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
('870453678', 'U77001242', 'U77001242', 'UT01', 'U-U Rheumatology Division', 'Michael', 'J', 'Battistone', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1689764219', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'U77001243', 'U77001243', 'UT01', 'U-U Rheumatology Division', 'Amy', NULL, 'Cannella', 'MD', 'Rheumatology', 'Rheumatology', NULL, 'Internal Medicine', 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'U77001244', 'U77001244', 'UT01', 'U-U Rheumatology Division', 'Grant', 'W', 'Cannon', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1942239439', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'U77001245', 'U77001245', 'UT01', 'U-U Rheumatology Division', 'Daniel', 'O', 'Clegg', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275623860', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'U77001246', 'U77001246', 'UT01', 'U-U Rheumatology Division', 'Richard', 'B', 'Gremillion', 'MD', 'Rheumatology', 'Rheumatology', NULL, 'Internal Medicine', 'B', 'PO Box 581700', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1205820693', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'U77001247', 'U77001247', 'UT01', 'U-U Rheumatology Division', 'Christopher', 'G', 'Jackson', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164512760', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'U77001248', 'U77001248', 'UT01', 'U-U Rheumatology Division', 'Gary', 'A', 'Kunkel', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1598855108', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'U77001249', 'U77001249', 'UT01', 'U-U Rheumatology Division', 'Allen', 'D', 'Sawitzke', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1285724807', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870453678', 'U77001250', 'U77001250', 'UT01', 'U-U Rheumatology Division', 'Stephanie', 'B', 'Silas', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1790875326', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'U77001251', 'U77001251', 'UT01', 'U-U Non-Invasive Vascular Lab', 'Larry', 'W', 'Kraiss', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Vascular Surgery', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812082', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812082', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962592576', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'U77001252', 'U77001252', 'UT01', 'U-U Non-Invasive Vascular Lab', 'Spencer', 'W', 'Galt', 'MD', 'Vascular Surgery', 'Vascular Surgery', NULL, 'General Surgery', 'O', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812082', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, 'Cassia Regional Medical Center', 'St Marks Hospital', NULL, NULL, 'HCFA|UB|', '1598733586', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'U77001253', 'U77001253', 'UT01', 'University Health Care', 'Michelle', 'T', 'Mueller', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Vascular Surgery', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812082', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812082', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437249042', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'U77001254', 'U77001254', 'UT01', 'U-U Non-Invasive Vascular Lab', 'Mark', 'R', 'Sarfati', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Vascular Surgery', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812082', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812082', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467542084', 0, 'Y', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'U77001255', 'U77001255', 'UT01', 'U-U Non-Invasive Vascular Lab', 'Spencer', 'W', 'Galt', 'MD', 'Vascular Surgery', 'Vascular Surgery', NULL, 'General Surgery', 'B', 'PO Box 58049', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, 'Cassia Regional Medical Center', 'St Marks Hospital', NULL, NULL, 'HCFA|UB|', '1598733586', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'U77001256', 'U77001256', 'UT01', 'U-U Non-Invasive Vascular Lab', 'Larry', 'W', 'Kraiss', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Vascular Surgery', NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962592576', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'U77001257', 'U77001257', 'UT01', 'U-U Non-Invasive Vascular Lab', 'Michelle', 'T', 'Mueller', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Vascular Surgery', NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437249042', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870460977', 'U77001258', 'U77001258', 'UT01', 'U-U Non-Invasive Vascular Lab', 'Mark', 'R', 'Sarfati', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Vascular Surgery', NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467542084', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001259', 