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PM News

The Voice of Podiatrists

Serving Over 22,356 Subscribers Daily


April 19, 2025 #8,000 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management® https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2025- No part of PM News can be reproduced without the
written permission of Barry Block

Richieapr1425

PM NEWS QUICK POLL

Last Chance to Vote

How did your 2024 taxable income compare to that of 2023?
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Drjilldec1624

PM NEWS IN THE NEWS

PM News Marks 8,000th Issue Milestone 

This issue marks the 8,000th issue of PM News. For the past thirty-one years, it has been our privilege to provide the podiatric community with a daily newsletter containing news, coding and billing information, as well as an interactive forum for a discussion of issues important to this profession. In short, we have attempted to keep everyone informed and thoughtful. We are proud to be the longest running periodical of this type serving any profession. 

PM News publisher and Editor Dr. Barry Block

We would like to thank all those who have made this endeavor a success, especially you, our readers, who have provided us with a continuous stream of provocative questions and informative responses. Contributors are the lifeblood of this publication. We’d also like to thank Hermine Block, who copy edits each issue, David Kagan of Podiatry Management Magazine, and our webmaster Al Musella, DPM for their vital assistance. Finally, we’d like to thank our sponsors for their support.

neurogenxmar1025

AT THE COLLEGES
Foot Clinic of NY/NYCPM Awarded Hepatitis B Foundation Grant for 2025
 
The Foot Center of New York (FCNY), affiliated with New York College of Podiatric Medicine (NYCPM) at Touro University, was awarded the Hepatitis B Foundation’s Hep B United Mini-Grant for 2025. This CDC funded program focuses on enhancing the capacity of Hep B United coalition partners to conduct hepatitis B education, testing, and linkage to care activities. The principal investigator (PI) of this project is Paramita Basu, PhD, MS, associate professor of infectious diseases at NYCPM and the Co-PI is Eunice Ramsey-Parker, DPM, Director of Corporate Compliance and Regulatory Affairs, FCNY. 
 
(L-R) Drs. Paramita Basu and Eunice Ramsey-Parker
 
Hepatitis B remains a significant public health concern in New York City, with particular implications for communities like Harlem. Medical evidence has also established a bi-directional relationship between hepatitis infections and diabetes mellitus. "This grant will help FCNY and NYCPM address the critical public health gap in Hepatitis B awareness, screening, and prevention, especially in high-risk populations, within the podiatric care settings of FCNY, with a particular focus on serving susceptible communities like Harlem, which is a diabetic "red-zone" with patients from diverse racial ethnic and economic backgrounds," according to Dr. Basu.
tetramar2425

PODIATRISTS IN ACADEMIA
FL Podiatrist Elected to Join Sigma Xi Research Honor Society
 
The Qualifications Committee of the Barry University Chapter of Sigma Xi, The Scientific Research Honor Society, has officially welcomed Robert Snyder, DPM, MSc, MBA to the Society in recognition of his contributions to research and discovery. 
 
Dr. Robert Snyder
 
Dr. Snyder is joining a community of more than 100,000 inductees across disciplines and career stages, including more than 200 Nobel Laureates since the inception of the Society in 1886. He is also now a member of the Honor Society Caucus, which is comprised of Sigma Xi, The Phi Beta Kappa Society, The Honor Society of Phi Kappa Phi, and Omicron Delta Kappa - The National Leadership Honor Society. 
Pedicisfeb2425

INTERNATIONAL PODIATRY STUDENTS AND SPORTS MEDICINE
UK Podiatry Students Gear Up to Support London Marathon Runners 
 
University of Brighton students are preparing to play a crucial role in this year’s London Marathon by providing essential footcare to thousands of participating runners. The team, made up of undergraduate and postgraduate podiatry students from the University’s School of Education, Sport and Health Science, will join healthcare professionals inside the medical tents at this year’s TCS London Marathon on April 27th, providing expert foot and lower limb care to thousands of runners. 
 
