Public record

CMS Skilled Nursing Facility All Owners

Associate id: 5698686608 · 50 matching records

Enrollment id
O20060110001129
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
1850451923
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-29
First name - owner
WAYNE
Middle name - owner
N
Last name - owner
EVANCHO
Enrollment id
O20060110001129
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
4284916065
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2009-01-02
First name - owner
LAWRENCE
Last name - owner
MILITELLO
Title - owner
NURSING HOME ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20060110001129
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
4284916065
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-29
First name - owner
LAWRENCE
Last name - owner
MILITELLO
Enrollment id
O20060110001129
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5597135962
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-10-18
First name - owner
DONNA
Last name - owner
SCRIMA
Enrollment id
O20060110001129
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
6608036181
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-11-28
First name - owner
ALFRED
Last name - owner
CARTER
Title - owner
CHIEF OF STAFF
Percentage ownership
100
Enrollment id
O20081112000493
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
1951635614
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-06-15
First name - owner
PAULA
Middle name - owner
S
Last name - owner
TWITTY
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20081112000493
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
1951635614
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-21
First name - owner
PAULA
Middle name - owner
S
Last name - owner
TWITTY
Enrollment id
O20081112000493
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
4385162031
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-02-01
First name - owner
KELLI
Last name - owner
CHAMPAGNE
Enrollment id
O20081112000493
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5698686608
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2014-11-18
Organization name - owner
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Doing business as name - owner
EMORY L. BENNETT STATE VETERANS' NURSING HOME
Address line 1 - owner
1920 MASON AVE
City - owner
DAYTONA BEACH
State - owner
FL
Zip code - owner
321175103
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
Y
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20081112000493
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5890845705
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-21
First name - owner
SANDFORD
Middle name - owner
H
Last name - owner
KINNE
Enrollment id
O20081112000493
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
6608036181
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-07-01
First name - owner
ALFRED
Last name - owner
CARTER
Percentage ownership
0
Enrollment id
O20101122000638
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
1951829795
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2024-12-09
Enrollment id
O20101122000638
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
1951829795
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-09
Enrollment id
O20101122000638
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
1951829795
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-12-09
Percentage ownership
0
Enrollment id
O20101122000638
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
2860888351
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-08-18
First name - owner
CATTIBELL
Last name - owner
RODRIGUEZ
Enrollment id
O20101122000638
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
2860888351
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-06-01
First name - owner
CATTIBELL
Last name - owner
RODRIGUEZ
Enrollment id
O20101122000638
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
4284719980
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-10
First name - owner
CARLOS
Middle name - owner
M
Last name - owner
SANCHEZ
Enrollment id
O20101122000638
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5698686608
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2010-09-01
Organization name - owner
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Doing business as name - owner
EMORY L. BENNETT STATE VETERANS' NURSING HOME
Address line 1 - owner
4650 STATE ROAD 16
City - owner
ST AUGUSTINE
State - owner
FL
Zip code - owner
320920600
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
Y
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20101122000638
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
6608036181
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-11-28
First name - owner
ALFRED
Last name - owner
CARTER
Title - owner
CHIEF OF STAFF
Enrollment id
O20101122000638
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
6608036181
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2011-11-28
First name - owner
ALFRED
Last name - owner
CARTER
Enrollment id
O20120320000504
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
0941373203
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-11-18
First name - owner
JOCEYLYN
Last name - owner
WURSTER
Enrollment id
O20120320000504
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
0941373203
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-08
First name - owner
JOCEYLYN
Last name - owner
WURSTER
Enrollment id
O20120320000504
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
0941483804
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-08
First name - owner
KEITH
Middle name - owner
ANTHONY
Last name - owner
WILLIAMS
Enrollment id
O20120320000504
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5698291698
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-04-01
First name - owner
BRANDY
Last name - owner
GAYLORD
Enrollment id
O20120320000504
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5698686608
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-04-01
Organization name - owner
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Doing business as name - owner
EMORY L. BENNETT STATE VETERANS' NURSING HOME
Address line 1 - owner
11351 ULMERTON RD
City - owner
LARGO
State - owner
FL
Zip code - owner
337781630
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
Y
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20120320000504
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
6608036181
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-11-28
