INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870476269', 'W77003944', 'W77003944', 'UT01', 'U Of U Dept Of Pediatrics', 'Jennifer', 'A', 'Whitehead', 'PA', 'Infectious Disease', 'Pediatric Infectious Diseases', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2004-02-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834296', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003945', 'W77003945', 'UT01', 'U Of U Pediatrics - General', 'Jennifer', 'A', 'Whitehead', 'PA', 'Infectious Disease', 'Pediatric Infectious Diseases', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816791', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2004-02-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834296', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003946', 'W77003946', 'UT01', 'U Of U Ob Diagnostic Center', 'Neil', 'K', 'Kochenour', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '30 N 1900 E Ste 2B200', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174603070', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003947', 'W77003947', 'UT01', 'U Of U Ob Diagnostic Center', 'Neil', 'K', 'Kochenour', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 58859', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174603070', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003948', 'W77003948', 'UT01', 'U Of U Ob Diagnostic Center', 'Kathleen', 'A', 'O''Neil', 'MD', 'Obstetrics and Gynecology', 'OB Diagnotic', NULL, NULL, 'B', 'PO Box 58859', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTIMAGE', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164469243', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003949', 'W77003949', 'UT01', 'U Of U Ob Diagnostic Center', 'Bryan', 'T', 'Oshiro', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 58859', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOBG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1780608489', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003950', 'W77003950', 'UT01', 'U Of U Ob Diagnostic Center', 'Troy', 'F', 'Porter', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'O', '30 N 1900 E Ste 2B200', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245310143', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003951', 'W77003951', 'UT01', 'U Of U Ob Diagnostic Center', 'Troy', 'F', 'Porter', 'MD', 'Maternal Fetal Medicine', 'Obstetrics and Gynecology', NULL, NULL, 'B', 'PO Box 58859', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245310143', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003952', 'W77003952', 'UT01', 'U Of U Ob Diagnostic Center', 'Howard', 'T', 'Sharp', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '30 N 1900 E Ste 2B200', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1871673772', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003953', 'W77003953', 'UT01', 'U Of U Ob Diagnostic Center', 'Jennifer', 'J', 'Trauscht-Van Horn', 'MD', 'Obstetrics and Gynecology', 'Certified Nurse Midwife', NULL, NULL, 'O', '30 N 1900 E Ste 2B200', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-02-28', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1306926209', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003954', 'W77003954', 'UT01', 'U Of U Ob Diagnostic Center', 'Kenneth', 'H', 'Wong', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '30 N 1900 E Ste 2B200', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812719', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831462', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611463417', 'W77003955', 'W77003955', 'UT01', 'U Of U Ob Diagnostic Center', 'Paula', 'J', 'Woodward', 'MD', 'Obstetrics and Gynecology', 'OB Diagnotic', 'Radiologist', NULL, 'B', 'PO Box 58859', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003808429', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611467339', 'W77003956', 'W77003956', 'UT01', 'Wasatch Speech and Language Center', 'anguage Center', 'Inc', 'Wasatch Speech and L', 'GROUP', 'Speech Therapy', NULL, NULL, NULL, 'O', '2120 E 3900 S Ste 100', 'Holladay', 'Salt Lake', 'UT', '84124', '8013080400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-02-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '835222', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611467339', 'W77003957', 'W77003957', 'UT01', 'Wasatch Speech and Language Center', 'anguage Center', 'Inc', 'Wasatch Speech and L', 'GROUP', 'Speech Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8887006907', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-02-01', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '835222', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611489279', 'W77003958', 'W77003958', 'UT01', 'Bountiful Cosmetic Dermatology', 'John', 'L', 'Peterson', 'MD', 'Dermatology', NULL, NULL, NULL, 'O', '520 Medical Dr Ste 320', 'Bountiful', 'Davis', 'UT', '84010', '8012999050', '8012999051', NULL, NULL, '', NULL, NULL, '', '', 'USTDDERM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-11-18', '2006-12-31', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1891729109', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('611490931', 'W77003959', 'W77003959', 'UT01', 'Wasatch Physical Therapy & Sports Medicine', 'rapy & Sports M', 'edicine', 'Wasatch Physical The', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 982017', 'Park City', 'Summit', 'UT', '84098', '8014863032', '4356497568', NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '57.75', 3, '2005-11-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949563', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003960', 