UK Podiatry Students Gear Up to Support London Marathon Runners
 
Their role will involve treating everything from blisters and sprains to more complex injuries, which podiatrists are specially trained to assess and manage. Working alongside physiotherapists, doctors, nurses, and St. John Ambulance staff, the students will gain hands-on experience in a setting away from their usual clinical set-up, while demonstrating the importance of podiatry in sport science. 
 
 Source: Dominic Kureen, More Radio [4/19/25]
Drsremedyapr725

PRACTICE MANAGEMENT TIP OF THE DAY
13 Tips for Firing Practice Employees
 
Firing an employee is rarely pleasant, but it can be especially sensitive in a medical practice, where patient care and privacy are top priorities. When handled properly, a termination can protect the practice’s reputation and maintain a professional environment. Here are 13 tips for managing the process:
 
11. Retrieve Practice Property
 
Collect items such as keys, badges, scrubs, technology devices or any other property that belong to the practice. Promptly safeguarding assets reduces security risks and maintains compliance with privacy regulations.
 
Source: Physicians Practice Staff [3/20/25]
apisapr1425

PHYSICIANS AND MENTAL HEALTH
Podiatrists Rank #17 on Most Distressed Physicians List
 
Here are the most “distressed” physician specialties in 2024 and 2025, based on the percentage of specialists who reported a distressed state of well-being when surveyed: 
 
List of Most Distressed Physicians
 
Source: Claire Wallace, Becker's ASC Review [4/17/25]
OHImar1824B

CODING & BILLING Q&A's FROM THE DOCTORLINE.COM
Query: Injection Codes for Orthobiologics
 
Is billing small joint and large joint injection codes permitted for orthobiologics as per a recent webinar I attended?
 
thedoctorline.com response: Joint injection CPT Codes are not covered when you inject a material that is considered experimental and investigational. If the patient's specific health plan has a policy, check both their medical policy and reimbursement policy websites. 
 
Also, consider having your staff call with the specific biological you plan to inject to determine if they cover it. Be careful about thinking that it is automatically covered because an injection CPT code like 20600 or 20605 is generally a covered service.
 
Remember, it has to be paired with a J code usually detailing what was injected. Just attending a webinar or a colleague saying "yes, it is covered to bill orthobiologics," is never a reason to start billing something that is new and/or controversial. Do your due diligence, like starting in a forum with experts. By no means stop with this Q&A though. Confirm. Confirm. Confirm. Medicare has determined that some orthobiologics are not covered and has been clawing back payments they made several years ago, so buyer beware!
 
David Freedman, DPM, CPC,  Silver Spring, MD
 
Additional coding and billing questions and responses can be found at thedoctorline.com
orthofeetmar3125;

RESPONSES/COMMENTS (NON-CLINICAL)
RE: Practice Dissatisfaction
From: Robert Kornfeld, DPM
 
Over the past 38 years, I have worked with many doctors in the field of functional medicine and regenerative medicine. And we are a very happy and satisfied group of doctors. About 2 1/2 years ago, when I became very active on LinkedIn, I became aware of the stark reality of most doctors out there. Unhappiness, malcontent, frustration, disappointment, anxiety, depression, burnout, anger and high levels of stress have caused most to be really miserable in practice. And I'm not only speaking about podiatrists. It's universal among all doctors.
 
And when they share why, that is universal too. It is a combination of the low fees, unpredictable payments, administrative burdens, enormously high volume of patients they have to treat, or unscrupulous and demanding employers who put them under constant stress and don't pay them fairly. Yet, for some reason, it is the pink elephant in the room. Does the next new surgical approach or instrument really matter if you are miserable? Is the next new modality really...
 
