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[(The)-489.5(purpose)-492.5(of)-486(this)-494(study)-489.3(was)-489(to)-491.9(describe)-490.3(the)-494.2(quality)]TJ
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T*
[(achieved)-336.1(in)-336.4(the)-332.9(National)-334.9(Campaign.)]TJ
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[(Materials)-332.7(and)-338.2(Methods)]TJ
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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[(m)15(e)0(n)25.4(t)16.1(a)15(r)0(y)-175(C)15.2(o)16.2(n)16.2(t)0(e)25.3(n)16.2(t)-185.5(S)0(1)26.8(\))16.2(.)-187.7(T)15(o)-185.4(a)0(c)24.3(h)16.2(i)16.1(e)15(ve)-176.2(t)16.1(h)16.2(is)-174.9(b)16.2(u)16.2(n)0(d)26.6(l)16.1(e)-186.6(m)15(ea)24.3(s)16.4(u)16.2(re)25.5(,)-187.7(a)-186.6(p)16.2(a)15(t)16.1(i)0(e)25.3(n)16.2(t)]TJ
0 -1.1174 TD
-.0159 Tc
[(mu)-15.9(s)10.9(t)-299.4(h)-15.9(a)9.5(ve)-300.4(be)-15.9(e)8.4(n)-299.2(co)-15.9(m)9.5(p).3(lia)-15.9(n)9.5(t)-299.4(\(o)-15.9(r)-288.8(i).2(n)-305(c)-.9(ontr)-15.9(o)10.7(l\))-304.9(for)-299.2(a)-15.9(l)9.4(l)-299.4(4)-299.2(c)-15.9(o)9.5(mpon)-15.9(e)9.5(n).3(t)]TJ
0 -1.1116 TD
-.0157 Tc
[(me)-15.7(t)9.6(r).5(ic)-15.7(s)9.9(.)-238(A)-15.7(n)-226.1(e)-15.7(x)9.7(ample)-242.6(o)-15.7(f)-225.2(t)-15.7(h)10.8(e)-242.6(C)-.5(ore)-242.6(Bu)-15.7(n)10.9(d).5(le)-242.6(meas)-15.7(u)11.1(r).5(e)-242.6(c)-.7(om)-15.7(p)9.7(u).5(tat)-15.7(i)10.6(on)]TJ
T*
-.016 Tc
[(i)-16(s)-404(i)-16(l)10.3(lus)-16(t)10.7(rat)-16(e)9.3(d)-420.3(i).1(n)-414.5(S)-16(u)10.8(ppl)-16(e)9.3(ment)-16(a)9.3(ry)-420.3(Figu)-16(r)10.6(e)-421.4(S2)-420.3(of)-420.2(Suppl)-16(e)9.3(ment)-16(a)9.3(ry)]TJ
0 -1.1174 TD
-.0158 Tc
[(C)-15.8(o)9.8(nten)-15.8(t)-283.1(S).5(4,)-295.7(show)-15.8(i)9.8(n).4(g)-293.4(t).3(h)-15.8(e)-284.1(comple)-15.8(x)9.6(ity)-293.4(as)-15.8(s)11.2(o).4(c)-15.8(i)9.5(ated)-293.4(w)-15.8(i)9.8(th)-293.4(a)-294.5(bun)-15.8(d)10.8(l).3(e)]TJ
0 -1.1116 TD