'W77003960', 'UT01', 'U Of U Pediatrics - General', 'Nicole', 'R', 'Frei', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812121', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-02-04', '2004-11-05', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437260338', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003961', 'W77003961', 'UT01', 'U Of U Pediatrics - PCMC', 'Martin', 'C', 'Gregory', 'MD PHD', 'Nephrology', 'Pediatric Nephrology', NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-08-05', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1912926049', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003962', 'W77003962', 'UT01', 'U Of U Dept Of Pediatrics', 'Stephen', 'L', 'Guthery', 'MD', 'Pediatric Gastroenterology', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-07-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801975370', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003963', 'W77003963', 'UT01', 'U Of U Pediatrics - PCMC', 'Amy', 'M', 'Herbener', 'MD', 'Pediatric Infectious Diseases', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-10-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1750460325', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003964', 'W77003964', 'UT01', 'U Of U Dept Of Pediatrics', 'August', 'L', 'Jung', 'MD', 'Neonatology', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023197696', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003965', 'W77003965', 'UT01', 'U Of U Dept Of Pediatrics', 'Heather', 'T', 'Keenan', 'MD', 'Pediatric Critical Care', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-07-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1700965274', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003966', 'W77003966', 'UT01', 'U Of U Dept Of Pediatrics', 'Charles', 'III', 'Keller', 'MD', 'Pediatric Hematology and Oncolocy', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-01-29', '2004-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834523', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003967', 'W77003967', 'UT01', 'U Of U Pediatrics - General', 'Lynne', 'M', 'Kerr', 'MD', 'Pediatric Neurology', 'Pediatrics', 'Pediatric Psychiatry', NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1578638474', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003968', 'W77003968', 'UT01', 'U Of U Pediatrics - General', 'Jerald', 'D', 'King', 'MD', 'Neonatology', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015816598', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215016886', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003969', 'W77003969', 'UT01', 'U Of U Pediatrics - PCMC', 'Timothy', 'R', 'LaPine', 'MD', 'Neonatology', 'Pediatrics', NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015817052', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2001-05-31', '2005-06-30', 0, 0, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1760481162', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003970', 'W77003970', 'UT01', 'U Of U Pediatrics - PCMC', 'Sara', 'M', 'Lamb', 'MD', 'Internal Medicine', 'Pediatrics', 'Pediatric Internal Medicine', NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015812321', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2005-01-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134219744', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003971', 'W77003971', 'UT01', 'U Of U Dept Of Pediatrics', 'Robert', 'H', 'Lane', 'MD', 'Neonatology', 'Pediatrics', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-09-03', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528147097', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003972', 'W77003972', 'UT01', 'U Of U Pediatrics - PCMC', 'Karen', 'E', 'Lantz', 'MD', 'Pediatrics', 'Pediatric Internal Medicine', NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883813', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-08-01', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043300650', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870476269', 'W77003973', 'W77003973', 'UT01', 'U Of U Dept Of Pediatrics', 'Stephen', 'L', 'Lessnick', 'MD', 'Pediatric Hematology and Oncolocy', 'Pediatrics', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2004-02-19', '2005-06-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982783452', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003974', 'W77003974', 'UT01', 'Lifetree Medical', 'Paul', 'E', 'Pinson', 'MD', 'Pain Management', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2002-03-12', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832123', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003976', 'W77003976', 'UT01', 'Lifetree Medical', 'Roger', 'A', 'Sausedo', 'CRNA', 'Nurse Anesthetist', NULL, NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2003-01-01', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073507752', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003977', 'W77003977', 'UT01', 'Lifetree Medical', 'Wayne', NULL, 'Sexton', 'CRNA', 'Nurse Anesthetist', 'Anesthesiology', NULL, NULL, 'O', '617 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012618272', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-07-02', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649264664', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003979', 'W77003979', 'UT01', 'Lifetree Medical', 'Todd', 'C', 'Seymour', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '617 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012618272', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '44.10', NULL, NULL, 