'U77001259', 'UT01', 'University Health Care', 'Jonathan', NULL, 'Nebeker', 'MD, MS', 'Geriatrics', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609966217', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001260', 'U77001260', 'UT01', 'University Health Care', 'Gerald', NULL, 'Rothstein', 'MD', 'Geriatrics', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, '8015812628', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2010-06-30', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982647491', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001261', 'U77001261', 'UT01', 'University Health Care', 'Sara', 'Jane', 'Andersen', 'MD', 'Rheumatology', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1164512786', 0, 'N', 0, '2013-07-12', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001262', 'U77001262', 'UT01', 'University Health Care', 'Miriam', 'DG', 'Beattie', 'NP', 'Geriatrics', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215027842', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001263', 'U77001263', 'UT01', 'University Health Care', 'Randall', 'W', 'Rupper', 'MD', 'Geriatrics', 'Internal Medicine', NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457398703', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001264', 'U77001264', 'UT01', 'University Health Care', 'Mark', 'A', 'Supiano', 'MD', 'Geriatrics', 'Geriatric Medicine ', NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812628', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083638308', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001265', 'U77001265', 'UT01', 'U-U Human Development Division', 'Sara', 'Jane', 'Andersen', 'MD', 'Rheumatology', '', '', NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1164512786', 0, 'N', 0, '2013-07-12', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001266', 'U77001266', 'UT01', 'U-U Human Development Division', 'Miriam', 'DG', 'Beattie', 'NP', 'Geriatrics', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215027842', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001267', 'U77001267', 'UT01', 'U-U Human Development Division', 'Jonathan', NULL, 'Nebeker', 'MD, MS', 'Geriatrics', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1609966217', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001268', 'U77001268', 'UT01', 'U-U Human Development Division', 'Gerald', NULL, 'Rothstein', 'MD', 'Geriatrics', NULL, NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2010-06-30', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1982647491', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001269', 'U77001269', 'UT01', 'U-U Human Development Division', 'Randall', 'W', 'Rupper', 'MD', 'Geriatrics', 'Internal Medicine', NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1457398703', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870467746', 'U77001270', 'U77001270', 'UT01', 'U-U Human Development Division', 'Mark', 'A', 'Supiano', 'MD', 'Geriatrics', 'Geriatric Medicine ', NULL, NULL, 'B', 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413033', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083638308', 0, 'N', 0, '2012-08-30', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001271', 'U77001271', 'UT01', 'University Health Care', 'Anneli', 'R', 'Bowen', 'MD', 'Dermatology', '', '', NULL, 'o', '6095 S 300 E Ste 250', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, '6095 S 300 E Ste 250', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1437175825', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001272', 'U77001272', 'UT01', 'University Health Care', 'Michael', 'L', 'Hadley', 'MD', 'Dermatology', NULL, NULL, NULL, 'o', '6095 S 300 E Ste 250', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, '6095 S 300 E Ste 250', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699797811', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001273', 'U77001273', 'UT01', 'University Health Care', 'Gerald', 'G', 'Krueger', 'MD', 'Dermatology', NULL, NULL, NULL, 'o', '6095 S 300 E Ste 250', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', NULL, '6095 S 300 E Ste 250', 'Murray', 'Salt Lake', 'UT', '84107', '8015812955', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578661302', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
