In this weeks' update there were more updates that the previous one. The total number of NPI updates encompasses the following: 4,436 Organization updates, 15,858 individual updates and 836 deactivations. Madison, with 308 updates is the new leading city this week from the 1,828 updates of the top ten cities, followed by Indianapolis. California, with 2,296 updates is the new leading state this week from the 10,468 updates of the top ten States, followed by Texas. 
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