This weeks' update had more updates that the previous one. The total number of NPI updates encompasses the following: 3,062 Organization updates, 15,734 individual updates and 161 deactivations. Houston, with 193 updates is the new leading city this week from the 1,557 updates of the top ten cities. California, with 2,246 updates remains the leading state this week of the 18,957 updates. 
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