This months' update had less updates that the previous one. The total number of NPI updates encompasses the following: 487,053 Organization updates, 888,549 individual updates and 0 deactivations. New York remains the city with the most updates this month. California, with 138,014 updates remains the leading state this month of the 1,375,602 updates. 
Monthly NPI Dashboard Monitoring for 10/10/2011 have 1,375,602 updates
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