3, '2003-02-01', '2005-06-01', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832221', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003980', 'W77003980', 'UT01', 'Lifetree Medical', 'William', 'R', 'Smith', 'CRNA', 'Anesthesiology', 'Nurse Anesthetist', NULL, NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-12-01', '2006-10-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1013901529', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003981', 'W77003981', 'UT01', 'Lifetree Medical', 'Randy', NULL, 'Thurgood', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '617 E 3900 S', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012618272', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-06-01', '2006-10-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245238146', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003982', 'W77003982', 'UT01', 'Lifetree Pain Clinic', 'Randy', NULL, 'Thurgood', 'MD', 'Anesthesiology', NULL, NULL, NULL, 'O', '3838 S 700 E Ste 200', 'Salt Lake City', 'Salt Lake', 'UT', '84106', '8012614988', '8012699427', NULL, NULL, '', NULL, NULL, '', '', '135', NULL, '1000', '47.25', NULL, NULL, 3, '2001-06-01', '2006-10-31', 1, 12, 0, 'St Marks Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1245238146', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870474993', 'W77003983', 'W77003983', 'UT01', 'Lifetree Medical', 'Thomas', 'K', 'Trauba', 'MD', 'Mental Health', 'Psychiatry', 'Pain Management', NULL, 'B', 'PO Box 27688', 'Salt Lake City', 'Salt Lake', 'UT', '84127', '8015341360', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDPAIN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-02-21', '2006-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1891793147', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870479370', 'W77004055', 'W77004055', 'UT01', 'Mountain West Cardiovascular Associates', 'Christine', 'L', 'Anderson', 'NP', NULL, NULL, NULL, NULL, 'O', '1160 E 3900 S Ste 2000', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012663418', '8012664174', '1160 E 3900 S', 'Salt Lake City', '', 'UT', '84124', '', '', 'USTDMULT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-03-25', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '920826', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870479370', 'W77004056', 'W77004056', 'UT01', 'Mountain West Cardiovascular Associates', 'Thomas', 'Robert', 'Calame', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '24 S 1100 E Ste 105', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8012663418', NULL, '1160 E 3900 S', 'Salt Lake City', '', 'UT', '84124', '', '', 'USTDCARD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-06-30', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1801888748', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795214', 'W77004057', 'W77004057', 'UT01', 'Salt Lake Senior Clinic', 'Keith', 'J', 'Lane', 'MD', 'Internal Medicine', 'Geriatric Medicine', NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', '8013529502', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-05-23', '2006-10-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1558370361', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795214', 'W77004058', 'W77004058', 'UT01', 'Salt Lake Senior Clinic', 'Mandi', 'J', 'McKay', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', '8013529502', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-11-19', '2005-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699716373', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795214', 'W77004059', 'W77004059', 'UT01', 'Family Health Partners', 'Elizabeth', 'L', 'Remillong', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', '8013529502', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-09-30', '2005-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '940043', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795215', 'W77004060', 'W77004060', 'UT01', 'Jordan Valley Hospital Holdings', 'Sean', 'D', 'Biggs', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', '8013527976', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-08-01', '2005-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1841233558', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795215', 'W77004061', 'W77004061', 'UT01', NULL, 'Stephanie', NULL, 'Fine', 'MD', 'General Surgery', NULL, NULL, NULL, 'O', '3590 W 9000 S Ste 315', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015611100', '8015611188', NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-03-01', '2005-12-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1922008622', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795215', 'W77004062', 'W77004062', 'UT01', 'Jordan Valley Hospital Holdings', 'Robert', 'B', 'McFaul', 'DO', 'General Surgery', 'Vascular Surgery', NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', '8013527976', NULL, NULL, '', NULL, NULL, '', '', 'USTDSURG', NULL, NULL, '0.00', '35.00', NULL, 3, '2005-11-18', '2005-12-14', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '947590', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795216', 'W77004063', 'W77004063', 'UT01', 'Pioneer Valley Hospital Pro Fees', 'tal Pro Fees', NULL, 'Pioneer Valley Hospi', 'GROUP', 'Multi Specialty (Clinic)', NULL, NULL, NULL, 'O', '3460 Pioneer Pkwy', 'West Valley', 'Salt Lake', 'UT', '84120', '8019643100', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, NULL, '0.00', '0.00', '42.00', 