Editor's note: Dr. Kornfeld's extended-length letter can be read here.
bakoapr1425B

RESPONSES/COMMENTS (PERSONAL EXPERIENCES)
RE: A Fishy Story
From: Kenneth Meisler, DPM
 
In 1976, I was one year out of my one-year podiatry residency. I was on staff at New York Downtown Hospital with residents from NYCPM. The director of the podiatry department was Gary Sherman, DPM. He was also my favorite attending during my residency at Maimonides Medical Center.  Although I have had a lot of contact with Dr. Sherman over the years, one experience stands out. I had a patient scheduled for surgery with severe hallux rigidus for a cheilectomy or 1st MPJ fusion. I told the patient I was going to decide which procedure to do during the surgery. Because I hadn’t done any first MPJ fusions on my own, I asked Dr. Sherman if he would mind scrubbing with me.
 
 Dr. Gary Sherman
 
During the surgery, he was watching me operate, but as I was about halfway through the surgery, I noticed he kept looking up at the clock. I said “am I operating too slowly?” He said “TIME AND TIDE WAITS FOR NO MAN! At noon, I am going fishing; that is when the tide will be right and the fish will be biting. Hurry up and you can go fishing with me.” I picked up my pace during the surgery and he convinced me to cancel my afternoon patients and join him. At noon, we were catching striped bass and bluefish near the Statue of Liberty. Gary will be retiring in about a month after 50 years of being the director of podiatry at various hospitals and teaching hundreds of residents. I know all of his former residents, myself included, wish him well. He has fished all over the world and now he will have even more time to do it.
 
Kenneth Meisler, DPM, NY, NY
remyjan2725

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoes of the Day

Just in case the hotel does not provide irons?

Source: Submitted by Dr. Nargiza Mahmudova

Gillapr1425B

MEETINGS & WEBINARS

presentapr1425E

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Choose any or ALL from 25+ CECH Category-1 articles posted


CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PM NEWS CLASSIFIED  ADS REACH OVER 22,000 DPMs AND STUDENTS
 
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
 
PRACTICE FOR SALE - AKRON MARKET 
 
Established practice for sale. Opportunity to purchase and grow. Ready made patient flow with opportunity for expansion. Solo practice. Contact: MCrosby518@gmail.com
 
PRACTICE FOR SALE - DALLAS/FT WORTH  
 
Established practice with two doctors, two locations for sale. Opportunity to purchase a fully staffed and equipped practice with growing revenue stream. Surgically oriented practice with wide range of office services available. Contact: MCrosby518@gmail.com
 
SUCCESSFUL PRACTICE FOR SALE IN SOUTH DENVER, COLORADO 
 
Great location, close to hospital. Very busy, well-rounded practice including general podiatry, wound care and surgery. Strong referral base with growth potential. Loyal patients, Well established, well equipped. (modern, Ground floor, few steps from handicap parking, 1600 sq ft, 4 fully equipped treatment rooms, digital Xray, handicapped accessible.) Owner willing to stays as necessary during transition. Selling to move out of state for family reasons. Please Contact Docvaikayee@googlemail.com
 
PRACTICE FOR SALE - BROCKTON, MASSACHUSETTS 
 
Busy, modern and successful. 80 new patients/ month and totaling 6500K visits/year. 2150 ft2. Established 1985. Near hospitals, surgery and wound care center. Digital x-ray, certified EHR, laser. DMEs, in­house billing. Accepting all insurances. Great opportunity and growth potential. Owner is willing to stay as long as necessary. Contact drwaw54@aol.com
 
ASSOCIATE POSITION – NEW JERSEY 
 
Well established podiatric, surgical and medical practice located at the Jersey shore. Over 30 years in practice with over 30,000 charts. Two fully equipped office locations, including x-ray highly trained office staff with in-house billing, fully electronic medical and billing system, grossing approximately $500,000. Practice for sale. Contact at drkachmar@icloud.com 
 
