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| PM News | |
The Voice of Podiatrists
Serving Over 22,051 Subscribers Daily
July 11, 2023 #7,536  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2023- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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Would you be willing to mentor a prospective podiatry student?
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| PODIATRISTS IN THE NEWS | |
MI Podiatrist Discusses Pre-Diabetes
According to Conway McLean, DPM, "The latest evidence appears to point rather clearly to the possibility of curing yourself of pre-diabetes. Is it easy or common? No. It means significant lifestyle changes and they are hard to make (or keep). Radically altering your diet is necessary for many of these people since it is primarily their unhealthy dietary regimen which led to the disease."
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Dr. Conway McLean |
"Exercise is the other half of the discussion. Recent good news comes from studies proclaiming the benefits of a consistent exercise regimen can overcome a genetic predisposition to developing this disease. The truth is out there, exercise and diet are your keys to well-being. You’ve got to do it if you want a better chance of beating diabetes," says Dr. McLean.
Source: Marquette Mining Journal [7/7/23]
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| PODIATRISTS AND SPORTS MEDICINE | |
OH Podiatrist Tells How to Avoid Foot Injuries When Running Long Distances
Whether you’re gearing up for a marathon or just want to run longer distances, there are some things you can do to avoid foot injuries. Joy Rowland, DPM, a podiatrist with Cleveland Clinic said starting with the right running shoe is key. “The shoe should be cushioned. It should have a heel flare to absorb shock in the heel area, and it should have some cushion by the metatarsal,” Dr. Rowland said. “You want to make sure that the toe box area is big enough, so your foot has a little bit of room. You don’t want your toes hitting into the shoe.” Dr. Rowland said finding a couple of good running shoes to rotate between is important.
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Dr. Joy Rowland |
Well before your run, Dr. Rowland said it’s crucial to build up your foot strength by doing daily exercises and stretches. For example, you can flex your foot up and down to resistance – or try toe presses where you push your big toe to the ground while lifting your other toes up. “Not only do foot strengthening and stability exercises help you as you prepare for your run, but they also help you while you’re running,” Dr. Rowland said. “The better prepared your feet are, the more you reduce your risk of injury and long-term problems like stress fractures.”
Source: KLove [7/7/23]
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| PODIATRISTS IN THE COMMUNITY | |
TX Podiatrist Opens Parr Foot & Ankle Associates
Philip Parr, DPM, MS recently opened Parr Foot & Ankle Associates in Dallas-Fort Worth, Texas. Dr. Parr earned his podiatric medical degree at the William M. Scholl College of Podiatric Medicine where he served as class president. He received a Masters in Science degree in biomedical sciences from the Oklahoma State University-Center for Health Sciences in Tulsa, OK.
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Dr. Philip Parr |
Dr. Parr completed his podiatric residency at Intermountain Healthcare in the Greater Salt Lake City Area. He is board certified by the American Board of Foot and Ankle Surgery.
Source: Linkedin
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Mastering the Science of Patient Financial Engagement
Here are some ways physicians can more effectively encourage patients to pay their bill by leaning into a behavioral science-based approach.
3. Avoid digital fatigue and decision fatigue by establishing the right cadence for messaging. Studies show rates of decision fatigue—the exhaustion that comes with making decisions over and over—increases when consumers grapple with financial challenges. In fact, 71% of consumers say they have ignored emails and messages from service providers due to economic and social pressures. Digital fatigue, which comes from spending too much time looking at screens, affects 64% of consumers. For physician groups, this makes establishing the right cadence for financial communications vital to securing engagement and protecting patient satisfaction.
Source: Tom Furr, Physicians Practice [6/30/23]
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| CODINGLINE CORNER |
Query: Non-union of a Lapidus Bunionectomy
I performed a Lapidus bunionectomy that went on to a subsequent non-union of the arthrodesis site. We are planning a return to the operating room to revise it. Any suggestions on the best ICD-10 code and best CPT code to use in this situation?
Stuart Honick, DPM, Hammonton, NJ
Response: The technical terminology in ICD-10-CM belongs to the code M96.0 Pseudarthrosis after fusion or arthrodesis. The only time you can use a “non-union” is when it is associated with a fracture, which your scenario is not. Depending on the complication with the hardware, I suggest one of these as the top 4 choices:
1) T84.126S Displacement of internal fixation device of bone of right lower leg OR T84.127S Displacement of internal fixation device of bone of left lower leg
2) T84.213S Breakdown (mechanical) of internal fixation device of bones of foot and toes
3) T84.223S Displacement of internal fixation device of bones of foot and toes
4) T84.293S Other mechanical complication of internal fixation device of bones of foot and toes
If these do not match your circumstance, look at the entire T84 series.
