The latest weekly update fell by 8,221 records. NPI database changes in this weekly update have the following details: 3,941 Organization updates, 19,581 individual updates and 387 deactivations. California is the leading state this week with 4,900 updates remains the leading state of the 23,909 updates. Charlotte, with 885 updates is the new leading city this week from the 2,975 updates of the top ten cities. In the last update, Cleveland was the leading city with 863 updates. 
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