y', 0, '2013-08-21', NULL, NULL, 0, 0, NULL, NULL),
('820517629', 'W11012262', 'W11012262', 'ID02', 'Idaho Chiropractic Group', 'Corey', 'D', 'Matthews', 'DC', 'Chiropractic', 'Acupuncture', '', NULL, 'B', 'PO Box 7442', 'Boise', 'Ada', 'ID', '83707', '2083436900', NULL, 'PO Box 7442', 'Boise', 'Ada', 'ID', '83707', '2083436900', '', 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', NULL, 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1407958473', 0, 'y', 0, '2013-09-30', NULL, NULL, 0, 0, NULL, NULL),
('870738370', 'W11012239', 'W11012239', 'ID01', NULL, 'Merrie', 'L', 'Asher', 'LCPC', 'Mental Health', 'Counseling', '', NULL, 'B', 'PO Box 8144', 'Boise', 'Ada', 'ID', '83707', '2083319029', NULL, 'PO Box 8144', 'Boise', 'Ada', 'ID', '83707', '2083319029', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1801914619', 0, 'Y', 0, '2013-08-21', NULL, NULL, 0, 0, NULL, NULL),
('530501351', 'W11012280', 'W11012280', 'ID01', NULL, 'Jyl', 'E', 'Adams', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'O', '13150 W Persimmon Ln', 'Boise', 'Ada', 'ID', '83713', '2084843359', NULL, '13150 W Persimmon Ln', 'Boise', 'Ada', 'ID', '83713', '2084843359', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1184764474', 0, 'n', 0, '2013-02-27', 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
('530501351', 'W11012279', 'W11012279', 'ID01', NULL, 'Jyl', 'E', 'Adams', 'LCSW', 'Mental Health', 'Social Worker', '', NULL, 'O', '13150 W Persimmon Ln', 'Boise', 'Ada', 'ID', '83713', '2084843359', NULL, '13150 W Persimmon Ln', 'Boise', 'Ada', 'ID', '83713', '2084843359', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', '2009-09-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1184764474', 0, 'n', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870577591', 'W11012225', 'W11012225', 'UTMH1', 'Child Evaluation & Treatment Center', 'Steven', 'M', 'Gentry', 'PHD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '814 E Bamberger Dr Ste B', 'American Fork', 'Utah', 'UT', '84003', '8017720202', NULL, '814 E Bamberger Dr Ste B', 'American Fork', 'Utah', 'UT', '84003', '8017720202', '', 'PHD', NULL, NULL, '0.00', '35.00', '0.00', 6, '2008-08-28', '2013-02-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407983588', 0, 'n', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W11012285', 'W11012285', 'UT01', 'University Health Care', 'Marie', 'S', 'Haggart', 'MD', 'Family Practice', 'Sports Medicine', '', NULL, 'o', '220 Millpond Rd Ste 100', 'Stansbury Park', 'Tooele', 'UT', '84074', '4358433000', NULL, '220 Millpond Rd Ste 100', 'Stansbury Park', 'Tooele', 'UT', '84074', '4358433000', '          ', 'WISESTDU', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-05-12', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780758227', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'W11012291', 'W11012291', 'UT01', 'University Health Care', 'Cynthia', 'M', 'Mathewson', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015812000', NULL, '1138 Wilmington Ave', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8015812000', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003906611', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W11012316', 'W11012316', 'UT01', 'University Health Care', 'Linda', 'M', 'Ehrich', 'APRN', 'Nurse Practitioner', NULL, NULL, NULL, 'o', '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-06-19', '2009-06-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861487910', 0, 'N', 0, '2008-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W11012340', 'W11012340', 'UT01', 'University Health Care', 'Kimberly', 'A', 'Jones', 'MD', 'Internal Medicine', 'Hematology and Oncology', '', NULL, 'o', '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', NULL, '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-01', '2012-08-27', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588713754', 0, 'N', 0, '2012-08-28', NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W11012326', 'W11012326', 'UT01', 'University Health Care', 'Scott', 'J', 'Samuelson', 'MD', 'Hematology and Oncology', 'Oncology', 'Internal Medicine', NULL, 'o', '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', NULL, '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850100', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', '2009-06-30', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1922288588', 0, 'N', 0, '2012-06-14', NULL, NULL, 0, 0, NULL, NULL),
