The latest weekly update fell by 3,644 records. NPI database changes in this weekly update have the following details: 4,646 Organization updates, 16,921 individual updates and 385 deactivations. California is the leading state this week with 2,940 updates remains the leading state of the 21,952 updates. Los Angeles, with 218 updates is the new leading city this week from the 1,629 updates of the top ten cities. In the last update, Houston was the leading city with 199 updates. 
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