CPT Coding: If you revise an arthrodesis site, then typically you will use the same CPT code but in this case, you are not re-doing the bunionectomy, only the arthrodesis; so select CPT 28740 Arthrodesis, midtarsal or tarsometatarsal, single joint. If you are within the global period, then you append modifier -78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Post-operative Period. You would not use modifier -76, as you are not repeating the whole procedure again, only a part of it. If outside the global period, use only the RT or LT anatomic modifier.
David J. Freedman, DPM, CPC, Silver Spring, MD
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) | |
From: John Moglia, DPM
I received an Episource request for 66 charts. I charged $50 per chart. I told the representative I would forward the chart notes when the check for $3,300 was received. I refused to negotiate and received the check a week later. I will now charge $100 per chart, hoping Episource or Ciox will refuse payment so the chore will not take office staff away from their regular duties. Please note this chart request was not an audit.
John Moglia, DPM, Berkeley Hts, NJ
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Lawrence Rubin, DPM
Dr. Zicherman has voiced concerns pertaining to the Medicare billing of CPT codes for toenail avulsion. ThIs link contains current national guidelines that explain the current utilization guidelines for the avulsion codes. There may be some variations among the individual MACs.
I was one of several podiatry Medicare HCFA Contract Advisory Committee (CAC) members who received the first publishing of the revised original nail avulsion guidelines. According to what we were told, these guidelines were mandated by the Medicare Office of the Inspector General, not by HCFA. The reason given for the change was to control "aberrant billing."
Lawrence Rubin, DPM, Las Vegas, NV
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 B | |
From: Steven Finer, DPM
Thank you Dr. Zicherman for writing that detailed analysis of nail surgery. Medicare’s constant changing of the regulation was to stop fraud and lower payments for this procedure. One can argue all day about 8mm.vs.9mm. but this is what it is really about. Medicare guidelines changed it up with the words, ”local anesthesia.”
This simply means the use of an injection to the toe. When some podiatrist makes the fraud headlines, most of these cases are about nail surgery. Around 1976, Dr. Arthur Helfand mentioned to me that one day this billing through Medicare would become problematic.
Steven Finer, DPM, Philadelphia, PA
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| RESPONSES/COMMENTS (PODIATRISTS IN ACADEMIA) | |
From: Andrew Levy, DPM
Congratulations to Dr. Torres on his appointments! It is such an important basis of knowledge that will serve his students throughout their entire careers. Good luck and glad to see a positive story about someone taking on such important responsibility.
Andrew Levy, DPM (Retired), Jupiter, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Worn while walking in wild whereabouts? |
Its sleek silver metallic finish catches the eye, while its randomized metal grommet holes are designed to replicate the edgy appearance of bullet holes.
Source: Christopher Viggiano via Virtual Shoe Museum
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $279 (less than $19 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, PA, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY*, NC, OK, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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| 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
ASSOCIATE POSITION – MARYLAND
Immediate associate position to join our team. An expanding, dynamic podiatry practice with lots of room to grow. Limb salvage, deformity, trauma & clinic. Multiple hospitals to take call, hospital call required. Maryland license preferred, BQ required. Full benefit package available. Please email CV to footanklerecon@gmail.com
ASSOCIATE POSITION – FLORIDA
Podiatry in Paradise! US News and World Report called our city the #4 best place to live in the US and the #1 place in Florida. Come practice with us in paradise. www.podiatryinparadise.com
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
SEEKING EXPERIENCED DPM - NORTH EAST FLORIDA
North East Florida established 25 year practice seeking surgically trained podiatrist for full time position. Must be experienced in all aspects of foot and ankle care including diabetic limb salvage. Prior private practice experience required. Position is office and hospital based. Productivity based compensation with full benefits package. This thriving practice with tremendous growth potential is also available for immediate sale. Send CV to: podpracticesale@zohomail.com.
