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PM News

The Voice of Podiatrists

Serving Over 22,130 Subscribers Daily


October 29, 2024 #7,882 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2024- No part of PM News can be reproduced without the
written permission of Barry Block

stimlaboct2824

PM NEWS QUICK POLL
 Which of these vaccinations have you had (or intend to have) this year?
Performancesep224A

richieoct724

PODIATRISTS IN THE NEWS
Tracking Steps Helps to Monitor Fitness Progress: AL Podiatrist  
 
Brent Haverstock, DPM, co-director of the Advanced Limb Preservation Clinic at UAB, suggests visiting a reputable running shoe store for assessment before picking out a walking shoe. Tracking steps can help individuals establish goals and monitor progress. Studies have shown that about 7,500 steps per day or 30 minutes of moderate physical activity reflects public health guidelines; however, individuals can establish a goal and gradually increase it as activity levels increase.
 
Dr. Brent Haverstock
 
"With numerous shoe options available, it is important to find what feels comfortable and meets your needs," Haverstock said. "Running shoes typically have a lifespan of 300 to 500 miles, so I recommend replacing them every six months. However, you may have to replace them sooner if the tread and heel start showing signs of wear and tear."
 
Source: Katherine Kirk, University of Alabama at Birmingham [10/25/24]
KevinOct2824F

PODIATRISTS IN THE COMMUNITY
      NY Podiatrist is New Residency Director at Mt. Sinai South Nassau Hospital              
 
Manoj Sadhnani, DPM recently started a new position as Residency Director at Mt. Sinai South Nassau Hospital. Dr. Sadhnani earned his podiatric medical degree at the New York College of Podiatric Medicine.
 
Dr. Manoj Sadhnani
 
Dr. Sadhnani is board certified by the American Board of Foot and Ankle Surgery and a Fellow member of the American College of Foot and Ankle Surgery.
 
Source: Linkedin
footstepsoct1424

PODIATRIC PRODUCTS IN THE NEWS
VELOUS Sandals Recognized for Promoting Foot Health
 
VELOUS Footwear, a leader in recovery footwear today announced its full line of sandal products has been awarded the American Podiatric Medical Association (APMA) Seal of Acceptance, demonstrating VELOUS position at the forefront in recovery footwear products.
 
Dr. Tim Mineo
 
“As both a podiatrist and an athlete, I know how crucial it is to wear the right shoes to support foot health and recovery,” said Tim Mineo, DPM, board-certified podiatrist and competitive cyclist. “I wear and recommend VELOUS products to my patients and I can say first-hand that these sandals promote healing by keeping feet in a supportive and relaxed position. Earning the APMA Seal of Acceptance further confirms that VELOUS Footwear sandals are true leaders in the industry.”
 
Source: Endurance Sportswire [10/25/24]
apwhoct724

Pedicismay922

FROM PM's CURRENT ISSUE
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
 
Today's featured article
 
bakooct2824A

PRACTICE MANAGEMENT TIP OF THE DAY
How to Re-negotiate Payer Contracts 
 
If you feel stuck in a lousy deal with your payers, you can re-negotiate. Here are some steps to renegotiate your contracts and improve your revenue. 
 
5. Seek help when needed. If you ever feel you’re in over your head, ask for help from someone who isn’t as emotionally invested as you are, such as a negotiation coach. Having someone with experience and a fresh set of eyes on your talks can provide insight and propel your success. More importantly, bringing on someone who is not as emotionally involved to help you through the negotiation will help you stay calm and obtain the best results for you and, ultimately, your patients.
 
Source: David J. Norris, MD, MBA, CPE, Physicians Practice
pccrandymar1124

QUERIES (CODING & BILLING)
Query: Source to Change Solo to Group NPI
 
Can anyone recommend a reliable service that they have worked with to help with changing the NPI number billed under with all the insurance carriers contracted with a podiatry practice? I am not talking about initial credentialing, just changing from a solo practitioner NPI to a group NPI?
 
