Use a transitional table. Import the text into a table with ONLY the DateOfService, AccountNo, LastName, and FirstName fields. THEN use an APPEND query to move those over into the other table, remembering of course to NOT include the Autonumber field in the Append Query.
Autonumbers being in sequence should NOT matter to you, if you are using them correctly (to just identify a row of data by a unique means). If you care what the autonumbers are, you are not using them correctly.
Another thought... You could link to instead of importing your text file... This way you don't have datbase bloat from importing and presumably deleting the table.
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