3, '1999-09-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834557', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795217', 'W77004064', 'W77004064', 'UT01', 'Davis Internal Medicine', 'Robert', 'R', 'Mohr', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1750314480', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621795217', 'W77004065', 'W77004065', 'UT01', 'Davis Internal Medicine', 'Lovenia', 'M', 'Stam', 'NP', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831612', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621801973', 'W77004066', 'W77004066', 'UT01', 'Pioneer Valley Hospital Physicians', 'Mandi', 'J', 'McKay', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 95970', 'South Jordan', 'Salt Lake', 'UT', '84095', '8013529500', '8019699028', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-11-19', '2006-09-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699716373', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('621831495', 'W77004067', 'W77004067', 'UT01', 'Timpanogos Regional Hospital Pro Fees', 'Hospital Pro Fe', 'es', 'Timpanogos Regional', 'GROUP', 'Multi Specialty (Clinic)', NULL, NULL, NULL, 'O', '750 W 800 N', 'Orem', 'Utah', 'UT', '84057', '8017146000', NULL, NULL, NULL, '', NULL, NULL, '', '', NULL, NULL, '2358', '0.00', '40.00', NULL, 3, '2001-12-01', '2006-09-30', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832015', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870483582', 'W77004271', 'W77004271', 'UT01', 'University Of Utah Orthopedic Consultants', 'Daniel', NULL, 'Horwitz', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812041', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174613772', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77004272', 'W77004272', 'UT01', 'University Of Utah Orthopedic Consultants', 'Douglas', 'T', 'Hutchinson', 'MD', 'Orthopedic Surgery', 'Hand Surgery', 'Pediatric Orthopedic Surgery', NULL, 'B', 'PO Box 58108', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '1999-09-01', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972557825', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870483582', 'W77004370', 'W77004370', 'UT01', 'University Orthopedic Center', 'Charles', 'L', 'Saltzman', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-11-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962583146', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870484010', 'W77004379', 'W77004379', 'UT01', 'Salt Lake Physical Therapy Associates', 'Nancy', NULL, 'Welti', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '4888 Highland Dr', 'Holladay', 'Salt Lake', 'UT', '84117', '8012649855', '8012649858', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '1999-09-01', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833492', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870484194', 'W77004380', 'W77004380', 'UT01', 'Jones DPM, Max E', 'Max', 'E', 'Jones', 'DPM', 'Podiatry', NULL, NULL, NULL, 'B', '3920 S 1100 E Ste 115', 'Salt Lake City', 'Salt Lake', 'UT', '84124', '8012689415', '8012680423', NULL, NULL, '', NULL, NULL, '', '', 'USTDPOD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2005-09-30', '2006-08-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689611824', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870484924', 'W77004381', 'W77004381', 'UT01', 'Oculoplastic Surgery', 'Richard', 'L', 'Anderson', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '1002 E S Temple Ste 308', 'Salt Lake City', 'Salt Lake', 'UT', '84102', '8013633355', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDOPHT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2006-08-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1295784759', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134251', 'W77004382', 'W77004382', 'UT01', 'Pediatric Gastroenterology Dept University of Utah', 'Stephen', 'L', 'Guthery', 'MD', 'Pediatric Gastroenterology', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015882000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-07-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801975370', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134251', 'W77004383', 'W77004383', 'UT01', 'Pediatric Gastroenterology Dept University of Utah', 'Molly', 'A', 'O''Gorman', 'MD', 'Pediatric Gastroenterology', 'Gastroenterology', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367726', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1144339391', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134252', 'W77004384', 'W77004384', 'UT01', 'Pediatric Genetics Dept University of Utah', 'Alan', 'F', 'Rope', 'MD', 'Pediatrics', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367726', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-08-04', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619056181', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134252', 'W77004385', 'W77004385', 'UT01', 'Pediatric Genetics Dept University of Utah - DNP', 'Alan', 'F', 'Rope', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '100 N Medical', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015882000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-08-04', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1619056181', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134252', 'W77004386', 'W77004386', 'UT01', 'Pediatric Genetics Dept University of Utah', 'David', 'A', 'Stevenson', 'MD', 'Medical Genetics ', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367726', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2005-08-12', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1073617460', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134252', 