This weeks' update had 3,457 more updates that the previous one. The total number of NPI updates encompasses the following: 3,646 Organization updates, 13,615 individual updates and 1,217 deactivations. 
Rochester, with 241 updates remains the leading city this week. California is the leading state this week with 2,027 updates remains the leading state from the 9,261 updates of the top ten States.
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