Name Withheld
AllardOct2124

RESPONSES/COMMENTS (CODING & BILLING) - PART 1
RE: UrgoK2 Compression System 
From: Eric J. Lullove, DPM
 
One of the first things you need to know about the Urgo K2 and similar multi-layer compression systems is this — they are Compression Systems! These are not “Unna boots” or other type of archaic compression garment. These products are FDA approved DMERC Stage 2 Surgical devices and dressings.
 
There are other brand-names on the market (3M, Milliken, Coloplast, Hartman, Essity in addition to Urgo) and they are all treated the same under a single CPT code for physician application: 29581. The typical ICD-10 codes for this product application will be the I87.3xx series and I89.1.
 
You can bill these adjunctive to an E/M service and they also are independent of wound debridement services. You MUST document the venous hypertension with or without inflammation and ulcer or secondary lymphedema, and have measurements of the affected calf and ankle. Also - do not bill these products as 29580 — they are NOT Unna boots. Also, applying an Unna boot and adding multiple layers does not qualify the multi-layer compression CPT code. The CPT was specifically created for this product group, and once an Unna boot is applied, the 29580 is primary.
 
Eric J. Lullove, DPM, Coconut Creek, FL
tetraaug524

RESPONSES/COMMENTS (CODING & BILLING) - PART 2
From: Richard J. Manolian, DPM
 
Suggesting that a group of codes should be created that would be useful to designate unequal foot length or foot width is a reasonable request. But I’m tired of not seeing an ICD code for hammertoe for all the toes and laterality; and amputation codes need an update with osteomyelitis being the primary causative agent, not trauma as it exists now, among others.
 
Richard J. Manolian, DPM, Southbridge, MA 
gillmar2723B

RESPONSES/COMMENTS (NON-CLINICAL)
RE: No DPMs Need Apply
From: Rod Tomczak, DPM, MD, EdD
 
I recently received a notice on Linkedin from a young lady who gave up a lucrative career with a pharmaceutical company to attend medical school in Curacao. The notice simply stated there was a change in her status. I remember asking her in the interview why she wanted to give up her position to pursue an MD degree from the Caribbean. She said there was a glass ceiling for folks in the medical business industry who were not doing the bench research and did not possess an MD degree.
 
I followed up the other day on Linkedin and saw she is presently teaching at Columbia University in New York City. When I talked with her, she told me she got a great offer to teach, not in Columbia’s College of Physicians and Surgeons but in the business sector, at least partly because of her MD degree, so she took it. She mentioned there was even a ‘go to’ site for MDs who did not want to practice medicine, and this website even advertised jobs. I was curious about what she said, and I...
 
Editor's note: Dr. Tomczak's extended-length letter can be read here.
prolaboct2824

RESPONSES/COMMENTS (MEDICARE ADVANTAGE)
RE: Medicare "Advantage": Questionable Use of Health Risk Assessments Continues to Drive Up Payments to Plans by Billions
From: Paul Kesselman, DPM
 
I, along with others, have posted a myriad of references to the sham that is Medicare Part C. This recent publication, OIG Cites Billions Wasted on Health Risk Assessment from the OIG is the most infuriating of all recent reports. When will our Congressional reps finally realize that this program must end? The issue here from a political perspective is that it won't unless we, the public, impeach our Congressional delegation who support this program. Where is their job security if they are not re-elected?
 
I'll admit I am naive because this likely won't stop unless the billions in political contributions from the large insurance companies, which foster these programs, is cut off. Physicians also shoulder some responsibility. It's time to simply refuse to cooperate with those companies which ask us for charts. You are under no legal obligation to provide this information. No charts, no data. Simple fix. I also have seen many health systems take the bull by the horns and simply toss their contracts with these programs out the window.
 
I know it's easy for me to say all this because I no longer rely on income from seeing patients, but if I did, I hope I would have the fortitude to say enough is enough! The OIG report, is accurate but will it result in any real action?
 