('364586972', 'W11001990', 'W11001990', 'UT01', 'University Healthcare', 'Kelly', 'E', 'Wood', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621234', '8015877455', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621234', '8015877455', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2008-08-01', '2008-06-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407901283', 0, 'N', 0, '2013-01-22', NULL, NULL, 0, 0, NULL, NULL),
('743134253', 'W11012334', 'W11012334', 'UT01', 'University Health Care', 'Nathan', 'D', 'Meeker', 'MD', 'Pediatric Hematology and Oncolocy', 'Pediatrics', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624700', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016624700', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2008-07-01', '2012-07-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1003087735', 0, 'N', 0, '2012-07-31', NULL, NULL, 0, 0, NULL, NULL),
('743134266', 'W11001988', 'W11001988', 'UT01', 'University Health Care', 'Kelly', 'E', 'Wood', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621234', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016621234', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2008-08-01', '2008-06-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407901283', 0, 'N', 0, '2013-01-22', NULL, NULL, 0, 0, NULL, NULL),
('870551055', 'W11012311', 'W11012311', 'UT01', 'University Health Care', 'Laura', 'K', 'Downey', 'PA', 'Cardiovascular Disease', 'Physician Assistant', NULL, NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625566', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2008-07-01', '2008-06-05', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457547622', 0, 'N', 0, '2008-09-25', NULL, NULL, 0, 0, NULL, NULL),
('743134252', 'W11012288', 'W11012288', 'UT01', 'University Health Care', 'Julie', 'R', 'Korenberg', 'MD', 'Pediatrics', 'Clinical Genetics', '', NULL, 'O', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015818943', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015818943', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2008-07-01', '2012-07-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1831126424', 0, 'N', 0, '2012-07-31', NULL, NULL, 0, 0, NULL, NULL),
('743134271', 'W11012287', 'W11012287', 'UT01', 'University Health Care', 'Larry', 'S', 'Green', 'MD', 'Cardiovascular Disease', 'Internal Medicine', 'Pediatric Cardiology', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625400', NULL, '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625400', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2007-12-04', '2012-07-31', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1982635843', 0, 'N', 0, '2013-08-01', NULL, NULL, 0, 0, NULL, NULL),
('743134267', 'W11012297', 'W11012297', 'UT01', 'University Health Care', 'Kelly', 'E', 'Wood', 'MD', 'Pediatrics', 'Pediatric Emergency Medicine', '', NULL, 'o', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016623645', '8016623446', '100 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016623645', '8016623446', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2008-08-01', '2010-06-30', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1407901283', 0, 'N', 0, '2013-01-22', NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W11012290', 'W11012290', 'UT01', 'UUHC - Westridge Center', 'Cynthia', 'M', 'Mathewson', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '3730 W 4700 S', 'West Valley', 'Salt Lake', 'UT', '84118', '8012139200', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WISESTDU', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-08-01', '2010-02-05', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003906611', 0, 'y', 0, '2008-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W11012324', 'W11012324', 'UT01', 'University Health Care', 'Philip', 'N', 'Isenberg', 'MD', 