The latest monthly update have jumped to 54,910 records. NPI database changes in this monthly update have the following details: 8 Organization updates, 42 individual updates and 236,261 deactivations. 
California is the leading state this month with 8 updates remains the leading state of the 236,311 updates. Denver, with 2 updates is the new leading city this month from the 13 updates of the top ten cities. In the last update, New York was the leading city with 853 updates.
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