ACTIVE PRACTICE FOR SALE - SOUTHERN CONNECTICUT SHORELINE
 
Established 1953 - Multi-specialty practice in a Medical Center, fully equipped, turn key ready, no local direct competition. Associations at Yale New Haven Hospital and PGY-3 Residency, VA Medical Center, Hartford Health Care, Surg-Center (SCA), with option for shareholder investment. Remodeled - all rooms internet, computers, EMR, phone system, 3 station reception, 2 treatment rooms with ultrasound and vascular analyzer, digital X-Ray, OR, WP/ casting room, 3 private offices, kitchenette, and conference room. All replacement equipment included. Will assist with the transition, serious inquiries only. Contact: footfixers4@aol.com
 
SOUTH FLORIDA PODIATRY PRACTICE FOR SALE 
 
Turn-key 42-year-old podiatry practice near Fort Lauderdale with a solid patient base, profitable service lines and a three-month appointment backlog. The 1,206 sq. ft. first-floor suite offers direct parking access and includes three exam rooms, an operating room, reception area, doctor's office, administrative office area, and ample storage space. Sale includes digital x-ray system, laser equipment, four podiatric chairs, EHR system, sterilizer, and comprehensive medical supplies. Contact Drharveykatz@gmail.com
 
WELL ESTABLISHED OFFICE  &  PRACTICE FOR SALE - MANHATTAN 
 
The practice is located in the Gramercy neighborhood with a private street level entrance with a garden. It is unique to Manhattan due to its low maintenance. It is a well-equipped office with state-of-the-art exam rooms, new exam chairs/beds and digital x-ray imaging. Includes a waiting room, reception area, one large office, 2 exam rooms, 2 restrooms, and a kitchenette. Well-established and busy and conveniently located close to many prominent New York hospitals. The building has a doorman, live-in super, and on-site laundry. It is close to some of the best restaurants  in New York and is close to all public transportation. cgasparidpm@gmail.com
 
CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS
PM NEWS CLASSIFIED  ADS REACH OVER 20,000 DPMs AND STUDENTS
 
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 21,900 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
 
ASSOCIATE POSITION - WASHINGTON STATE
 
We are a busy, 4-office practice in Western Washington with free standing surgery center, seeking a board qualified/certified podiatrist. Please send CV to bbrickman@pacpodgroup.com
 
ASSOCIATE SEARCH - EMERALD COAST, FL 
 
Dynamic practice with two doctors looking for the next doctor. Opportunity to join a leading practice in the market. Full range of surgical services, in office procedures, ancillary services and well staffed. Privileges at local hospitals and surgery centers.  Contract: Yourpracticenow@gmail.com
 
ASSOCIATE POSITION - CONNECTICUT 
 
Full time and Part Time Associate position needed for Established busy multi-office practice in Connecticut , that is expanding . Leading to partnership for the right person. Competitive compensation including Health insurance, malpractice, vacation .  Reply to drt@yalepodiatrygroup.com
 
FULL TIME POSITION - NEW JERSEY
 
$175K+ bonus. Board Elig/Cert required. Strong surgical skills preferred. Benefits: health ins, malpractice, 401K, vacation. If NDA is desired before discussion, text 848-209-6658 or email us for NDA signature link. Send CV to njfoot123@gmail.com. All inquiries will be kept confidential.
 
ASSOCIATE POSITION - ALBUQUERQUE, NM 
 
Foot & Ankle Specialists of New Mexico has an exciting, immediate full-time position open for a board qualified or board-certified foot and ankle surgeon. You can view our website at footanklenm.com. Spanish speaking and Fellowship are a plus but not a requirement. Billing/coding experience is preferred. Compensation is a competitive salary plus a percentage bonus structure to start.  10k sign-on bonus for provider that starts before by September 1, 2025. Please email CV and cover letter to ACharlie@footanklenm.com
 
ASSOCIATE POSITION – MARYLAND  
 
Thriving podiatry practice with 3 office locations seeking a highly motivated and reliable full-time associate. Candidate must be board eligible, residency with RRA preferred. Great work environment with strong support staff. Competitive compensation and benefits package with bonus opportunities offered. Please email CV to: careers@mynewfeet.com
 