First name - owner
ALFRED
Last name - owner
CARTER
Title - owner
CHIEF OF STAFF
Percentage ownership
100
Enrollment id
O20120320000504
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
9638451388
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-10-18
First name - owner
LINDSAY
Last name - owner
MALLARD
Title - owner
BUSINESS OFFICE MANAGER
Percentage ownership
0.1
Enrollment id
O20120321000892
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
1951684349
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-08-16
First name - owner
PAULA
Last name - owner
SMITH
Enrollment id
O20120321000892
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5597048983
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-12-22
First name - owner
JENNIFER
Last name - owner
REYES
Enrollment id
O20120321000892
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5597048983
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-05
First name - owner
JENNIFER
Last name - owner
REYES
Enrollment id
O20120321000892
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5698686608
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2003-08-01
Organization name - owner
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Doing business as name - owner
EMORY L. BENNETT STATE VETERANS' NURSING HOME
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
FDVA
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20120321000892
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5799711412
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-05
First name - owner
REZEQ
Middle name - owner
F
Last name - owner
ELBATAINEH
Enrollment id
O20120321000892
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
6608036181
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-11-28
First name - owner
ALFRED
Last name - owner
CARTER
Title - owner
CHIEF OF STAFF
Percentage ownership
100
Enrollment id
O20120326000647
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
1355863630
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-02
First name - owner
JOSHUA
Middle name - owner
STAR
Last name - owner
FIREBAUGH
Enrollment id
O20120326000647
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
3375440472
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-28
First name - owner
VINCENT
Middle name - owner
J
Last name - owner
DILELLA
Enrollment id
O20120326000647
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5698686608
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1999-01-01
Organization name - owner
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Doing business as name - owner
EMORY L. BENNETT STATE VETERANS' NURSING HOME
Address line 1 - owner
6919 PARKWAY BLVD
City - owner
LAND O LAKES
State - owner
FL
Zip code - owner
346392909
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
Y
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20120326000647
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
6608036181
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1999-01-01
First name - owner
ALFRED
Last name - owner
CARTER
Title - owner
CHIEF OF STAFF
Percentage ownership
100
Enrollment id
O20120326000647
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
8628351350
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-01-01
First name - owner
MARLIES
Last name - owner
SARRETT
Enrollment id
O20120326000647
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
8628351350
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-28
First name - owner
MARLIES
Last name - owner
SARRETT
Enrollment id
O20220809003884
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5294825022
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-06-30
First name - owner
AHMAD
Last name - owner
FADEL
Enrollment id
O20220809003884
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5294825022
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-02
First name - owner
AHMAD
Last name - owner
FADEL
Enrollment id
O20220809003884
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5698686608
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-06-30
Organization name - owner
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Doing business as name - owner
EMORY L. BENNETT STATE VETERANS' NURSING HOME
Address line 1 - owner
11351 ULMERTON RD
City - owner
LARGO
State - owner
FL
Zip code - owner
337781634
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20220809003884
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
7113442765
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-06-30
First name - owner
VICKI
Last name - owner
DICKERSON
Enrollment id
O20220809003884
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
7214232081
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-10-01
First name - owner
DONNA
Last name - owner
ROGERS
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20220809003884
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
7214232081
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-02
First name - owner
DONNA
Last name - owner
ROGERS
Enrollment id
O20220809003884
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
9638451388
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-10-16
First name - owner
LINDSAY
Last name - owner
MALLARD
Enrollment id
O20220813000009
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
3971562695
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-25
First name - owner
GABRIEL
Last name - owner
NURIEL
Enrollment id
O20220813000009
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
5698686608
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-01
Organization name - owner
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Doing business as name - owner
EMORY L. BENNETT STATE VETERANS' NURSING HOME
Address line 1 - owner
11351 ULMERTON RD
City - owner
LARGO
State - owner
FL
Zip code - owner
337781634
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
Y
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20220813000009
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
8729504741
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-08-01
First name - owner
OMAYRA
Last name - owner
COLON APONTE
Enrollment id
O20220813000009
Associate id
5698686608
Organization name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Associate id - owner
9638451388
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-11-18
First name - owner
LINDSAY
Last name - owner
MALLARD

Showing the first 50 matching records.

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