[(me)-15.8(a)8.5(s).6(ur)-15.8(e)-266.8(t)-15.8(h)10.7(a)-.8(t)-282(doe)-15.8(s)-266.6(n)-15.8(o)10.8(t)-282(allo)-15.8(w)-266.5(f)-15.8(o)10.8(r)-281.8(par)-15.8(t)10.7(ial)-282(c)-.8(r)-15.8(e)9.7(dit.)]TJ
1.0137 -1.1116 TD
0 Tc
[(Th)19.6(e)-411.2(c)0(o)19.7(m)0(p)19.6(o)0(n)20.8(e)0(n)19.7(t)0(s)-399.6(o)0(f)-393.8(t)0(h)20.7(e)-411.2(Co)19.8(re)-395(Bu)19.8(nd)15.1(le)-395.1(we)18.8(re)-400.7(se)19.9(le)19.6(ct)19.5(ed)-400.8(by)-393.9(a)]TJ
-1.0137 -1.1174 TD
[(na)19.7(ti)14.8(on)20.8(al)-256.9(me)18.4(as)19.9(ur)20.9(em)18.5(en)19.7(t)-266.2(c)0(o)19.7(m)0(m)18.4(i)0(t)20.6(t)0(e)19.6(e)-267.2(es)14.1(ta)19.6(bl)20.7(is)20.9(he)19.7(d)-266(f)0(o)20.9(r)-271.8(th)20.7(e)-267.2(N)0(a)18.8(t)0(i)20.6(o)0(n)20.8(a)0(l)]TJ
0 -1.1116 TD
[(Ca)18.6(mp)19.6(ai)13.8(gn)20.8(.)-216.5(M)0(e)18.8(a)0(s)19.9(u)0(r)20.9(e)-221.1(sp)21(ec)18.5(i)20.9(ca)18.5(ti)14.8(on)20.8(s)-214(f)0(o)15.1(r)-214.2(ea)18.5(ch)-210.7(of)-209.5(th)20.7(e)-221.1(c)0(o)19.7(m)0(p)19.6(o)0(n)20.8(e)0(n)19.7(t)0(s)]TJ
T*
[(we)18.8(re)-268.3(ad)19.7(ap)19.7(te)19.5(d)-277.6(f)0(r)20.9(o)0(m)-262.6(t)0(h)20.7(e)-278.7(He)18.8(al)19.5(th)20.7(ca)18.5(re)-268.3(E)15(f)0(f)15.1(e)0(c)18.5(t)0(i)20.6(v)0(e)19.7(n)0(e)19.7(s)0(s)-266.8(D)0(a)18.8(t)0(a)-262.7(a)0(n)19.7(d)-277.6(In)20.9(-)]TJ
T*
[(fo)15.1(rm)19.6(at)19.5(io)20.7(n)-323.6(S)0(e)19.8(t)-329.5(\(H)20(ED)18.8(IS)21(\))]TJ
7.3823 0 0 6.5614 151.5401 285.1086 Tm
(17)Tj
9.843 0 0 9.843 162.085 280.7432 Tm
[(de)19.7(ta)19.6(il)20.6(ed)-320.1(in)-313.4(th)20.7(e)-330.6(H)0(E)18.8(D)0(I)20(S)-323.5(20)20.8(16)-319(Te)18.5(ch)19.7(-)]TJ
-10.3963 -1.1174 TD
[(ni)14.9(ca)18.5(l)-289.2(S)0(p)15.2(e)0(c)18.5(i)0()20.9(c)0(a)18.5(t)0(i)20.6(o)0(n)20.8(s)-294.6(fo)20.9(r)-294.8(P)0(h)21(y)0(s)15.3(i)0(c)19.6(i)0(a)19.6(n)-294.8(Me)18.8(as)19.9(ur)20.9(em)18.5(en)19.7(t)-295(g)0(u)20.8(i)0(d)20.7(e)0(.)-287.9(T)0(h)19.6(e)0(s)19.9(e)]TJ
0 -1.1116 TD
[(we)18.8(re)-371.9(ad)19.7(ap)13.9(te)19.6(d)-381.2(t)0(o)-365.2(m)0(e)18.4(e)0(t)-372.1(t)0(h)20.7(e)-382.4(sp)21(ec)12.8(i)20.9(c)-382.4(r)0(e)19.7(q)0(u)20.8(i)0(r)20.7(e)0(m)18.5(e)0(n)19.7(t)0(s)-370.8(o)0(f)-370.8(t)0(h)20.7(e)-382.4(T2)19.6(G)]TJ