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('870468377', 'U77001311', 'U77001311', 'UT01', 'U-U Dermatology Division', 'Anneli', 'R', 'Bowen', 'MD', 'Dermatology', '', '', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1437175825', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001312', 'U77001312', 'UT01', 'U-U Dermatology Division', 'Anneli', 'R', 'Bowen', 'MD', 'Dermatology', 'Dermatology', NULL, 'Dermatology', 'b', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437175825', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001313', 'U77001313', 'UT01', 'U-U Dermatology Division', 'Kristina', 'P', 'Callis', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1659397040', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001314', 'U77001314', 'UT01', 'U-U Dermatology Division', 'Katherine', 'S', 'Fields', 'MD', 'Dermatology', NULL, NULL, NULL, 'b', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001315', 'U77001315', 'UT01', 'U-U Dermatology Division', 'Scott', 'R', 'Florell', 'MD', 'Pathology', 'Clinical Pathology', 'Dermatology', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1689692576', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001316', 'U77001316', 'UT01', 'U-U Dermatology Division', 'Gerald', 'J', 'Gleich', 'MD', 'Allergy and Immunology', 'Internal Medicine', 'Dermatology', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1174545800', 0, 'N', 0, '2014-02-20', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001317', 'U77001317', 'UT01', 'U-U Dermatology Division', 'Douglas', NULL, 'Grossman', 'MD, PhD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124040704', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001318', 'U77001318', 'UT01', 'University Health Care', 'Mark', 'A', 'Hyde', 'PA', 'Dermatology', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812955', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821018854', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001319', 'U77001319', 'UT01', 'U-U Dermatology Division', 'Mark', 'A', 'Hyde', 'PA', 'Dermatology', '', '', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1821018854', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001320', 'U77001320', 'UT01', 'U-U Dermatology Division', 'Michael', 'L', 'Hadley', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1699797811', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001321', 'U77001321', 'UT01', 'U-U Dermatology Division', 'C David', NULL, 'Hansen', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1548366743', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001322', 'U77001322', 'UT01', 'U-U Dermatology Division', 'Ronald', 'M', 'Harris', 'MD', 'Dermatology', 'Pathology', 'Anatomic Pathology', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1215033501', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001323', 'U77001323', 'UT01', 'U-U Dermatology Division', 'Christopher', 'M', 'Hull', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477659746', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001324', 'U77001324', 'UT01', 'U-U Dermatology Division', 'Catherine', 'B', 'Johnson', 'APRN ', 'Dermatology', 'Pediatric Dermatology', 'Pediatrics', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, 'Riverton Childrens Unit Operated by Primary Childrens Medical Center', '', '', '', 'HCFA|UB|', '1952424129', 0, 'N', 0, '2014-04-02', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001325', 'U77001325', 'UT01', 'U-U Dermatology Division', 'Gretchen', 'K', 'Korver', 'MD', 'Dermatology', NULL, NULL, NULL, 'b', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2007-06-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1164456414', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001326', 'U77001326', 'UT01', 'U-U Dermatology Division', 'Gerald', 'G', 'Krueger', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578661302', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001327', 'U77001327', 'UT01', 'U-U Dermatology Division', 'Gerald', 'G', 'Krueger', 'MD', 'Dermatology', 'Dermatology', NULL, 'Dermatology', 'b', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1578661302', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001328', 'U77001328', 'UT01', 'U-U Dermatology Division', 'Sancy', 'A', 'Leachman', 'MD, PHD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295833788', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001329', 'U77001329', 'UT01', 'U-U Dermatology Division', 'Sancy', 'A', 'Leachman', 'MD, PhD', 'Dermatology', 'Dermatology', NULL, 'Dermatology', 'b', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295833788', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001330', 'U77001330', 'UT01', 'U-U Dermatology Division', 'Kristin', 'M', 'Leiferman', 'MD', 'Pathology', 'Clinical Pathology', 'Dermatology', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2011-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1619064110', 0, 'N', 0, '2012-03-06', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001331', 'U77001331', 'UT01', 'U-U Dermatology Division', 'Mary', NULL, 'Menlove', 'PA', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144305699', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001332', 'U77001332', 'UT01', 'U-U Dermatology Division', 'Laurence', 'J', 'Meyer', 'MD, PHD', 'Dermatology', 'Geriatrics', '', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477638666', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001333', 