ASSOCIATE POSITION: NORTH PORT, FLORIDA 
 
Multi location practice seeks podiatrist, non-surgical/surgical. Flexible schedule with percentage based salary. Licensed in Florida with immediate start date. Please send resumes to nppodiatry@gmail.com
 
ASSOCIATE POSITION - GREENVILLE, NC 
 
Seeking a full-time associate podiatrist for the growth of Family Foot and Ankle Physicians in Greenville, NC. New associate would be able to diagnose, treat, or prescribe treatment of foot, ankle, and other related structures, and manage medical assistants. Required: DPM; NC Medical License; 3-year Podiatric Medicine and Surgery Residency Program; ACLS Certification. Schedule: Monday-Friday clinic 8am-5pm; Rotating Saturdays on call for hospital rounds; On call one day per week for local hospital rounds. Please send CV to: manager@familyfootanklephysicians.com, or Family Foot & Ankle Physicians, PLLC, 1432 E. Fire Tower Road Greenville, NC 27858.
 
ASSOCIATE PODIATRIST – CHATTANOOGA, TN  
 
Paramount Podiatry, a well-established practice seeking a well-trained Associate to cover all areas of podiatry (general, surgery, wound care). Ability to work independently; Competitive base + Productivity Incentive; Health Insurance; Paid Malpractice Insurance; Paid Time Off; Monday- Friday 9am-5 pm (plus call) Send CV to paramountpodiatry@gmail.com 
 
FULL TIME PODIATRIST - NEW JERSEY  
 
Established Podiatry practice in New Jersey with multiple locations and Doctors.  We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Benefits include: competitive six-figure compensation ranging from $155,000-$250,000, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and 401(k) plan. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your podiatric medical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
 
ASSOCIATE POSITION – LOS ANGELES, CA 
 
Busy growing multidoctor podiatry group in Los Angeles affiliated with a large academic medical center, looking to hire a new full time podiatrist. Must be Board qualified/certified, hold a CA state podiatry license, DEA. Must be 3-year surgical residency trained with expertise in diabetic wound care. Competitive compensation with benefits including health, dental, vision and malpractice insurance, 401k with profit sharing. Opportunity for very rapid professional growth. Email cover letter and CV to rklee@mednet.ucla.edu
 
ASSOCIATE POSITION – MULTIPLE POSITIONS AVAILABLE 
 
Doctor of Podiatric medicine positions open for well-trained, highly motivated individuals. Competitive  pay and benefits and great company culture. To see what is available please go to: https://summitfootankle.applicantpro.com/jobs/ or send your CV directly to laney@summitmedicalpartners.com
 
ASSOCIATE POSITION- DELAWARE (MIDDLETOWN AND DOVER) 
 
Brandywine Podiatry the largest podiatric practice in Delaware with seven full-time offices is seeking a full time associate for our Middletown and Dover offices. Unique opportunity for a office based associate without hospital consults/surgery responsibilities. We already have 35 patients a day to fill your schedule so no need to build up the volume. Full compensation package. Please send CV to Savage6026@comcast.net 
 
ASSOCIATE POSITION OPEN IDALLAS/FORT WORTH AREA 
 
Join our dynamic multi-specialty group, spanning 6 locations in DFW, equipped with cutting-edge technology, physical therapy and an established patient base. Our practice also includes a surgery center. We offer a competitive starting salary with bonus and benefits. Send your CV to Cnunez1940@gmail.com
 
ASSOCIATE POSITIONS – AL, GA, KS, LA, MO, MS, & TN 
 
Aria Care Partners is seeking Mobile Podiatrists to work 1-2 days/week in skilled nursing facilities. You will have autonomy and focus on clinical care while we take care of all scheduling and billing. Guaranteed daily base rate plus competitive compensation. Electronic charting and all equipment provided. Make a true difference in an under-served population. New graduates or experienced practitioners are welcome! Email CV to: kcampbell@aria.care
 