Paul Kesselman, DPM, Oceanside, NY
astepabovejun2121

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Supportive, strappy, suede, stiletto!

Source: Bernadette Deddens via Virtual Shoe Museum

talaroct2824

MEETINGS & WEBINARS

MILESsept3024

amerxoct724

presentoct2824B

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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 - SOUTHERN CA - SAN DIEGO 
 
Established practice with reputation for surgical intervention. Opportunity to set in and have strong patient flow. Great relationships with other providers and surgical centers. Fully equipped to provide a full range of services. Well trained staff. Contact: MCrosby518@gmail.com
 
PRACTICE FOR SALE - NY CITY - MANHATTAN PRIME LOCATION 
 
Established practice for sale. Owner desires to sell and transition. Opportunity to take over established patient base and ground level location. Well-appointed office with consistent retentive patient flow. Contact: MCrosby518@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 - CENTRAL NJ 
 
Associate needed immediately for 40+ year busy private practices in Central NJ. Applicant should be personal, independent and motivated and must hold an active NJ license. Practice entails all aspects of podiatry. Surgery, orthopedics, wound care, primary care and sports medicine. Competitive compensation package. To apply please email CV to tradestock376@gmail.com
 
PODIATRIST -  ILLINOIS MULTIPLE LOCATIONS IN CHICAGOLAND 
 
Northern Illinois Foot & Ankle Specialists has 17 Offices around the Chicagoland area. Full time & part time positions are available for both surgical & non-surgical podiatrists. Hiring immediately and also for July 2025 at several offices. Great benefit package. Email CV to drmceneaney@illinoisfoot.com
 
ASSOCIATE POSITION – GREATER SYRACUSE AREA 
 
Multi-doctor, multi-office podiatric practice looking for a full-time associate to support growing patient demand. Candidate must be highly motivated, team oriented, hardworking, and exhibit excellent bedside manner. Competitive salary (base + bonus) offered with benefits: Health & dental insurance, 401k Plan, malpractice coverage, professional expenses (License fees, society memberships, hospital staff fees), paid vacation & CME days. Must be actively seeking board qualification, or already board certified. Four season fun abounds in beautiful Central New York! Send CV with references to Practice Manager at: info@westsidepodiatrycenter.com
 
ASSOCIATE POSITION – LEXINGTON, KENTUCKY
 
Well-established, busy podiatric group seeking surgically trained podiatrist.  Multiple locations, full patient schedules, lower extremity MRI, state-of-the-art technology, competitive compensation. Lexington is located within a few hours' travel to approximately two-thirds of the U.S. population and provides healthcare needs for Southern, Central and Eastern Kentucky. Submit CV and 3 references to dr.allen@LFAAC.com
 
ASSOCIATE POSITION - LAS VEGAS, NV 
 
Busy and well-established practice located in a medical district and two blocks from the hospital. Must have excellent bedside manner. Send cover letter and CV to: SIERRA@LASVEGASACFAC.COM
 
ASSOCIATE POSITION - CHARLOTTESVILLE, VA 
 
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in 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@us-fas.com. Candidates must be either licensed or in the process of becoming licensed
 
ASSOCIATE POSITION - RICHMOND, VA 
 
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in 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@us-fas.com. Candidates must be either licensed or in the process of becoming licensed
 
ASSOCIATE POSITION - OCEAN CITY, MD 
 
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Maryland. Pay range: $140k-$200k. Benefits Offered: Health Insurance (Single & Family plans available), Life Insurance, Disability Insurance, 401(k) plan with Company Match, Employee Discount Program, Paid Time Off, and Paid Holidays. 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 - BLACKSBURG, VA 
 
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in 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.
 
ASSOCIATE POSITION - HAMPTON, VA 
 
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in 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.
 
