This months' update had 5,017 fewer updates that the previous one. NPI database changes in this monthly update have the following details: 3,286 Organization updates, 9,257 individual updates and 43,148 deactivations. 
MissourI, with 1,673 updates is the new leading state this month from the 7,528 updates of the top ten States. In the last update, Texas was the leading state with 723 updates. Saint Louis, with 1,478 updates is the new leading city this month from the 2,669 updates of the top ten cities. In the last update, Houston was the leading city with 125 updates.
Monthly NPI Dashboard Monitoring for 11/14/2016 have 3,286 updates for organizations
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