The monthly National Plan and Provider Enumeration System(NPPES) database release went down by 97,097 records. NPI database changes in this monthly update have the following details: 17,833 Organization updates, 174,177 individual updates and 43 deactivations. Texas is the new state with the most updates this month followed by Florida. In the last update, California was the leading state. In the last update, California was the leading state. 
Houston, with 2,686 updates remains the leading city this month from the 16,721 updates of the top ten cities.
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