'W77004387', 'W77004387', 'UT01', 'Pediatric Genetics Dept University of Utah', 'David', 'H', 'Viskochil', 'MD', 'Medical Genetics ', 'Neonatology', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367726', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1760561336', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134253', 'W77004388', 'W77004388', 'UT01', 'Pediatric Hematology Dept University of Utah', 'Zeinab', 'A', 'Afify', 'MD', 'Pediatric Hematology and Oncolocy', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015882000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2002-11-15', '2006-07-31', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1174602643', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134253', 'W77004389', 'W77004389', 'UT01', 'Pediatric Hematology Dept University of Utah', 'Phillip', 'E', 'Barnette', 'MD', 'Pediatric Hematology and Oncolocy', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015882000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-07-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831278308', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134253', 'W77004390', 'W77004390', 'UT01', 'Pediatric Hematology Dept University of Utah', 'Phillip', 'E', 'Barnette', 'MD', 'Pediatric Hematology and Oncolocy', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367726', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-07-03', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831278308', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134253', 'W77004391', 'W77004391', 'UT01', 'Pediatric Hematology Dept University of Utah', 'Richard', 'S', 'Lemons', 'MD', 'Pediatric Hematology and Oncolocy', NULL, NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015882000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073692646', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134253', 'W77004392', 'W77004392', 'UT01', 'Pediatric Hematology Dept University of Utah', 'Stephen', 'L', 'Lessnick', 'MD', 'Pediatric Hematology and Oncolocy', 'Pediatrics', NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015882000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2004-02-19', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982783452', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134253', 'W77004393', 'W77004393', 'UT01', 'Pediatric Hematology Dept University of Utah', 'Wendy', 'Y', 'Tcheng', 'MD', 'Pediatric Hematology and Oncolocy', 'Pediatrics', NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367726', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-11-03', '2005-07-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831879', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134253', 'W77004394', 'W77004394', 'UT01', 'Pediatric Hematology Dept University of Utah', 'David', 'M', 'Virshup', 'MD', 'Pediatric Hematology and Oncolocy', 'Oncology', NULL, NULL, 'O', '100 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015882000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2000-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833259', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870480520', 'W77004395', 'W77004395', 'UT01', 'U Of U Neurology', 'Victoria', 'H', 'Lawson', 'MD', 'Neurology', NULL, NULL, NULL, 'B', 'PO Box 58307', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015856387', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2001-09-20', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '831975', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870483582', 'W77004571', 'W77004571', 'UT01', 'University Of Utah Orthopedic Consultants', 'Stephen', 'M', 'Kurtin', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2002-08-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832280', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870492872', 'W77004596', 'W77004596', 'UT01', 'Rocky Mountain Therapy Services', 'Mitchell', 'W', 'Felix', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '8822 Redwood Rd Ste E-122', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015667080', '8012561133', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2005-10-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834255', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492872', 'W77004597', 'W77004597', 'UT01', 'Rocky Mountain Therapy Services', 'Mitchell', 'W', 'Felix', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8015667080', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2005-10-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834255', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492872', 'W77004598', 'W77004598', 'UT01', 'Rocky Mountain Therapy Services', 'Kirk', NULL, 'Kingery', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'O', '8822 Redwood Rd Ste E-122', 'West Jordan', 'Salt Lake', 'UT', '84088', '8015667080', '8012561133', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2005-09-01', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1184735755', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492872', 'W77004599', 'W77004599', 'UT01', 'Rocky Mountain Therapy Services', 'Keith', 'Jay', 'Ludwig', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', 'PO Box 307', 'Bountiful', 'Davis', 'UT', '84011', '8015667080', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2002-08-01', '2006-03-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1447323647', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743134291', 'W77004600', 'W77004600', 'UT01', 'Pediatric Endocrinology