T*
[(bu)15.1(nd)20.8(le)-199.3(me)18.4(as)19.9(ur)15.1(e)-209.6(\()0(e)19.7(g)0(,)-200.4(H)0(E)18.8(D)0(I)20(S)-214(in)20.7(cl)19.5(ud)20.8(es)-204.8(pa)19.7(ti)20.6(en)19.7(ts)-203.7(wi)19.8(th)-203.9(bo)20.8(th)-198.2(ty)15(pe)-199.2(1)]TJ
0 -1.1174 TD
[(an)19.7(d)-254.5(T)0(2)19.6(D)0(M)19.1(,)-245.3(wh)14.2(er)19.7(ea)18.5(s)-248.6(T)0(2)19.6(G)-249.6(in)20.7(cl)19.5(ud)20.8(es)-245.1(on)20.8(ly)-238.5(T2)19.6(DM)19.1(;)-248.9(a)0(d)19.7(a)0(p)19.7(t)0(a)13.8(t)0(i)20.6(o)0(n)-238.3(o)0(f)]TJ
0 -1.1116 TD
[(me)18.4(as)14.1(ur)20.9(e)-255.7(d)0(e)19.7(n)0(o)20.8(m)0(i)19.5(n)0(a)19.7(t)0(o)20.7(r)0(s)-249.6(t)0(o)-244.2(a)0(l)19.5(l)0(o)20.7(w)-255.4(fo)20.9(r)-254.5(s)0(i)15.1(n)0(g)20.8(l)0(e)-245.4(d)0(e)19.7(n)0(o)20.8(m)0(i)19.5(n)0(a)19.7(t)0(o)20.7(r)-260.2(ac)18.5(ro)20.9(ss)]TJ
T*
[(al)19.5(l)-271.9(c)0(o)19.7(m)0(p)19.6(o)0(n)20.8(e)0(n)19.7(t)-271.9(me)18.4(as)19.9(ur)15.1(es)-256.6(of)-261.4(th)20.7(e)-273(T)0(2)19.6(G)-272.7(bu)20.8(nd)20.8(le)19.6(\).)]TJ
/F9 1 Tf
8.9663 0 0 8.9663 59.7543 193.5496 Tm
[(Data)-337.7(submission)]TJ
/F4 1 Tf
9.843 0 0 9.843 69.7323 177.1086 Tm
[(Participating)-392.6(HCOs)-392.9(were)-387.7(provided)-390.2(with)-391.4(a)-388.2(detailed)-392.8(mea-)]TJ
-1.0137 -1.1116 TD
[(sure)-345.2(specication)-346.2(document)-346.6(as)-343(well)-346.5(as)-343(information)-343.1(on)-342(how)]TJ
T*
[(to)-445.8(submit)-445.6(data)-450.4(through)-445.5(a)-445.8(portal)-445.7(\(numerators)-453.3(and)-442.2(denomi-)]TJ
0 -1.1174 TD
[(nators)-278.4(for)-273.9(each)-272.8(measure,)-280.6(along)-271.7(with)-276.2(total)-272(active)-275.3(patients)-276.3(and)]TJ
0 -1.1116 TD
[(patients)-351.2(with)-345.4(T2DM\).)-346(Data)-347.6(were)-347.4(collected)-349(on)-347.8(patients)-345.4(who)]TJ
T*
[(were)-479.9(seen)-473.1(between)-478.7(July)-476.6(2017)-470.9(and)-476.8(February)-477.4(2020,)-474.4(which)]TJ
0 -1.1174 TD