'U77001333', 'UT01', 'U-U Dermatology Division', 'Lynn', NULL, 'Morrison', 'NP', 'Dermatology', '', '', NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007707', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001334', 'U77001334', 'UT01', 'U-U Dermatology Division', 'Richard', 'L', 'Moss', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1952472292', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870468377', 'U77001335', 'U77001335', 'UT01', 'U-U Dermatology Division', 'Marta', 'J', 'Petersen', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972601508', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001336', 'U77001336', 'UT01', 'U-U Dermatology Division', 'Marta', 'J', 'Petersen', 'MD', 'Dermatology', 'Dermatology', NULL, 'Dermatology', 'b', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972601508', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001337', 'U77001337', 'UT01', 'U-U Dermatology Division', 'Douglas', 'L', 'Powell', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1043316300', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001338', 'U77001338', 'UT01', 'U-U Dermatology Division', 'Bradley', 'K', 'Summers', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, 'Logan Regional Hospital', 'Ogden Regional Medical Center', NULL, NULL, 'HCFA|UB|', '1164403259', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001339', 'U77001339', 'UT01', 'U-U Dermatology Division', 'Payam', NULL, 'Tristani-Firouzi', 'MD', 'Dermatology', NULL, NULL, NULL, 'B', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407943921', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870468377', 'U77001340', 'U77001340', 'UT01', 'U-U Dermatology Division', 'Payam', NULL, 'Tristani-Firouzi', 'MD', 'Dermatology', 'Dermatology', NULL, 'Dermatology', 'b', 'PO Box 3208', 'Salt Lake City', 'Salt Lake', 'UT', '84110', '8015876340', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1407943921', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('870490866', 'U77001613', 'U77001613', 'UT01', 'University of Utah Surgical Associates', 'R', 'Dirk', 'Noyes', 'MD', 'General Surgery', 'General Surgery', NULL, 'General Surgery', 'O', '2000 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015850111', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1124107792', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870490866', 'U77001615', 'U77001615', 'UT01', 'University Health Care', 'Bradford', NULL, 'Sklow', 'MD', 'General Surgery', 'Colon and Rectal Surgery', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817124', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015817124', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1518057140', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
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('870490866', 'U77001617', 'U77001617', 'UT01', 'University Health Care', 'Thomas', 'W', 'White', 'MD', 'General Surgery', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015877963', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015877963', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831184175', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
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('870515631', 'U77001694', 'U77001694', 'UT01', 'U-U Rehabilitation Medicine', 'Eva', NULL, 'Young', 'MD', 'Physical Medicine and Rehabilitation', 'Physical Medicine and Rehabilitation', NULL, 'Physical Medicine and Rehabilitation', 'B', 'PO Box 58609', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001695', 'U77001695', 'UT01', 'University Health Care', 'Richard', 'E', 'Black', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'o', '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', NULL, '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1316028103', 0, 'N', 0, '2013-05-30', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001696', 'U77001696', 'UT01', 'University Health Care', 'Earl', 'C', 'Downey', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'o', '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', NULL, '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1225119019', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001697', 'U77001697', 'UT01', 'University Health Care', 'Michael', 'E', 'Matlak', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'o', '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', NULL, '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134200926', 0, 'N', 0, '2012-09-17', NULL, NULL, 0, 0, NULL, NULL),