Dept University of Utah', 'Maria', 'F', 'Simard', 'MD', 'Pediatric Endocrinology', NULL, NULL, NULL, 'B', 'PO Box 581100', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012367726', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUMGPED', NULL, NULL, '0.00', '15.00', NULL, 3, '2003-04-01', '2006-07-31', 0, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1083793558', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753026770', 'W77004601', 'W77004601', 'UT01', 'Cascade Foot And Ankle Clinic', 'Jared', 'T', 'Clegg', 'DPM', 'Podiatry', NULL, NULL, NULL, 'O', '48 W 1500 N', 'Nephi', 'Juab', 'UT', '84648', '4356233200', '8013739200', NULL, NULL, '', NULL, NULL, '', '', 'USTDPOD', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-01-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588664759', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('753097476', 'W77004602', 'W77004602', 'UT01', 'Abarca, Sergio O', 'Sergio', 'O', 'Abarca', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1929 Aaron Dr Ste I', 'Tooele', 'Tooele', 'UT', '84074', '4358822350', '4358822309', NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-07-01', '2006-08-31', 0, 0, 0, 'Mountain West Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1245238617', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('760735900', 'W77004603', 'W77004603', 'UT01', 'Nightime Healthcare Systems', 'Raymond', 'P', 'Ward', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 571950', 'Salt Lake City', 'Salt Lake', 'UT', '84157', '8013529500', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-07-01', '2005-06-30', 0, 0, 0, 'Lakeview Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1043273386', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('760797373', 'W77004604', 'W77004604', 'UT01', 'Farmington Family Medicine', 'Julie', 'C', 'Hibbard', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '1401 N Highway 89 Ste 220', 'Farmington', 'Davis', 'UT', '84025', '8014514538', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDFAM', NULL, NULL, '0.00', '35.00', NULL, 3, '2003-08-05', '2006-08-31', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1457312845', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870502988', 'W77004691', 'W77004691', 'UT01', 'Urology Associates', 'Michael', 'R', 'McFadden', 'MD', 'Urology', NULL, NULL, NULL, 'O', '182 E 2100 S Ste 202', 'South Salt Lake', 'Salt Lake', 'UT', '84115', '8014848856', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDURO', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2004-05-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1811067283', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870502988', 'W77004692', 'W77004692', 'UT01', 'Urology Associates', 'Ronald', 'J', 'Saunders', 'MD', 'Urology', NULL, NULL, NULL, 'O', '182 E 2100 S Ste 202', 'South Salt Lake', 'Salt Lake', 'UT', '84115', '8014848856', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDURO', NULL, NULL, '0.00', '35.00', NULL, 3, '2002-01-01', '2004-05-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '833154', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870503202', 'W77004693', 'W77004693', 'UT01', 'Davis Ear Nose And Throat', 'Kelly', 'E', 'Stoker', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'O', '469 Medical Dr Ste 106', 'Bountiful', 'Davis', 'UT', '84010', '8012923331', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDENT', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2004-10-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740338136', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870503202', 'W77004694', 'W77004694', 'UT01', 'Mountain West Ear Nose and Throat', 'Kelly', 'E', 'Stoker', 'MD', 'Ear, Nose and Throat', NULL, NULL, NULL, 'B', '1660 W Antelope Dr Ste 315', 'Layton', 'Davis', 'UT', '84041', '8017762180', '8017762534', NULL, NULL, '', NULL, NULL, '', '', 'USTDENT', NULL, NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2004-10-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740338136', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841367175', 'W77004695', 'W77004695', 'UT01', 'Canyon View Medical Group', 'Carter', 'Sanders', 'Lytle', 'MD', 'Family Practice', NULL, NULL, NULL, 'O', '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1588619506', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841367175', 'W77004696', 'W77004696', 'UT01', 'Canyon View Medical Group', 'Stuart', 'B', 'Porter', 'DO', 'Family Practice', NULL, NULL, NULL, 'O', '5 E 400 N', 'Springville', 'Utah', 'UT', '84663', '8014898464', '8014896378', NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2005-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689612996', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841367175', 'W77004697', 'W77004697', 'UT01', 'Canyon View Medical Group', 'Kay', 'C', 'Whittaker', 'FNP', 'Family Practice', NULL, NULL, NULL, 'O', '325 W Ctr St', 'Spanish Fork', 'Utah', 'UT', '84660', '8017987301', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUVPN', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '1999-09-01', '2006-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497793707', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('841373679', 'W77004699', 'W77004699', 'UT01', 'Fantle, David M', 'David', 'M', 'Fantle', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '425 E 5350 S Ste 315', 'Ogden', 'Weber', 'UT', '84405', '8014799119', NULL, NULL, NULL, '', NULL, NULL, '', '', 'USTDNRLG', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2002-04-01', '2007-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832681', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841375365', 