[(includes)-495(an)-492.9(18-mo)-6.7(nth)-487.2(look-back)-496.2(period.)-495.1(Each)-497.5(HCO)-489.9(sub-)]TJ
0 -1.1116 TD
[(mitted)-464.4(baseline)-461.6(data)-456.1(for)-464(the)-459.6(12-month)-459.4(period)-457.1(ending)-457.2(De-)]TJ
T*
[(cember)-397.2(2018)-390.3(and)-390.4(a)-388.2(rolling)-388.2(12)-393.9(months)-387.9(of)-388.1(data)-392.8(each)-393.8(month)]TJ
0 -1.1174 TD
[(until)-501.2(the)-494.2(nal)-495.1(data)-496.4(period)-497.4(\()-87.5(March)-498.3(2019February)-494.5(2020\).)]TJ
0 -1.1116 TD
[(Data)-370.6(were)-376.2(then)-368.6(reviewed)-370.4(and)-367.3(validated,)-374.3(and)-367.3(errors)-370.3(and)-367.3(in-)]TJ
T*
[(consistencies)-341.3(were)-335.9(addressed.)]TJ
/F9 1 Tf
8.9663 0 0 8.9663 310.8472 423.8361 Tm
(Analyses)Tj
/F4 1 Tf
9.843 0 0 9.843 320.8251 407.3952 Tm
[(Descriptive)-615.7(statistics)-618.2(on)-612.7(Core)-611.3(Bundle)-613.7(measures)-617.9(were)]TJ
-1.0137 -1.1174 TD
[(prepared)-455.7(monthly)-452.7(and)-453.7(shared,)-455.6(unblinded,)-452.5(with)-454.8(all)-454(partici-)]TJ
0 -1.1116 TD
[(pating)-278.7(HCOs.)-275.4(Absolute)-281.6(and)-275.2(relative)-277.6(changes)-281.7(over)-276.2(time)-277.8(were)]TJ
T*
[(calculated)-339.8(for)-331.5(individual)-335.3(HCOs)-335.3(and)-332.8(overall.)]TJ
1.0137 -1.1174 TD
.0113 Tc
[(Bas)4.6(e)-2.5(l)4.3(i)-1.4(n)4.4(e)-549.7(rates)-548.3(w)-2.2(ere)-543.9(c)-2.5(omp)4.4(a)-2.5(red)-548.5(w)3.6(ith)-542.7(th)4.4(e)-549.7(l)-1.4(ast)-542.9(r)-1.3(ep)4.4(or)4.5(ted)]TJ
-1.0137 -1.1116 TD
.0132 Tc
[(m)5.1(o).6(n)6.3(t).5(h)-350.8(o).6(f)-356.5(d)6.3(at)6.2(a.)-353.1(Ow)5.5(in)6.3(g)-356.5(t).5(o)-350.8(t).5(h)6.3(e)-357.7(i)6.2(n).6(co)6.3(ns)6.5(ist)6.2(e)-.6(n)6.3(c)-.6(y)-350.8(b).6(e)5.2(t).5(we)5.2(en)-350.8(ba)5.2(se)5.2(-)]TJ
T*
.0118 Tc
[(l)4.8(i)-.9(n)4.9(e)-462.8(an)4.9(d)-461.6(i)-.9(n)4.9(t)-.9(ervent)4.8(io)4.9(n)-461.6(t)-.9(i)4.8(m)-2(e)-457(p)-.8(erio)4.9(ds)5.1(,)-463.9(s)5.1(ome)-462.8(m)-2(eas)5.1(u)-.8(r)5(e)-2(s)-461.4(w)4.1(ere)]TJ
T*
.0131 Tc