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('870516127', 'U77001700', 'U77001700', 'UT01', 'University Health Care', 'Peter', 'F', 'Nichol', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, NULL, 'o', '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2006-08-01', '2008-03-26', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245320852', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001701', 'U77001701', 'UT01', 'University Health Care', 'Eric', 'R', 'Scaife', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'o', '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', NULL, '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-08-01', '2012-09-16', 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1902996523', 0, 'N', 0, '2013-01-09', NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001702', 'U77001702', 'UT01', 'University Health Care', 'Daniel', 'J', 'Vargo', 'MD', 'Pediatric Surgery', NULL, NULL, NULL, 'o', '100 N Mario Capecchi Dr Ste 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883350', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801803630', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001703', 'U77001703', 'UT01', 'University of Utah Pediatric Surgeons', 'Richard', 'E', 'Black', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, 'General Surgery', 'B', '100 N Medical Dr # 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1316028103', 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
('870516127', 'U77001704', 'U77001704', 'UT01', 'University of Utah Pediatric Surgeons', 'Earl', 'C', 'Downey', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, 'General Surgery', 'B', '100 N Medical Dr # 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1225119019', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001705', 'U77001705', 'UT01', 'University of Utah Pediatric Surgeons', 'Michael', 'E', 'Matlak', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, 'General Surgery', 'B', '100 N Medical Dr # 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134200926', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001706', 'U77001706', 'UT01', 'University of Utah Pediatric Surgeons', 'Rebecka', 'L', 'Meyers', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, 'General Surgery', 'B', '100 N Medical Dr # 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1902996515', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001707', 'U77001707', 'UT01', 'University of Utah Pediatric Surgeons', 'Stephen', 'E', 'Morris', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, 'General Surgery', 'B', '100 N Medical Dr # 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1083704696', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001708', 'U77001708', 'UT01', 'University of Utah Pediatric Surgeons', 'Peter', 'F', 'Nichol', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, 'General Surgery', 'B', '100 N Medical Dr # 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1245320852', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001709', 'U77001709', 'UT01', 'University of Utah Pediatric Surgeons', 'Eric', 'R', 'Scaife', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, 'General Surgery', 'B', '100 N Medical Dr # 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1902996523', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870516127', 'U77001710', 'U77001710', 'UT01', 'University of Utah Pediatric Surgeons', 'Daniel', 'J', 'Vargo', 'MD', 'Pediatric Surgery', 'Pediatric Surgery', NULL, 'General Surgery', 'B', '100 N Medical Dr # 2600', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883353', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1801803630', 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870517255', 'U77001711', 'U77001711', 'UT01', 'Pediatric Orthopedic Associates', 'John', 'T', 'Braun', 'MD', 'Pediatric Orthopedic Radiology', 'Pediatric Orthopedic Radiology', NULL, 'Orthopedic Surgery', 'O', '100 N Medical Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870517255', 'U77001712', 'U77001712', 'UT01', 'Pediatric Orthopedic Associates', 'Stephanie', 'M', 'Holmes', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'o', '100 N Mario Capecchi Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1720033079', 0, 'N', 0, '2009-10-27', NULL, NULL, 40.7663, -111.837, NULL, NULL),
('870517255', 'U77001713', 'U77001713', 'UT01', 'Pediatric Orthopedic Associates', 'Douglas', 'T', 'Hutchinson', 'MD', 'Orthopedic Surgery', 'Hand Surgery', 'Pediatric Orthopedic Surgery', NULL, 'o', '100 N Mario Capecchi Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, NULL, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972557825', 0, 'N', 0, '2009-10-28', NULL, NULL, 40.7663, -111.837, NULL, NULL),
('870517255', 'U77001714', 'U77001714', 'UT01', 'Pediatric Orthopedic Associates', 'R', 'Lawrence', 'Randall', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'o', '100 N Mario Capecchi Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008320', 0, 'N', 0, '2007-04-09', NULL, NULL, 40.7663, -111.837, NULL, NULL),
