This weeks' update had more updates that the previous one. The total number of NPI updates encompasses the following: 4,887 Organization updates, 16,041 individual updates and 522 deactivations. 
California, with 2,427 updates remains the leading state this week of the 21,450 updates. Houston, with 255 updates is the new leading city this week from the 1,881 updates of the top ten cities.
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