[(a)5.1(d).5(j)6.1(u).5(st)6.1(ed)-615.8(t)6.1(o)-615.8(ac)5.1(cou)6.2(n).5(t)-615.9(f)6.3(or)-615.8(cy)6.2(cl)6.1(ic)-617(v)6.2(a)-.7(r)6.3(i).4(ab)6.2(il)6.1(it)6.1(y)-621.6(\()6.3(se)5.1(as)6.4(ona)5.1(li)6.1(ty)6.2(\))]TJ
0 -1.1174 TD
.0122 Tc
[(wit)5.2(h)-.4(in)-294.2(a)-295.3(y)-.4(ear)5.4(.)-296.5(Seas)5.5(on)5.3(al)5.2(ity)-294.2(i)5.2(n)-299.9(A1c)-295.3(a)4.2(nd)-294.2(BP)-294(was)-294(i)-.5(d)5.3(e)-1.6(n)5.3(ti)5.5(ed)-294.2(i)5.2(n)]TJ
0 -1.1116 TD
.0116 Tc
[(p)4.7(r)-1(io)4.7(r)-358.1(a)3.6(naly)4.7(ses)-352.2(c)-2.2(o)4.7(n)-1(d)4.7(u)-1(cted)-358.1(with)-352.4(data)-353.5(fr)4.8(om)-353.6(el)4.6(ectro)4.7(n)-1(i)4.6(c)-359.3(h)4.7(e)-2.2(alt)4.6(h)]TJ
T*
.0122 Tc
[(r)5.4(e)-1.6(cord)5.3(s)-305.5(\()5.4(EHRs)5.5(\))-305.6(f)5.4(ro)5.3(m)-306.9(2)5.3(9)-299.9(A)-1.3(MGA)-300.8(m)-1.6(emb)5.3(e)-1.6(r)5.4(s)-.2(,)-302.2(a)4.2(nd)-299.9(as)-299.7(a)-301.1(r)-.4(es)5.5(ul)5.2(t,)]TJ
0 -1.1174 TD
.0118 Tc
[(an)-329.1(adju)4.9(st)4.8(ment)-323.5(to)-323.4(cor)5(r)-.8(ect)-323.5(for)-323.3(th)4.9(e)-330.3(e)3.8(ffect)4.8(s)-328.9(o)4.9(f)-329.1(s)-.6(eas)5.1(onali)4.8(ty)-323.4(was)]TJ
0 -1.1116 TD
.0075 Tc
[(ap)-5.1(pl)-5.2(i)-5.2(e)-.5(d)-431.3(t)-5.2(o)-431.3(t)-5.2(he)-432.5(A)-6(1).6(c)-6.3(,)-433.7(BP)-5(,)-433.7(a)-.5(n)-5.1(d)-431.3(Co)-5.1(r)-5.1(e)-432.5(Bu)-5.1(nd)-5.1(le)-438.3(me)-6.3(as)-4.9(ur)-5.1(es)-436.9(\(s)-4.9(e)-6.3(e)]TJ
T*
.0072 Tc
[(Me)-6.6(th)-5.4(od)-5.4(s)-460.2(2).3(.)-7.7(3)-454.7(i)-5.5(n)-460.4(Su)-5.4(pp)-5.4(le)-6.6(me)-6.6(nt)-5.5(a)-6.6(r).4(y)-460.4(C)-.7(o)-5.4(n)-5.4(t).2(e)-6.6(n).3(t)-460.6(S)-5.3(1\))-5.4(.)-457(L)-.8(i)-5.5(p)-5.4(id)-460.4(ma)-6.6(n-)]TJ
0 -1.1174 TD
.012 Tc
[(agement)-403.9(a)-1.8(n)5.1(d)-409.6(med)5.1(i)-.7(cal)-403.9(a)-1.8(tt)5(en)5.1(ti)5(on)-403.8(for)-403.8(neph)5.1(rop)5.1(at)5(hy)-403.8(were)-405(no)5.1(t)]TJ
0 -1.1116 TD
.0072 Tc
[(ad)-5.4(ju)-5.4(s)-5.2(t).2(e)-6.6(d).3(,)-336(a)-.8(s)-333.5(n)-5.4(o)-333.7(s).5(e)-6.6(a)-.8(s)-5.2(o).3(n)-5.4(a)-6.6(li)-5.5(ty)-333.7(w)-6.3(a)-.8(s)-333.5(d)-5.4(et)-5.5(ec)-6.6(te)-6.6(d.)-336.1(Fo)-5.4(r)-333.7(c)-.8(o)-5.4(m)-.9(p)-5.4(a)-.8(r)-5.4(i)-5.6(so)-5.4(ns)]TJ