'Internal Medicine', 'Pediatrics', '', NULL, 'o', '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', NULL, '1525 W 2100 S', 'Salt Lake City', 'Salt Lake', 'UT', '84119', '8012139900', '          ', 'WISESTDU', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 6, '2008-07-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134315872', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W11012331', 'W11012331', 'UT01', 'University of Utah Dept of Ophthalmology', 'John', 'J', 'Whitehead', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '65 Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 6, '2008-07-01', '2009-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891866679', 0, 'N', 0, '2008-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870515631', 'W11012332', 'W11012332', 'UT01', 'University Health Care', 'Derek', 'M', 'Krete', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812268', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', '2009-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467648410', 0, 'N', 0, '2008-10-13', NULL, NULL, 0, 0, NULL, NULL),
('237268471', 'W11012305', 'W11012305', 'UT01', 'University Health Care', 'Henry', 'C', 'Herrod', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817553', '8015853655', NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', '2009-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700092319', 0, 'Y', 0, '2008-08-30', NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W11012337', 'W11012337', 'UT01', 'University of Utah Dept of Ophthalmology', 'Shawn', 'M', 'Ronan', 'MD', 'Ophthalmology', '', '', NULL, 'B', '65 Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', NULL, '65 Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813195', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 6, '2008-07-01', '2012-08-09', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386762227', 0, 'N', 0, '2012-08-10', NULL, NULL, 0, 0, NULL, NULL),
('870542586', 'W11012303', 'W11012303', 'UT01', 'University Health Care', 'Jayasankar', 'R', 'Kaluvapalle', 'MD', 'Internal Medicine', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816709', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-07-01', '2010-07-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1174562276', 0, 'N', 0, '2012-07-25', NULL, NULL, 0, 0, NULL, NULL),
('870442755', 'W11012293', 'W11012293', 'UT01', 'University Health Care', 'Matthew', 'K', 'Topham', 'MD', 'Pulmonary Disease', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817806', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2008-06-01', '2012-08-26', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275613721', 0, 'N', 0, '2012-08-27', NULL, NULL, 0, 0, NULL, NULL),
('876151902', 'W11012330', 'W11012330', 'UT01', 'University Health Care', 'John', 'J', 'Whitehead', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'o', '65 N Mario Capecchi Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812352', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 6, '2008-07-01', '2009-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891866679', 0, 'N', 0, '2008-08-30', NULL, NULL, 0, 0, NULL, NULL),
('237268471', 'W11012299', 'W11012299', 'UT01', 'University Health Care', 'James', 'C', 'Smith', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817553', '8015850520', NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', '2009-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780857490', 0, 'Y', 0, '2008-08-30', NULL, NULL, 0, 0, NULL, NULL),
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('870645559', 'W11012329', 'W11012329', 'UT01', 'University of Utah General Pediatrics', 'Chad', 'M', 'Cox', 'MD', 'Pediatrics', '', '', NULL, 'B', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '8015853655', 'PO Box 413021', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '8015853655', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2008-07-01', '2009-06-30', 0, 0, 0, 'Timpanogos Regional Hospital', '', '', '', 'HCFA|UB|', '1487714820', 0, 'y', 0, '2012-10-23', NULL, NULL, 0, 0, NULL, NULL),
