In this weeks' update there were more updates that the previous one. NPI database changes in this weekly update have the following details: 4,144 Organization updates, 20,421 individual updates and 364 deactivations. Charlotte, with 736 updates is the new leading city this week followed by Winston Salem. In the last update, Nashville was the leading city. North Carolina, with 2,394 updates is the new leading state this week followed by California. In the last update, California was the leading state. 
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