More of a strategy then a specific answer but ...
When importing data from external sources we'll often insert the data into staging tables that do not have the same keys/contraints placed on them and then sanitize the data prior to insertion.
What is done during "sanitation" depends on your requirements (for example, when you have two of the same account numbers are the records the same or are the data fields different, if the fields are different, how do you choose which data to use?). And then insert/move it into the production table once sanitization is complete.