The monthly National Plan and Provider Enumeration System(NPPES) database release went down compared to the previous one. NPI database changes in this monthly update have the following details: 37,699 Organization updates, 67,278 individual updates and 548 deactivations. 
Texas is the leading state this month with 8,828. Florida follows in second place.Houston, with 1,623 updates remains the leading city this month from the 8,825 updates of the top ten cities.
Monthly NPI Registry variations for 4/9/2017 include 37,699 updates for organizations
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