The monthly National Plan and Provider Enumeration System(NPPES) database release have jumped compared to the previous one. NPI database changes in this monthly update have the following details: 190,146 Organization updates, 606,069 individual updates and 0 deactivations. California is the leading state this month with 88,575. New York follows in second place.New York, with 11,443 updates remains the leading city this month from the 64,425 updates of the top ten cities. 
Monthly NPI Registry variations for 7/11/2010 include 0 deactivations
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