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('237268471', 'W11012345', 'W11012345', 'UT01', 'University Radiology Associates', 'Marc', 'S', 'Tubay', 'MD', 'Radiologist', NULL, NULL, NULL, 'B', 'PO Box 413025', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '8015853655', NULL, NULL, 'Salt Lake', NULL, NULL, NULL, NULL, 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', '2009-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1346428513', 0, 'y', 0, '2008-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870442845', 'W11012327', 'W11012327', 'UT01', 'U-U Hematology / Oncology Division', 'Scott', 'J', 'Samuelson', 'MD', 'Hematology and Oncology', 'Oncology', 'Internal Medicine', NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '8015853655', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '8015853655', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2008-07-01', '2009-06-30', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1922288588', 0, 'y', 0, '2012-06-14', NULL, NULL, 0, 0, NULL, NULL),
('528406884', 'W11012230', 'W11012230', 'UTMH1', 'Ken Jackson Counseling', 'Kenneth', 'N', 'Jackson', 'LMFT', 'Mental Health', 'Marriage and Family Therapy', '', NULL, 'O', '115 S 100 E', 'Ephraim', 'Sanpete', 'UT', '84627', '4352836826', NULL, '115 S 100 E', 'Ephraim', 'Sanpete', 'UT', '84627', '4352836826', '          ', 'PHD', '', '', '0.00', '35.00', '0.00', 3, '2008-09-01', '2012-01-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1942347497', 0, 'N', 0, '2012-01-18', NULL, NULL, 0, 0, NULL, NULL),
('208487468', 'W11012263', 'W11012263', 'UT01', 'Advanced Pulmonary, Sleep Disorders and Internal Medicine', 'Mustufa', 'T', 'Saifee', 'MD', 'Pulmonary', 'Sleep Disorders', 'Critical Care Medicine', NULL, 'O', '1301 Bertha Howe Ave Ste 11', 'Mesquite', 'Clark', 'NV', '89027', '4356887770', NULL, '1301 Bertha Howe Ave Ste 11', 'Mesquite', 'Clark', 'NV', '89027', '4356887770', '          ', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-03-05', NULL, 0, 0, 0, 'Dixie Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1568428357', 0, 'N', 0, '2012-03-26', NULL, NULL, 36.8087, -114.115, NULL, NULL),
('208487468', 'W11012264', 'W11012264', 'UT01', 'Advanced Pulmonary, Sleep Disorders and Internal Medicine', 'Zahabia', 'T', 'Gandhi', 'MD', 'Internal Medicine', '', '', NULL, 'O', '1301 Bertha Howe Ave Ste 11', 'Mesquite', 'Clark', 'NV', '89027', '4356887770', NULL, '1301 Bertha Howe Ave Ste 11', 'Mesquite', 'Clark', 'NV', '89027', '4356887770', '          ', 'WISESTD', 'WUSTDHCPC5', '', '0.00', '35.00', '0.00', 3, '2008-03-05', NULL, 0, 0, 0, 'Dixie Regional Medical Center', '', '', '', 'HCFA|UB|', '1538125240', 0, 'N', 0, '2014-03-24', NULL, NULL, 36.8087, -114.115, NULL, NULL),
('870635889', 'W11012353', 'W11012353', 'UT01', NULL, 'Scott', 'G', 'Anders', 'MD', 'Family Practice', '', '', NULL, 'B', '330 Franklin Rd 135A-304', 'Brentwood', 'Williamson', 'TN', '37027', '4358433647', '4358821275', '330 Franklin Rd 135A-304', 'Brentwood', 'Williamson', 'TN', '37027', '4358433647', '4358821275', 'WiseSTD', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', NULL, 0, 0, 0, 'Mountain West Medical Center', '', '', '', 'HCFA|UB|', '1194838128', 0, 'y', 0, '2012-06-25', NULL, NULL, 0, 0, NULL, NULL),
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('743003368', 'W11012347', 'W11012347', 'TX01', 'Sports Occupational & Knee Surgery PA', 'Peter', 'E', 'Holmes', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '9150 Huebner Rd Ste 200', 'San Antonio', 'Bexar', 'TX', '78240', '2106969000', NULL, 'PO Box 847877', 'Dallas', 'Bexar', 'TX', '75284', NULL, NULL, 'TXORTHO', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2008-09-01', '2009-06-15', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006755', 0, 'N', 0, '2008-09-02', NULL, NULL, 29.5273, -98.5948, NULL, NULL),
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('820525508', 'W11012362', 'W11012362', 'ID02', 'Whole Health Chiropractic PA', 'Erika', 'L', 'Putnam', 'DC', 'Chiropractic', '', '', NULL, 'O', '430 W Iowa Ave Ste A', 'Nampa', 'Canyon', 'ID', '83686', '2084421123', NULL, '430 W Iowa Ave Ste A', 'Nampa', 'Canyon', 'ID', '83686', '2084421123', '', 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', '2009-04-30', 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1336279546', 0, 'n', 0, '2011-12-19', NULL, NULL, 0, 0, NULL, NULL),
