The monthly National Plan and Provider Enumeration System(NPPES) database release have jumped compared to the previous one. NPI database changes in this monthly update have the following details: 66,588 Organization updates, 205,011 individual updates and 5,498 deactivations. New York, with 3,657 updates remains the leading city this month from the 22,812 updates of the top ten cities. 
California is the leading state this month with 28,973 updates remains the leading state of the 277,097 updates.
Monthly NPI Registry variations for 4/13/2014 include 5,498 deactivations
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