The monthly National Plan and Provider Enumeration System(NPPES) database release went down by 259,637 records. NPI database changes in this monthly update have the following details: 1,634 Organization updates, 573,909 individual updates and 163,234 deactivations. New York is the new city with the most updates this month followed by Las Vegas. California, with 54,800 updates remains the leading state this month. Florida follows in second place. 
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