POSITION AVAILABLE – SAN FRANCISCO BAY AREA
Immediate need to hire an associate CA licensed DPM Medicare certified to visit skilled nursing facilities in the SF Bay Area, flexible hours, and monthly compensation on commission on negotiated rate based on cost of services provided. Send your CV and inquiries to office@myfootclinic.com
ASSOCIATE POSITION - UPSTATE SC
Busy two-office practice with five doctors in Upstate SC seeking a full-time podiatry associate. Start date immediately. All aspects of podiatric surgery, medicine and biomechanics. Benefits include 401K, malpractice, health and dental insurance, CME, short- and long-term disability. PTO. (All other standard benefits) Please send face letter with CV to podiatryresumes@upstatefootdocs.com
ASSOCIATE POSITION – AUGUSTA, GEORGIA
26 Foot and Ankle is seeking a board eligible or board-certified associate podiatrist to join our expanding team! Available opportunities include joining our locations in Augusta, Georgia. You will be involved in all aspects of podiatric medicine, including foot/ankle surgery, orthotics/bracing, Laser therapies, diabetic care, wound care, and retail shoes. hr@26medical.com
ASSOCIATE POSITIONS - FLORIDA, SOUTH CAROLINA, AND GEORGIA
KG Health Partners is seeking full-time and part-time podiatrists to provide mobile lower extremity care to long-term care residents in Florida, Georgia, and South Carolina. Monday through Friday schedule, competitive wages, malpractice insurance, and benefits for full-time employees. Email CV to Kgadmin@kghealthpartners.com
ASSOCIATE POSITION – ST. LOUIS, MO
US Foot and Ankle Specialists (USFAS), one of the largest podiatric groups in the United States is hiring! USFAS is looking for an experienced associate doctor to join our team in the St. Louis area. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION – VIRGINIA
Growing podiatry practice seeking high-energy associate interested in providing care in senior living facilities and working into a partnership to own the practice in 2 to 4 years. Office is located in Annandale, Virginia. Great opportunity to add a surgeon, as surgery is currently referred out. Compensation is personal productivity commission based. There is a $1,000 sign-on bonus. Please email: DrBreiner@AOL.com
ASSOCIATE POSITION – ST. LOUIS AREA
UNHAPPY IN PRACTICE?...Excellent private practice opportunity in St. Louis area for now and in the future. Call Edward Stein, DPM - cell phone for confidential conversation (314) 565-2739
INSTRIDE MANAGED SERVICES GROUP
Join InStride Services Group and revolutionize your independent podiatry practice! Preserve ownership while benefiting from the strength of a collaborative network. Enhance your practice with streamlined back-office functions, increased purchasing power, and access to expert professional services and advice. Decrease your administrative burdens and focus on patient care and practice growth. Don't miss this opportunity to improve your practice. Visit www.instrideservices.com for more information on how InStride Services Group can empower your success.
FULL TIME PODIATRIST - AMARILLO, TX
Immediate opening for surgically trained associate. Well-rounded clinic. Reasonable paid call schedule and work hours. High base salary plus bonus, relocation allowance. We pay for CME and association fees, licensing, malpractice, health insurance, cell phone, and more. To apply, please send your CV to office@amarillofootspecialists.com
ASSOCIATE POSITION – MIDTOWN MANHATTAN
Looking for a full time podiatric associate for a busy midtown practice. Please email CV to amaltese2185@yahoo.com.
POSITIONS AVAILABLE - SOUTH CAROLINA, GEORGIA
Beautiful places and smiling faces. Don’t get caught up in the podiatry rat race. Join the Southeast’s most progressive podiatry practice. If you are retirement ready or residency ready; surgical or non-surgical; full time or part time; we may have a place for you. Earning potential ($200-300k) with benefits, and most importantly work-life balance. careers@physiciansfootcare.com.
ASSOCIATE POSITION – EASTERN VIRGINIA
US Foot and Ankle Specialists (USFAS), one of the largest podiatric groups in the United States is hiring! USFAS is looking for an associate doctor to join our team in Eastern, Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Work where you want to live. Supportive environment, Sunny SWFL, build your surgical boards cases quickly, busy, modern, technologically advanced offices. ABFAS BC/BQ a must, EMR, CT, DME, Base salary + bonus, PTO, 401K, health ins. 1 ACFAS fellowship position also DrLam@NaplesPodiatrist.com
FULL-TIME PODIATRIST - NORTH CAROLINA
A well-established, fast-paced office looking for a full-time podiatrist to join our growing practice in North Carolina. We currently have 4 locations in the Piedmont Triad area. We are looking for a board-certified or board-eligible podiatrist who is motivated, outgoing, and well-trained. North Carolina license required. We offer a competitive salary and benefits. Send your CV to ncpodiatryjob@gmail.com
ASSOCIATE POSITION - THE WOODLANDS, TEXAS
“Best Cities to Live in America” Join our esteemed podiatry group as an associate specializing in wound care and general podiatry medicine. Are you passionate about healing and improving the lives of patients? We are searching for a skilled, motivated, and dedicated professional to join our team! Diverse patient population State-of-the-art facilities, collaborative environments, professional development, and competitive compensation. Amazing opportunity. Must be available now. Please send CV to jensen2022@myyahoo.com
ASSOCIATE POSITION - FLORHAM PARK - NEW JERSEY
Florham Park Podiatry is currently seeking a locum tenens podiatrist to join our dynamic team on a temporary basis. Work in a fast-paced multidisciplinary healthcare environment, diagnosing and treating a wide range of foot and ankle conditions. Contact: Drsteinberg@florhamparkpodiatry.com / 917-650-3733.
