This weeks' update had more updates that the previous one. The total number of NPI updates encompasses the following: 4,304 Organization updates, 16,294 individual updates and 656 deactivations. Houston, with 219 updates is the new leading city this week from the 1,830 updates of the top ten cities. California, with 3,713 updates remains the leading state this week from the 12,075 updates of the top ten States. 
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