The latest weekly update fell by 10,034 records. NPI database changes in this weekly update have the following details: 4,171 Organization updates, 14,497 individual updates and 681 deactivations. North Carolina, with 3,694 updates is the new leading state this week from the 11,858 updates of the top ten States. In the last update, California was the leading state with 1,009 updates. Charlotte, with 1,944 updates is the new leading city this week from the 3,528 updates of the top ten cities. In the last update, Seattle was the leading city with 86 updates. 
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