The monthly National Plan and Provider Enumeration System(NPPES) database release have climbed compared to the previous one. NPI database changes in this monthly update have the following details: 77,595 Organization updates, 389,891 individual updates and 0 deactivations. California is the leading state this month with 43,222 updates from the 244,432 updates of the top ten States. New York follows in second place with 36,894 updates. New York, with 6,009 updates remains the leading city this month from the 36,073 updates of the top ten cities. 
467,486 NPPES database updates released on 5/9/2010
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