The latest weekly update fell by 2,990 records. NPI database changes in this weekly update have the following details: 4,510 Organization updates, 15,818 individual updates and 322 deactivations. North Carolina, with 3,724 updates is the new leading state this week followed by California. In the last update, California was the leading state. 
Charlotte, with 1,841 updates is the new leading city this week from the 3,583 updates of the top ten cities. In the last update, Los Angeles was the leading city with 219 updates.
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