This months' update had 101,258 fewer updates that the previous one. NPI database changes in this monthly update have the following details: 147,968 Organization updates, 107,026 individual updates and 0 deactivations. 
New York, with 2,819 updates remains the leading city this month from the 19,117 updates of the top ten cities. California is the leading state this month with 26,859 updates remains the leading state of the 254,994 updates.
Monthly NPI Dashboard Monitoring for 12/26/2010 have 147,968 updates for organizations
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