This weeks' update had 1,824 less updates that the previous one. The total number of NPI updates encompasses the following: 4,067 Organization updates, 16,807 individual updates and 234 deactivations. California is the leading state this week with 2,425 updates remains the leading state of the 21,108 updates. Los Angeles, with 272 updates is the new leading city this week from the 1,964 updates of the top ten cities. In the last update, Scottsdale was the leading city with 498 updates. 
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