Private Practice Owners Club

Nathan Shields
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Feb 3, 2026 • 20min

Why Buyers Look At Compliance Before They Buy Your Practice With Daniel Hirsch

Most practice owners think valuation starts with revenue and EBITDA. But when buyers step in, they look somewhere else first — risk. And more often than not, compliance is the silent deal-killer owners never see coming.In this episode of the Private Practice Owners Club, host Adam Robin sits down with Daniel Hirsch, compliance and risk analytics expert, to unpack what buyers actually evaluate before they write a check — and why strong compliance can increase leverage, speed up deals, and protect your exit value.Daniel breaks down why compliance isn’t about being “perfect,” avoiding audits, or living in fear — it’s about control, predictability, and trust. When compliance is weak or unclear, buyers don’t just lower the price — they change the entire deal structure… or walk away altogether.Together, they dig into:Why buyers assess risk before growth — and how compliance sets the baselineHow compliance issues can stop a deal before financials even matterWhy two practices with identical EBITDA can receive very different valuationsHow weak compliance triggers deeper diligence, longer timelines, and higher deal costsThe real impact of compliance on deal terms: cash vs. escrow, earnouts, reps & warrantiesWhat buyers look for beyond policies — and how they test real-world executionCommon red flags: documentation gaps, supervision issues, credentialing, and unlicensed staffWhy “unknown risk” scares buyers more than managed riskWhen to start preparing (hint: don’t wait until you’re ready to sell)How simple, practical compliance systems can be integrated into daily operationsWhy compliance should add value, not just create overheadIf you’re a practice owner thinking about selling in the next five years — or even just building a business that’s truly durable — this conversation will change how you think about compliance, valuation, and leverage.🎯 Takeaway: Compliance doesn’t kill deals — surprises do. Build control, clarity, and predictability now so buyers see your practice as an asset, not a headache. 👉 Want to learn more about Daniel’s compliance frameworks and access free resources?Check the show notes for his lead magnet and tools. 👉 Want to talk about how we can help you strengthen operations, value, and exit readiness? Book a call with Nathan — https://calendly.com/ptoclub/discoverycall ❤️ Love the show? Subscribe, rate, review, and share! https://ptoclub.com 💬 Join the conversation and access resources: https://linktr.ee/ppoclubLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.
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Jan 27, 2026 • 51min

Everything Looked Fine… Until It Didn’t: How One Owner Lost 4 Providers And Rebuilt A Stronger Clinic - A PPOClub Workshop Interview With April Atchison, CCC-SLP

Most practice owners assume culture problems show up loud — missed numbers, complaints, chaos. But what if the real danger shows up when everything looks successful?In this PPOClub Workshop interview, Adam Robin sits down with April Atchison, CCC-SLP, to unpack a real-life leadership story that every growing practice owner needs to hear. April shares how her multi-location practice appeared stable and thriving — strong revenue, expanding staff, leadership in place, and real work-life balance — right up until subtle cultural cracks began to surface.What followed was one of the most difficult seasons of her career: recognizing leadership misalignment, addressing cultural drift head-on, and ultimately losing four long-term providers — including a clinical director. Instead of avoiding the storm, April chose decisive leadership, values-based clarity, and fast action to protect the future of her organization.This conversation goes far beyond theory. It’s a behind-the-scenes look at what actually happens when an owner chooses culture over comfort — and how doing so can unlock stronger teams, higher ownership, and renewed momentum.In this episode, you’ll learn:The quiet warning signs of culture breakdown most owners overlookWhy high productivity can hide serious leadership misalignmentHow to run clarity and alignment conversations without fearWhen acting fast protects your best team members — not just the businessWhy losing people can sometimes strengthen culture and performanceHow proactive recruiting creates leverage before you need itWhat decisive leadership looks like when the stakes are highHow rebuilding after disruption leads to stronger ownership and accountabilityIf you’ve ever felt uneasy despite “good numbers,” delayed a hard conversation because things looked fine, or wondered whether holding the line on values is worth the risk — this episode will give you clarity, confidence, and a leadership framework you can apply immediately.🎙️ Learn why strong clinics aren’t built by avoiding hard decisions — but by making them early.👉 Want help building an aligned, resilient, high-performing practice? Book a call with Nathan — https://calendly.com/ptoclub/discoverycall💡 Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ 99.5% of successful owners interviewed on this podcast have leveraged a business coach at some point in their journey. Private Practice Owners Club is the coach you need — ppoclub.com.Explore upcoming workshops, free resources, and tools to help you scale without sacrificing culture:https://linktr.ee/ppoclub.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.
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Jan 20, 2026 • 53min

No One Is Coming To Save You: Leadership, Identity, And Building A Business That Can’t Be Taken Away With Regie Tiu