PRECEPTOR/ASSOCIATE WANTED - LONG ISLAND, NY
Office based 100% MIS practice seeks highly motivated, outgoing doctor willing to be trained in state-of-the-art minimal incision “puncture” surgical techniques. No board certification or residency training necessary, just a desire for the opportunity to become part of the metropolitan area’s leading “minimal incision” surgical practice. Applicant should have excellent communication skills and an energetic personality. If interested, please email your resume and letter of interest to Larsdpm@gmail.com.
ASSOCIATE POSITION – SAN ANTONIO, TX
Methodist Healthcare in San Antonio, Texas is seeking motivated applicants for a 1-year podiatric reconstructive foot and ankle surgical fellowship to begin summer 2024. Qualified candidates must have completed a 3-year CPME approved podiatric residency, be ABFAS board eligible in foot and reconstructive rearfoot/ankle surgery, and be eligible for an unrestricted medical licensure in Texas. Candidate should also have a desire to gain additional expertise in diabetic Charcot reconstruction, plastic surgery of the diabetic foot and ankle and deformity correction. Group is offering a competitive salary and benefits package. For more information, send your CV and inquiries to gina.coliano@hcahealthcare.com.
ASSOCIATE POSITION - WESTERN PA / NORTHEAST OHIO
Rapidly growing practice seeking motivated full-time associate for 2 offices. Board qualified/Board certified required. License for Pennsylvania as well as Ohio preferred. Practice encompasses all aspects of podiatry including medicine, surgery and wound care with privileges available at multiple hospitals and surgery centers in the area. Salary plus bonus structure available with paid vacation/PTO, CME, malpractice, 401k with employee match, health/vision/dental insurance. Please email your questions/CV to westernpapod@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing 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. Some benefits include: competitive six-figure salary, generous guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced doctors as well as new Associates. This is an excellent opportunity to expand your podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION - CHICAGO SUBURBS
Looking to hire Summer 2024. Thriving podiatry practice in Chicago suburbs looking for an associate to take practice to the next level. Must be highly motivated and have the ability to WOW our patient with your charismatic personality and professionalism. This is an excellent opportunity to work in a state-of-the-art office (which includes MRI) with a team-oriented culture. 3-year surgical residency required. Submit CV to jswalter@hotmail.com
ASSOCIATE POSITION - MANHATTAN
Seeking Associate to practice on Central Park West in a modern, newly renovated office on corner of CPW/85th Street. Part Time, New York licensed and In-Network with insurances, percentage to be discussed with overhead and staff included. No call or weekends needed. Inquiry contact: Bradschaefferdpm@gmail.com
ASSISTANT PROFESSOR, PODIATRIC MEDICAL EDUCATION - DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
The Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science is seeking one full-time Assistant Professor to train and lead the next generation of podiatrists in an interprofessional, multicultural learning environment. Responsibilities include but are not limited to didactic lectures, clinical workshops, and clinical education. https://www.rosalindfranklin.edu/employment/ Rosalind Franklin University of Medicine and Science is an Equal Opportunity/Affirmative Action employer and is dedicated to creating and fostering a diverse academic environment. EOE, Including Disability / Vets.
FULL-TIME CLINICAL FACULTY POSITION – NYCPM
NYCPM seeks DPM for its Department of Orthopedics and Pediatrics. Must be board certified by the ABPM, have a NY license and a current DEA Certificate. This position teaches biomechanics and pathomechanics to podiatric medical students. Duties include patient care and student education, and live lectures in classroom and patient-care settings, including workshops, webinars and seminars. Candidate will participate in scholarly service activities within the College community and work collaboratively with other faculty, students, staff and administration. Prior teaching experience strongly recommended. Salary range: $125,000 to $140,000. Send cover letter, CV, proof of board certification to: Mr. Joel Sturm, COO & VP for Administration at JSTURM@NYCPM.EDU
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2023. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact or jtfootcare@gmail.com. EOE employer
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| 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.
OFFICE SPACE AVAILABLE – MANHATTAN AND PLAINVIEW, LONG ISLAND
Office space available East 60th, East 70th and East 22nd streets in Manhattan and Plainview, Long Island. Offices fully equipped and are available full time, part time and to share. All serious inquiries should be sent to podo2345@aol.com
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| Disclaimers |
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.
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PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an
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