ASSOCIATE POSITION – CONNECTICUT 
 
Well established, busy three office private practice seeking a surgically trained podiatrist. Very competitive salary. Benefits include 401k with match and fully paid malpractice and health insurances. Gas for travel reimbursed. Must be ABFAS qualified/certified. Please email any questions or CV and references to pferrantedpm@gmail.com
 
MOBILE PODIATRIST - SAN DIEGO  
 
We are seeking podiatrists to see patients at ALF, SNF & private homes. We offer a flexible schedule, excellent monthly compensation, & dedicated support staff. You will have autonomy & focus on clinical care. Our team will take care of all administrative work. Inquires: barefeetpodiatry1@gmail.com
 
POSITION AVAILABLE – MARYLAND 
 
Great opportunity to join a well-rounded, growing, podiatry practice in Maryland. We hire employees with high integrity, a belief in teamwork, and a passion for our brand.  We strive for accuracy and consistency. We desire a physician who is centered on patient commitment. Cleanliness is a must. If you are an energetic, enthusiastic, and tenacious, podiatrist, email us your contact information and resume. Text 410 459-4909 or Info@HLESfootcare.com
 
ASSOCIATE POSITION – CENTRAL NY 
 
Bassett Healthcare Network, a progressive, academic health system in central New York, major teaching affiliate of Columbia University, is seeking a per diem podiatric surgeon to join our staff. Bassett Healthcare Network is an integrated healthcare system that provides care and service to people living in an eight-county region covering 5,600 square miles in Central New York. Rotational On-Call expectations will be required · 180 Bed Primary Hospital with Level III Trauma Center · Instant Referral Base provided by over 300 Primary Care Clinicians · Salary Range: $130/Hour For confidential consideration, please contact: Ashley Camarata, Medical Staff Recruiter 607-547-6982 or Ashley.camarata@bassett.org
 
FULL TIME and PART TIME - SOUTHERN CALIFORNIA 
 
Los Angeles County and San Diego County. Leading mobile podiatry practice in California. The most competitive compensation due to our large network of doctors and low overhead. Unique opportunity with a flexible environment and full support of a well-established healthcare team. Access to full office staff and AI tech. Great for new graduates, those with families or anyone wanting to increase their revenue. Email info@anywherefootandanklecare.com
 
ASSOCIATE POSITION – TEXAS 
 
Podiatric Medical Partners of Texas group is seeking a podiatrist to join our team. Excellent opportunity to join an established, fast-growing group practice just south of Dallas. Modern offices with great support staff.  Competitive salary + bonus and full benefits. Available summer 2025. Please email CV to Podiatrysbest@gmail.com
 
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 - UPSTATE SOUTH CAROLINA 
 
Successful 4-location private practice in Upstate South Carolina (US News 4th BEST place to live) seeks a highly motivated podiatric physician ABFAS qualified seeking certification. Benefits include competitive six-figure base salary with bonus structure, health insurance (including vision & dental), PTO, CME, malpractice insurance, and 401(k) plan and MORE. If interested, please submit your CV to our practice administrator kesha.rowland@upstatepodiatry.com
 
ASSOCIATE POSITION – FLORIDA
 
PT to possible FT mobile positions throughout sunny Florida 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
 
ASSOCIATE POSITION - GREENVILLE, SC 
 
Busy two-office practice with three doctors in Greenville SC seeking a full-time podiatry associate. Start date immediately. All aspects of podiatric surgery, medicine and biomechanics. Benefits include 401 K, malpractice, health and dental insurance, CME, short and long-term disability. PTO. (All other standard benefits) Please send cover letter with CV to podiatryresumes@upstatefootdocs
 
ASSOCIATE POSITION – MONTGOMERY COUNTY,  MARYLAND 
 
A tremendous opportunity to join a growing, dynamic practice with extensive opportunities for professional growth. We specialize in foot & ankle trauma, limb salvage, deformity correction. We offer a comprehensive benefits package and a collaborative, supportive team environment. Please email CV to footanklerecon@gmail.com
 
ASSOCIATE POSITION - MISSOURI
 
Independent and well-respected podiatry practice seeking ABFAS board qualified/certified physician. Must be personable, ethical, skilled, and well-trained in rearfoot & ankle. Established patient base, large referral base, located in a beautiful area of St. Charles County, ownership opportunity. Start immediately with Missouri license. We offer competitive base salary with bonus and benefits. Contact stcpod@att.net
 