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('261527457', 'W11012357', 'W11012357', 'ID01', NULL, 'Susan', 'K', 'Barnes', 'LCPC LMFT', 'Mental Health', 'Marriage and Family Therapy', 'Counseling', NULL, 'O', '1408 W Hays St', 'Boise', 'Ada', 'ID', '83702', '2083432730', NULL, '1408 W Hays St', 'Boise', 'Ada', 'ID', '83702', '2083432730', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1053436618', 0, 'n', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('202872052', 'W11012366', 'W11012366', 'ID02', 'Williams Chiropractic', 'Michael', 'F', 'Williams', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '1961 Broadway Ave', 'Boise', 'Ada', 'ID', '83706', '2083441851', NULL, '1961 Broadway Ave', 'Boise', 'Ada', 'ID', '83706', NULL, NULL, 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', '2009-06-09', 0, 0, 1, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447467824', 0, 'y', 0, '2008-09-02', NULL, NULL, 0, 0, NULL, NULL),
('900052501', 'W11012363', 'W11012363', 'ID02', 'Advanced Chiropractic', 'Miles', 'E', 'Ranck', 'DC', 'Chiropractic', '', '', NULL, 'O', '6720 W Overland Rd', 'Boise', 'Ada', 'ID', '83709', '2083231440', NULL, '6720 W Overland Rd', 'Boise', 'Ada', 'ID', '83709', '2083231440', '', 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', NULL, 0, 0, 1, '', '', '', '', 'HCFA|UB|', '1336247972', 0, 'n', 0, '2012-03-01', NULL, NULL, 0, 0, NULL, NULL),
('261527457', 'W11012355', 'W11012355', 'ID01', 'Warm Springs Counseling Center', 'Susan', 'K', 'Barnes', 'LCPC LMFT', 'Mental Health', 'Marriage and Family Therapy', 'Counseling', NULL, 'O', '740 Warm Springs Ave', 'Boise', 'Ada', 'ID', '83712', '2083437797', NULL, '740 Warm Springs Ave', 'Boise', 'Ada', 'ID', '83712', '2083437797', '          ', 'IDMA', '', '', '0.00', '35.00', '0.00', 3, '2008-09-02', '2010-11-29', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1053436618', 0, 'N', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('261527457', 'W11012356', 'W11012356', 'ID01', 'Warm Springs Counseling Center', 'Susan', 'K', 'Barnes', 'LCPC LMFT', 'Mental Health', 'Marriage and Family Therapy', 'Counseling', NULL, 'O', '740 Warm Springs Ave', 'Boise', 'Ada', 'ID', '83712', '2083437797', NULL, '740 Warm Springs Ave', 'Boise', 'Ada', 'ID', '83712', '2083437797', '', 'IDMA', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-11-01', '2008-11-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1053436618', 0, 'n', 0, '2013-02-27', NULL, NULL, 0, 0, NULL, NULL),
('202872052', 'W11012367', 'W11012367', 'ID02', 'Williams Chiropractic', 'Michael', 'F', 'Williams', 'DC', 'Chiropractic', NULL, NULL, NULL, 'B', '13900 W Wainwright Dr Ste 103', 'Boise', 'Ada', 'ID', '83713', '2088882278', NULL, '1961 Broadway Ave', 'Boise', 'Ada', 'ID', '83706', NULL, NULL, 'IDCHIRO1', NULL, NULL, '0.00', '35.00', '0.00', 3, '2008-09-01', '2009-06-09', 0, 0, 1, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447467824', 0, 'y', 0, '2008-09-02', NULL, NULL, 0, 0, NULL, NULL),
('870577591', 'W11012364', 'W11012364', 'UTMH1', 'Marriage & Family Relations Center', 'Steven', 'M', 'Gentry', 'PHD', 'Mental Health', 'Psychology', NULL, NULL, 'O', '814 E Bamberger Dr Ste B', 'American Fork', 'Utah', 'UT', '84003', '8017720227', NULL, '814 E Bamberger Dr', 'American Fork', 'Utah', 'UT', '84003', NULL, NULL, 'PHD', NULL, NULL, '0.00', '35.00', NULL, 6, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407983588', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870616107', 'W11012377', 'W11012377', 'UT01', 'UUHC - Centerville Clinic', 'Dennis', 'A', 'Blackburn', 'DPM', 'Podiatry', '', '', NULL, 'o', '26 S Main Street', 'Centerville', 'Davis', 'UT', '84014', '8016937900', NULL, '26 S Main Street', 'Centerville', 'Davis', 'UT', '84014', '8016937900', '', 'WISESTDU', 'WUSTDHCPC5', NULL, '0.00', '35.00', '0.00', 6, '2008-06-15', '2009-12-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1306852249', 0, 'N', 0, '2011-04-04', NULL, NULL, 0, 0, NULL, NULL);
