The latest weekly update fell by 3,110 records. NPI database changes in this weekly update have the following details: 3,734 Organization updates, 18,718 individual updates and 240 deactivations. Chicago, with 294 updates remains the leading city this week from the 2,144 updates of the top ten cities. California is the leading state this week with 2,719 updates remains the leading state of the 22,692 updates. 
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