'W77004700', 'W77004700', 'UT01', 'Canyon Rim Physical Therapy', 'Therapy', NULL, 'Canyon Rim Physical', 'GROUP', 'Physical Therapy', NULL, NULL, NULL, 'O', '2295 Foothill Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84109', '8014867542', '8014843110', NULL, NULL, '', NULL, NULL, '', '', 'UDME', 'USTDHCPC', '2293', '0.00', '35.00', NULL, 3, '2005-07-22', '2006-12-31', 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '930200', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841388333', 'W77004701', 'W77004701', 'UT01', 'Rocky Mountain Ophthalmology', 'Alan', 'S', 'Crandall', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '4400 S 700 E Ste 240', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012644464', '8012882521', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-01-31', 0, 0, 0, 'St Marks Hospital', 'University Health Care University Hospital', NULL, NULL, 'HCFA|UB|', '1083704670', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('841388333', 'W77004702', 'W77004702', 'UT01', 'Rocky Mountain Ophthalmology', 'Jean', 'N', 'DeMarchis-Tabin', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '4400 S 700 E Ste 240', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012644464', '8012882521', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-10-17', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '949453', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841388333', 'W77004703', 'W77004703', 'UT01', 'Rocky Mountain Ophthalmology', 'Michael', 'R', 'Gagnon', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '4400 S 700 E Ste 240', 'Murray', 'Salt Lake', 'UT', '84107', '8012644464', '8012882521', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-07-12', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '937356', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841388333', 'W77004704', 'W77004704', 'UT01', 'Rocky Mountain Ophthalmology', 'Michael', 'R', 'Gagnon', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '4400 S 700 E Ste 240', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012644464', '8012882521', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-07-12', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '937356', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841388333', 'W77004705', 'W77004705', 'UT01', 'Rocky Mountain Ophthalmology', 'Paul', 'C', 'Kang', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '4400 S 700 E Ste 240', 'Murray', 'Salt Lake', 'UT', '84107', '8012644464', '8012882521', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-07-12', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '903025', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841388333', 'W77004706', 'W77004706', 'UT01', 'Rocky Mountain Ophthalmology', 'Paul', 'C', 'Kang', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '4400 S 700 E Ste 240', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012644464', '8012882521', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-07-12', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '903025', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841388333', 'W77004707', 'W77004707', 'UT01', 'Rocky Mountain Ophthalmology', 'Robert', 'L', 'Rees', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'O', '4400 S 700 E Ste 240', 'Salt Lake City', 'Salt Lake', 'UT', '84107', '8012644464', '8012882521', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '832798', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('841388333', 'W77004708', 'W77004708', 'UT01', 'Rocky Mountain Ophthalmology', 'Kim', 'Y', 'Taylor', 'MD', 'Ophthalmology', NULL, NULL, NULL, 'B', '4400 S 700 E Ste 240', 'Murray', 'Salt Lake', 'UT', '84107', '8012644464', '8012882521', NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2000-11-27', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1649360272', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'W77004709', 'W77004709', 'UT01', 'U Of U Surgical Associates', 'Courtney', 'L', 'Scaife', 'MD', 'General Surgery', NULL, NULL, NULL, 'B', 'PO Box 58681', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012386618', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, '1000', '37.71', NULL, NULL, 3, '2003-08-15', '2006-07-31', 1, 12, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1093805616', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'W77004712', 'W77004712', 'UT01', 'U Of U Surgical Associates', 'John', 'B', 'Sorenson', 'MD', 'Pediatric Orthopedic Surgery', 'General Surgery', NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015859712', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-06-06', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699865220', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870490866', 'W77004713', 'W77004713', 'UT01', 'U Of U Surgical Associates', 'Bruce', 'W', 'Sperry', 'PA, PT', NULL, NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015859712', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-07-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '936593', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870491749', 'W77004714', 'W77004714', 'UT01', 'Utah Sleep Specialists', 'Matthew', 'S', 'Cobb', 'PA', NULL, NULL, NULL, NULL, 'B', '3336 Pioneer Pkwy Ste 303', 'West Valley', 'Salt Lake', 'UT', '84120', '8019673155', '8019679573', NULL, NULL, '', NULL, NULL, '', '', 'USTDPULM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-12-17', '2006-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '913093', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870491749', 