ASSOCIATE POSITION – SEATTLE, WA 
 
Growing practice in greater Seattle area seeking full-time associate. Well balanced practice, both surgical and non-surgical, with multiple office locations. Competitive salary + bonus, malpractice, health insurance, 401k, and PTO. Interested candidates, email CV to SeattleDPM.hire@gmail.com
 
ASSOCIATE POSITION - WOBURN, MASSACHUSETTS 
 
We are seeking a full-time associate, ABFAS BE/BQ/BC, to join our well-established group practice with a strong reputation. Our practice is deeply integrated within our hospital system and medical community, and we engage in both inpatient and outpatient care. We have an excellent referral network with high influx of new patients. We handle wide range of elective surgeries and manage diabetic foot infection/limb salvage. Despite our strong integration within our hospital system, we maintain autonomy, ensuring a positive work-life balance. We offer excellent compensation/benefits package. Outstanding opportunity for qualified candidate. Email CV: footdocsma@gmail.com
 
ASSOCIATE POSITION OPPORTUNITY – FLORIDA 
 
Dr. Rodriguez and All About Feet & Legs is looking for a well rounded ambitious podiatrist for IMMEDIATE employment on our team in St. Augustine, FL. Our ideal candidate would be a physician looking to relocate to Florida or directly out of fellowship or residency. Joining our team is an excellent opportunity for those who are seeking long-term employment with partnership opportunities in the future. Competitive compensation/benefits package commensurate with experience. Candidates must be licensed or in the process of becoming licensed in the state of Florida. Please send a cover letter and resume to allaboutfeetandlegs@gmail.com
 
FULL AND PART TIME POSITIONS AVAILABLE - KY, MO, GA, AND BUFFALO, NY 
 
Rapidly expanding podiatrist run company offering positions servicing Long Term Care facilities. Generous pay. Flexible schedules. Locations in KY, MO, GA, and the Western New York/Buffalo region. Send CV and inquiries to info@thepodiatrycompanyllc.com
 
TEXAS THE WOODLANDS - WONDERFUL OPPORTUNITY!
 
Successful, multi-location, expanding, innovative, well respected, patient centered, podiatric practice seeking well-rounded physician. Must be personable, skilled, ethical, proactive, versatile, and well-trained. Live, work, raise your family in the Woodlands, TX …voted the “Best City To Live In America”. Texas does not have personal income tax, the economy is always strong, and everyone is moving here. We are thriving and building the future. We have our own surgery center, physical therapy imaging center, and in-house billing. We offer competitive base salary with bonus and benefits. Become one of the BEST! Immediate Opening. Send Resume to: alexandra@nevillefeet.com
 
ASSOCIATE POSITION OPEN IN DALLAS/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 POSITION - CHICAGO SOUTHSIDE 
 
Established private practice seeking part time DPM for 3-4 days a week. Perfect for young is established practitioner. Hours and days flexible. Mostly non-surgical, office-based podiatry. Office is fully equipped. No home visits. Spanish fluency a plus but not necessary. Compensation negotiable. Call 773--251-0055. Email your CV to cfahilda@gmail.com
 
ASSOCIATE POSITION – AL, CO, FL, GA, IL, 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 POSITION – HOUSTON, TEXAS
 
A multi-location, multi- doctor private practice seeks an IMMEDIATE skilled full time associate in the Houston area. Associate will gain a substantial patient base. Please send a resume to klakhani93@gmail.com. Candidates must be either TX licensed or in the process of becoming licensed.
 
ASSOCIATE POSITION - MANHATTAN
 
Looking for an associate podiatrist for a growing practice. Our podiatric clinic is seeking a skilled and compassionate podiatrist to join our dynamic team. Great staff and flexible hours. Offices in the heart of both Manhattan and Queens. Email: podocare123@gmail.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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