The latest monthly update have jumped to 504,212 records. NPI database changes in this monthly update have the following details: 1,618 Organization updates, 6,778 individual updates and 106,934 deactivations. 
Las Vegas, with 131 updates is the new leading city this month from the 983 updates of the top ten cities. In the last update, Houston was the leading city with 6,055 updates. Texas, with 719 updates is the new leading state this month from the 4,482 updates of the top ten States. In the last update, California was the leading state with 48,365 updates.
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