('870517255', 'U77001715', 'U77001715', 'UT01', 'Pediatric Orthopedic Associates', 'John', 'T', 'Smith', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'o', '100 N Mario Capecchi Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, '100 N Mario Capecchi Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255432001', 0, 'N', 0, '2014-02-24', NULL, NULL, 40.7663, -111.837, NULL, NULL),
('870517255', 'U77001716', 'U77001716', 'UT01', 'Pediatric Orthopedic Associates', 'Peter', 'M', 'Stevens', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'o', '100 N Mario Capecchi Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, '100 N Mario Capecchi Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1881649929', 0, 'N', 0, '2014-02-24', NULL, NULL, 40.7663, -111.837, NULL, NULL),
('870517255', 'U77001717', 'U77001717', 'UT01', 'Pediatric Orthopedic Associates', 'Alan', 'K', 'Stotts', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'o', '100 N Mario Capecchi Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', NULL, '100 N Mario Capecchi Dr Ste 4550', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8015883900', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, 'Primary Childrens Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1902859473', 0, 'N', 0, '2014-02-24', NULL, NULL, 40.7663, -111.837, NULL, NULL),
('870517255', 'U77001718', 'U77001718', 'UT01', 'Pediatric Orthopedic Associates', 'John', 'T', 'Braun', 'MD', 'Pediatric Orthopedic Radiology', 'Pediatric Orthopedic Radiology', NULL, 'Orthopedic Surgery', 'B', 'PO Box 58886', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870517255', 'U77001719', 'U77001719', 'UT01', 'Pediatric Orthopedic Associates', 'Stephanie', 'M', 'Holmes', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'B', 'PO Box 413026', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1720033079', 0, 'y', 0, '2009-10-27', NULL, NULL, 0, 0, NULL, NULL),
('870517255', 'U77001720', 'U77001720', 'UT01', 'Pediatric Orthopedic Associates', 'Douglas', 'T', 'Hutchinson', 'MD', 'Orthopedic Surgery', 'Hand Surgery', 'Pediatric Orthopedic Surgery', NULL, 'B', 'PO Box 413026', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, NULL, 0, 0, 'University Health Care University Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972557825', 0, 'y', 0, '2009-10-28', NULL, NULL, 0, 0, NULL, NULL),
('870517255', 'U77001721', 'U77001721', 'UT01', 'Pediatric Orthopedic Associates', 'R', 'Lawrence', 'Randall', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'B', 'PO Box 413026', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008320', 0, 'y', 0, '2007-04-09', NULL, NULL, 0, 0, NULL, NULL),
('870517255', 'U77001722', 'U77001722', 'UT01', 'Pediatric Orthopedic Associates', 'John', 'T', 'Smith', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Orthopedic Radiology', 'Orthopedic Surgery', NULL, 'B', 'PO Box 413026', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413026', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '', 'WUUPEDS', 'WUSTDHCPC5', NULL, '0.00', '15.00', '0.00', 3, '2006-08-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1255432001', 0, 'y', 0, '2014-01-31', NULL, NULL, 0, 0, NULL, NULL),
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('870551044', 'U77001794', 'U77001794', 'UT01', 'University Health Care', 'Kristine', NULL, 'Kokeny', 'MD', 'Radiation Oncology', 'Radiation Oncology', NULL, NULL, 'o', '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812396', NULL, '1950 Circle of Hope', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015812396', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972557882', 0, 'N', 0, '2012-08-23', 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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('870551044', 'U77001796', 'U77001796', 'UT01', 'University Health Care', 'Lynn', 'M', 'Smith', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'o', '1950 Circle of Hope ', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818793', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2004-05-26', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870551044', 'U77001797', 'U77001797', 'UT01', 'University Radiation Oncologists', 'David', 'K', 'Gaffney', 'MD, PHD', 'Radiation Oncology', NULL, NULL, NULL, 'B', 'PO Box 413031', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413031', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1932289840', 0, 'N', 0, '2012-08-23', NULL, NULL, 0, 0, NULL, NULL),
('870551044', 'U77001798', 'U77001798', 'UT01', 'University Radiation Oncologists', 'Lisa', 'J', 'Hazard', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'B', 'PO Box 413031', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2006-08-01', '2009-12-30', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1477633386', 0, 'y', 0, '2007-04-10', NULL, NULL, 0, 0, NULL, NULL),