T*
.0119 Tc
[(b)5(e)-1.9(t)4.9(w)-1.6(een)-547.9(t)4.9(he)-543.3(Co)5(llabo)5(rativ)5(e)-549.1(a)3.9(nd)-542.1(the)-543.3(N)-1.6(ati)4.9(o)-.7(n)5(a)-1.9(l)-548(C)4(ampaig)5(n,)]TJ
0 -1.1174 TD
.0115 Tc
[(s)4.8(i)-1.2(milar)-317.9(p)-1.1(er)4.7(io)4.6(ds)-317.7(were)-319.1(used;)-318(t)-1.2(h)4.6(e)-2.3(r)4.7(e)-2.3(f)4.7(ore,)-320.2(t)-1.2(h)4.6(e)-2.3(r)4.7(e)-324.8(was)-317.7(n)-1.1(o)-317.9(n)-1.1(eed)-317.9(t)4.5(o)]TJ
0 -1.1116 TD
.0072 Tc
[(ad)-5.4(ju)-5.4(s)-5.2(t)-333.8(f)-5.4(o).3(r)-339.4(s).5(e)-6.6(a)-.8(s)-5.2(o)-5.4(na)-6.6(li)-5.5(ty)-5.4(.)]TJ
1.0137 -1.1116 TD
.0119 Tc
[(S)5.2(t)-.8(ati)4.9(s)-.5(ti)4.9(cal)-525(c)3.9(ompari)4.9(son)5(s)-524.7(o)5(f)-524.8(t)4.9(h)-.7(e)-520.2(p)-.7(r)5.1(o)-.7(p)5(ort)4.9(io)5(ns)-518.9(of)-519.1(pat)4.9(i)-.9(ent)4.9(s)]TJ
-1.0137 -1.1116 TD
.0132 Tc
[(m)5.1(e)-.6(e)5.2(t).5(i)6.2(n).6(g)-489(t).5(h)6.3(e)-495.9(C)5.3(ore)-490.2(B)5.3(und)6.3(le)-490.2(m)5.1(eas)6.5(ur)6.4(e)-495.9(a)5.2(nd)-489(ea)5.2(ch)-489(co)6.3(mp)6.3(on)6.3(en)6.3(t)]TJ
0 -1.1174 TD
.0122 Tc
[(measu)5.3(r)-.4(e)-410.5(a)-1.6(t)-409.5(b)-.4(aselin)5.3(e)-410.5(a)-1.6(nd)-409.4(t)5.2(h)-.4(e)-410.5()-.2(n)5.3(a)-1.6(l)-409.5(e)-1.6(v)5.3(a)-1.6(lu)5.3(at)5.2(io)5.3(n)-415.1(p)5.3(er)5.4(io)5.3(d)-415.1(w)4.5(er)5.4(e)]TJ
0 -1.1116 TD
.0116 Tc
[(con)4.7(ducted.)-268.3(To)-266(do)-266(th)4.7(is,)-268.3(t)4.6(he)-267.1(auth)4.7(or)4.8(s)-271.5(u)4.7(sed)-271.7(a)-267.1(2-)4.8(samp)4.7(le)]TJ
/F6 1 Tf
21.1669 0 TD
0 Tc
(z)Tj
/F4 1 Tf
.6681 0 TD
.0069 Tc
[(te)-6.9(st)-5.8(.)]TJ
7.3823 0 0 6.5614 542.4376 170.6456 Tm
.0145 Tc
(18)Tj
/F6 1 Tf
9.843 0 0 9.843 310.8472 155.3385 Tm
0 Tc
(P)Tj
/F4 1 Tf
1.1404 0 TD
.0131 Tc
[(va)5.1(lu)6.2(es)-511.9(we)5.1(re)-513.3(ca)5.1(lc)5.1(ul)6.1(ate)5.1(d)-512.1(for)-512.1(2-)6.3(ta)5.1(il)6.1(ed)-512.1(co)6.2(mp)6.2(ar)6.3(iso)6.2(n).5(s)6.4(,)-514.5(an)6.2(d)]TJ
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