'W77004715', 'W77004715', 'UT01', 'Utah Sleep Specialists', 'Gregory', NULL, 'Dupont', 'MD', 'Pulmonary', NULL, NULL, NULL, 'B', '3336 Pioneer Pkwy Ste 303', 'West Valley', 'Salt Lake', 'UT', '84120', '8019673155', '8019679573', NULL, NULL, '', NULL, NULL, '', '', 'USTDINT', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2003-04-01', '2006-12-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1306943121', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870491749', 'W77004716', 'W77004716', 'UT01', 'Utah Sleep Specialists', 'Kathleen', 'D', 'Pfeffer', 'MD', 'Pediatric Pulmonology', NULL, NULL, NULL, 'B', '3336 Pioneer Pkwy Ste 303', 'West Valley', 'Salt Lake', 'UT', '84120', '8019673155', '8019679573', NULL, NULL, '', NULL, NULL, '', '', 'USTDPULM', 'USTDHCPC', NULL, '0.00', '35.00', NULL, 3, '2004-08-06', '2006-12-31', 0, 0, 0, 'Salt Lake Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1700986346', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870491824', 'W77004717', 'W77004717', 'UT01', 'Boyle, John', 'John', 'F', 'Boyle', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 856', 'Price', 'Carbon', 'UT', '84501', '4435637047', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UEASTUT', 'USTDHCPC', NULL, '0.00', '20.00', NULL, 3, '2001-01-01', '2006-12-31', 0, 0, 0, 'Castleview Hospital', 'Castleview Hospital-Pro Fees', NULL, NULL, 'HCFA|UB|', '1154489698', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77004718', 'W77004718', 'UT01', 'Utah Cardiology', 'Gregory', 'T', 'Almony', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '520 Medical Dr Ste 310', 'Bountiful', 'Davis', 'UT', '84010', '8013973000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '1999-09-01', '2006-11-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1023003142', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77004719', 'W77004719', 'UT01', 'Utah Cardiology', 'Michael', 'C', 'Cody', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'O', '4403 Harrison Blvd Ste 3400', 'Ogden', 'Weber', 'UT', '84403', '8013873400', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '1999-09-01', '2004-11-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629063755', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77004720', 'W77004720', 'UT01', 'Utah Cardiology', 'Michael', 'C', 'Cody', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '520 Medical Dr Ste 310', 'Bountiful', 'Davis', 'UT', '84010', '8013973000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '1999-09-01', '2006-11-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1629063755', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77004721', 'W77004721', 'UT01', 'Utah Cardiology', 'Michael', 'J', 'Diehl', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '520 Medical Dr Ste 310', 'Bountiful', 'Davis', 'UT', '84010', '8013973000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '1999-09-01', '2006-11-30', 0, 0, 0, 'Ogden Regional Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1265427371', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870492272', 'W77004722', 'W77004722', 'UT01', 'Utah Cardiology', 'Daniel', 'J', 'Humiston', 'MD', 'Cardiovascular Disease', NULL, NULL, NULL, 'B', '520 Medical Dr Ste 310', 'Bountiful', 'Davis', 'UT', '84010', NULL, NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUTCARD', NULL, NULL, '0.00', '23.00', NULL, 3, '1999-09-01', '2006-11-30', 0, 0, 0, 'Davis Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1780679829', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77004723', 'W77004723', 'UT01', 'University Orthopedic Center', 'Paul', 'R', 'Beck', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '590 Wakara Way', 'Salt Lake City', 'Salt Lake', 'UT', '84108', '8015877100', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-08-02', '2005-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '906006', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77004724', 'W77004724', 'UT01', 'University of Utah Orthopedic Consultants', 'Robert', 'Shay', 'Bess', 'MD', 'Orthopedic Surgery', 'Orthopedic Surgery', NULL, NULL, 'B', 'PO Box 58108', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2005-09-01', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '901647', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77004725', 'W77004725', 'UT01', 'University Of Utah Orthopedic Consultants', 'Shannon', 'L', 'Boffeli', 'NP', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 58108', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '2004-04-05', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1861582447', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77004726', 'W77004726', 'UT01', 'University Of Utah Orthopedic Consultants', 'John', 'Thomas', 'Braun', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812041', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-12-06', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834162', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870483582', 'W77004727', 'W77004727', 'UT01', 'University Of Utah Orthopedic Consultants', 'John', 'Thomas', 'Braun', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'B', 'PO Box 58108', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8015813998', NULL, NULL, NULL, '', NULL, NULL, '', '', 'UUUMG', NULL, NULL, '0.00', '25.00', NULL, 3, '1999-12-06', '2006-07-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '834162', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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