The latest monthly update fell by 184,133 records. NPI database changes in this monthly update have the following details: 159,930 Organization updates, 33,539 individual updates and 117,613 deactivations. California, with 16,917 updates is the new leading state this month from the 103,737 updates of the top ten States. In the last update, Texas was the leading state with 980 updates. Charlotte, with 2,811 updates is the new leading city this month from the 15,519 updates of the top ten cities. In the last update, Houston was the leading city with 217 updates. 
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