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('870551044', 'U77001800', 'U77001800', 'UT01', 'University Radiation Oncologists', 'Kristine', NULL, 'Kokeny', 'MD', 'Radiation Oncology', 'Radiation Oncology', NULL, NULL, 'B', 'PO Box 413031', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413031', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1972557882', 0, 'N', 0, '2012-08-23', NULL, NULL, 0, 0, NULL, NULL),
('870551044', 'U77001801', 'U77001801', 'UT01', 'University Radiation Oncologists', 'Dennis', 'C', 'Shrieve', 'MD, PHD', 'Radiation Oncology', NULL, NULL, NULL, 'B', 'PO Box 413031', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413031', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275580961', 0, 'N', 0, '2012-08-23', NULL, NULL, 0, 0, NULL, NULL),
('870551044', 'U77001802', 'U77001802', 'UT01', 'University Radiation Oncologists', 'Lynn', 'M', 'Smith', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'b', 'PO Box 581300', 'Salt Lake City', 'Salt Lake', 'UT', '84158', '8012133800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2004-05-26', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870551055', 'U77001803', 'U77001803', 'UT01', 'University Heatlh Care', 'John', 'A', 'Hawkins', 'MD', 'Cardiovascular Disease', '', '', NULL, 'o', '100 N Mario Capecchi Dr Ste 2800', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625566', NULL, '100 N Mario Capecchi Dr Ste 2800', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625566', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1639269236', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
('870551055', 'U77001804', 'U77001804', 'UT01', 'University Health Care', 'Peter', 'C', 'Kouretas', 'MD', 'Cardiovascular Disease', '', '', NULL, 'o', '100 N Mario Capecchi Dr Ste 2800', 'Salt Lake City', 'Salt Lake', 'UT', '84113', '8016625566', NULL, NULL, NULL, 'Salt Lake', NULL, NULL, '8016625566', '          ', 'WUUPEDS', 'WUSTDHCPC5', '', '0.00', '15.00', '0.00', 3, '2006-08-01', '2010-06-30', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144310756', 0, 'N', 0, '2008-10-09', NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'U77001807', 'U77001807', 'UT01', 'University Health Care', 'Marc', 'E', 'Babitz', 'MD', 'Family Practice', 'Public Health', NULL, NULL, 'o', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', '0.00', 3, '2006-08-01', '2008-07-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005139', 0, 'N', 0, '2007-02-07', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001808', 'U77001808', 'UT01', 'University Health Care', 'Richard', 'L', 'Backman', 'MD', 'Family Practice', NULL, NULL, NULL, 'o', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', NULL, '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528158151', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001809', 'U77001809', 'UT01', 'University Health Care', 'Katherine', 'RD', 'Beals', 'RD', 'Family Practice', NULL, NULL, NULL, 'o', '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', NULL, '555 Foothill Blvd', 'Salt Lake City', 'Salt Lake', 'UT', '84112', '8015818000', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1497845028', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'U77001811', 'U77001811', 'UT01', 'University Health Care', 'Dan', NULL, 'Crouse', 'PA-C', '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, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1528158110', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'U77001865', 'U77001865', 'UT01', 'U Dept of Family & Preventative Medicine', 'Penny', 'B', 'Jameson', 'PHD', 'Mental Health', 'Psychology', '', NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1334125776', 0, 'N', 0, '2014-03-24', NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'U77001867', 'U77001867', 'UT01', 'U Dept of Family & Preventative Medicine', 'Elizabeth', 'A', 'Joy', 'MD', 'Sports Medicine', 'Family Practice', NULL, NULL, 'b', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876303', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2007-04-02', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1487768131', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'U77001869', 'U77001869', 'UT01', 'U Dept of Family & Preventative Medicine', 'Bernadette', 'O', 'Kiraly', 'MD', 'Family Practice', NULL, NULL, NULL, 'b', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-08-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1508956111', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'U77001872', 'U77001872', 'UT01', 'U Dept of Family & Preventative Medicine', 'Rixt', 'A', 'Luikenaar', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, 'St Marks Hospital', '', '', '', 'HCFA|UB|', '1285688101', 0, 'N', 0, '2014-05-12', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001873', 'U77001873', 'UT01', 'U Dept of Family & Preventative Medicine', 'Michael', 'K', 'Magill', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1215976386', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'U77001876', 