ASSOCIATE PODIATRIST - PHOENIX, ARIZONA
 
Exceptional opportunity for a motivated/compassionate podiatrist. Thriving, multi-location practice. Hospital, ASC affiliations ensure busy surgery schedule. In-office resources including minimally invasive procedures(MSK Laser, PRP, Ultrasound, Shockwave). High patient volume, strong mentorship, DME growth guarantee long-term success. AZ License Preferred. Email CV ArizonaFootDocs@gmail.com
 
ASSOCIATE POSITION – VIRGINIA 
 
Growing podiatry practice is seeking a high energy associate interested in providing care to multi senior living facilities as well as working into a partnership to own the practice in 2 to 4 years. The office is located in Annandale, Virginia. Great opportunity to add a surgical aspect to the practice as surgery is currently referred out. Compensation is personal productivity commission based. There is a $1,000 sign-on bonus. Please respond to: DrBreiner@AOL.com
 
ASSOCIATE POSITION – NEW JERSEY 
 
Looking for a podiatrist, part-time or full time, to service nursing homes in SOUTH NJ with the possibility to work in office for the right person. Looking to start ASAP. Please email resume to ghcp@globalhealthcarepartner.com. Days and Hours are very flexible. Good compensation. 
 
ASSOCIATE POSITION – NEW YORK, NY 
 
Podiatrist position available for immediate hire. Flexible hours with both part time/ full time flexibility. Competitive salary with bonus structure. Recent grads welcome. Send CV  to toetalpodiatrynyc@gmail.com
 
ASSOCIATE POSITION – HUDSON VALLEY, NY 
 
Busy podiatry office seeking surgically trained podiatrist. Office and wound care-based practice with hospital in and outpatient settings and surgery center affiliation.  Practice with focus on routine foot care, surgical procedures and wound care. Office located in the Hudson Valley, 50 minutes north of NYC near major highways. Competitive salary depending on experience. ABFAS board certified/qualified and PMSR-RRA trained preferred. Please forward resume to Office@cappapodiatry.com
 
ASSOCIATE AND/OR NURSE PRACTITIONER POSITION - SOUTHERN CALIFORNIA 
 
Very busy, well-established, group practice is seeking to add a full time associate. Candidate must be very hard working and ethical with good surgical training and having completed a minimum of 24 month residency. Applicant must be at least board qualified. Competitive salary and benefits. E-mail CV to llfootankle@gmail.com
 
ASSOCIATE POSITION – MANHATTAN 
 
Leading and reputable multi-location private practice in the heart of Manhattan seeks a skilled podiatrist. 1 year + private practice experience preferred but not required. New residents are welcome. Send resume to manhattanpodiatrycare@gmail.com
 
ASSOCIATE POSITION – FLORIDA 
 
PT to possible FT mobile positions in Tampa, JAX, and other cities for responsible DPM team players. Primarily home visits and ALF/ILF's. No call. No ER. Flexible 9-5. Weekends optional. Generous commission salary. Great for new grads, semi-retired, or those looking to help fill their schedule. Serious applicants email contact@PodiatristAtHome.com
 
WOUND CARE FELLOWSHIP - NEW YORK 
 
CPME-APPROVED 12 month fellowship, located at St. John's Episcopal Hospital in Queens, New York. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, general, vascular, and podiatric surgeons. -The wound care fellowship position pays a 6 figure salary for the year, 4 weeks of paid vacation, personal days and paid health benefits. Please contact or jtfootcare@gmail.com. EOE employer.
 
FELLOWSHIP POSITION - ORANGE COUNTY, CA
 
12 month fellowship in reconstructive rearfoot & ankle surgery, trauma, Charcot reconstruction, MIS surgery. Program includes Office, hospital, surgery center, & practice management rotations. 10-year history of prior graduating fellows. Annual salary $60K +benefits and potential hiring on as practice associate after completion of the program. Email CV: drhaupt@newportfoot.com
 
 
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Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management® Magazine and Podiatry Management® Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify me and you are hereby instructed to delete all electronic copies and destroy all printed copies.
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