'U77001876', 'UT01', 'U Dept of Family & Preventative Medicine', 'Donald', 'M', 'Pedersen', 'PHD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962592584', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001877', 'U77001877', 'UT01', 'U Dept of Family & Preventative Medicine', 'Tricia', '', 'Petzold', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1043300668', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'U77001879', 'U77001879', 'UT01', 'U Dept of Family & Preventative Medicine', 'Michael', 'A', 'Rigdon', 'PhD', 'Family Practice', 'Family Practice', NULL, 'Family Practice', 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001880', 'U77001880', 'UT01', 'U Dept of Family & Preventative Medicine', 'Susan', NULL, 'Saffel-Shrier', 'RD', 'Family Practice', '', '', NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008529', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
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('870564069', 'U77001882', 'U77001882', 'UT01', 'U Dept of Family & Preventative Medicine', 'Erik', NULL, 'Schroeder', 'MD', 'Family Practice', 'Family Practice', NULL, 'Family Practice', 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, NULL, NULL, '', NULL, NULL, '', '', 'WUUUMG5', 'WUSTDHCPC5', NULL, '0.00', '25.00', NULL, 3, '2006-08-01', '2006-12-31', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'n', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001883', 'U77001883', 'UT01', 'U Dept of Family & Preventative Medicine', 'Robert', 'L', 'Speakman', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1417047044', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001884', 'U77001884', 'UT01', 'U Dept of Family & Preventative Medicine', 'Joseph', 'B', 'Stanford', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1144310772', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001885', 'U77001885', 'UT01', 'U Dept of Family & Preventative Medicine', 'Kirsten', 'L', 'Stoesser', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1831289461', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001886', 'U77001886', 'UT01', 'U Dept of Family & Preventative Medicine', 'Sonja', NULL, 'Van Hala', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023108610', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('870564069', 'U77001887', 'U77001887', 'UT01', 'U Dept of Family & Preventative Medicine', 'Susan', 'E W', 'Cochella', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1992895585', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001888', 'U77001888', 'UT01', 'U Dept of Family & Preventative Medicine', 'Peter', 'T', 'Weir', 'MD', 'Family Practice', '', '', NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1003906694', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001889', 'U77001889', 'UT01', 'U Dept of Family & Preventative Medicine', 'Claudia', NULL, 'Wilson', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073603668', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870564069', 'U77001890', 'U77001890', 'UT01', 'U Dept of Family & Preventative Medicine', 'Larisa', 'B', 'Yaroshchuk', 'MD', 'Family Practice', NULL, NULL, NULL, 'B', 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', NULL, 'PO Box 510004', 'Salt Lake City', 'Salt Lake', 'UT', '84151', '8015876600', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-08-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1427148014', 0, 'N', 0, '2012-08-21', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77001891', 'U77001891', 'UT01', 'U of U Emergency Physicians', 'Todd', '', 'Allen', 'MD', 'Emergency Medicine', '', '', NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000004974', 0, 'Y', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
('870567427', 'U77001892', 'U77001892', 'UT01', 'U of U Emergency Physicians', 'Todd', 'R', 'Ashby', 'PA-C', 'Emergency Medicine', NULL, NULL, NULL, 'o', '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', NULL, '50 N Medical Dr', 'Salt Lake City', 'Salt Lake', 'UT', '84132', '8015812292', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1225099229', 0, 'Y', 0, '2012-09-19', NULL, NULL, 0, 0, NULL, NULL),
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('870584427', 'U77001976', 'U77001976', 'UT01', 'University of Utah Vascular Surgeons', 'Mark', 'R', 'Sarfati', 'MD', 'Pediatric Orthopedic Surgery', 'Pediatric Spine-Scoliosis Orthopedics', 'Vascular Surgery', NULL, 'B', 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', NULL, 'PO Box 413035', 'Salt Lake City', 'Salt Lake', 'UT', '84141', '8012133800', '          ', 'WUUUMG5', 'WUSTDHCPC5', '', '0.00', '25.00', '0.00', 3, '2006-08-01', '2012-09-17', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1467542084', 0, 'N', 0, '2012-09-18', NULL, NULL, 0, 0, NULL, NULL),
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