Building a successful practice isn’t just about systems, metrics, or clinical skill — it’s about people. And the leaders who get that right don’t just build clinics… they build raving fans. In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Regie Tiu — physical therapist, Queens-based practice owner, keynote speaker, and expert in creating unforgettable client and team experiences. Reggie shares his remarkable journey from growing up in poverty in the Philippines to immigrating to the U.S. with just $50 in his pocket — collecting cans to survive, working multiple jobs, and eventually building a thriving physical therapy clinic in one of the most competitive markets in the country. Along the way, he opens up about being fired after 10 years, losing his identity, rebuilding from rock bottom, and discovering the leadership lessons that changed everything. They dig into:What “raving fans” really means — and why your team comes before your patientsHow personal growth and emotional intelligence directly impact retention, culture, and referralsThe leadership mistakes Reggie made early on — and the mindset shifts that transformed his clinicWhy self-awareness, humility, and consistency matter more than charismaHow creating a great experience allows clinics to grow without relying on proximity or priceThe habits, routines, and books that helped Reggie become a better leader and business owner This is a raw, honest conversation about resilience, leadership, and what it actually takes to build a business people love — from the inside out.If you’re a practice owner, service-based entrepreneur, or leader who wants stronger teams, better culture, and clients who can’t stop talking about you, this episode is a must-listen. 🎙️ Tune in and learn how to build raving fans — starting with yourself.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.
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Jan 13, 2026 • 40min

Build a Movement, Not Just a Clinic: Why Giving Back Pays Off With Will Humphreys

Most practice owners think charity is something you do after the business is successful — once there’s more time, more margin, or less stress. But what if giving back isn’t the reward for success… what if it’s the catalyst? In this episode of the Private Practice Owners Club Podcast, Nathan Shields sits down with longtime friend and entrepreneur Will Humphreys to unpack one of the most overlooked drivers of sustainable growth, culture, and fulfillment: building meaningful partnerships with charitable organizations. Drawing from deeply personal experiences — from local community initiatives to life-changing work in Africa — Will shares how aligning business purpose with charitable impact transformed not just his companies, but his leadership, his team culture, and his perspective on success itself. Together, they explore how generosity creates momentum inside organizations, why charitable partnerships improve recruiting and retention, and how purpose-driven businesses outperform those built purely around profit. They dive deep into:Why charitable giving isn’t a “nice-to-have,” but a powerful leadership leverHow partnering with charities strengthens culture, retention, and recruitingThe connection between profit, purpose, and long-term sustainabilityHow even small, local initiatives can create outsized impactWhy giving back reshapes mindset, reduces burnout, and restores perspectiveHow involving your team in charitable efforts turns values into lived behaviorWhat practice owners can learn about leadership, resilience, and gratitude from global communities If you’ve ever felt burned out, disconnected, or stuck chasing growth without fulfillment, this conversation will challenge how you think about leadership, success, and the true role your business can play in the world. 🎙️ Learn why the strongest clinics don’t just grow businesses — they build movements.👉 Learn more about supporting Care for Life and global impact initiatives (links in show notes) Want to talk about how we can help you grow a purpose-driven, profitable PT business?Book a call with Nathan — https://calendly.com/ptoclub/discoverycall 💡 Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ 99.5% of successful owners interviewed on this podcast have leveraged a business coach at some point in their journey. Private Practice Owners Club is the coach you need — ppoclub.com Explore upcoming workshops, free resources, and tools to help you build a practice that supports both your life and your mission:https://linktr.ee/ppoclubWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.
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Jan 6, 2026 • 56min

Is Hiring Impossible? Build A Retention Machine Of A-Players, New Grads, And Leadership Development With Adam Robin

If hiring feels impossible and retention feels fragile, you’re not alone — and you’re not crazy. In this episode of the Private Practice Owners Podcast, Nathan Shields and Adam Robin break down why recruiting is harder than ever right now, and why the real solution isn’t “more applicants” — it’s building a retention machine that compounds. Drawing directly from real-world clinic experience, Nathan shares how shifting focus from reactive hiring to intentional retention, leadership development, and new-grad pipelines allowed his organization to stabilize staffing, protect culture, and sleep better at night — even in one of the most competitive labor markets physical therapy has ever seen. Together, they unpack what practice owners must do as we head into 2026 to stop bleeding talent, stop overpaying for lateral hires, and start developing leaders from within. You’ll learn:Why “hiring is impossible” is a signal to fix retention first — not panic recruitHow to identify and lock in your true A-players before competitors doThe exact conversations owners should be having with key team members to secure 12-month commitmentsWhy new grads are the most overlooked (and highest-upside) recruiting strategy right nowHow to turn student placements into long-term leaders inside your organizationWhat a real leadership development pathway looks like — from new grad → leader → clinic directorHow delegation, ownership, and development directly impact retention and recruiting outcomesThe mindset shifts owners must make to stop being the bottleneck and start building a scalable team If you’re a clinic owner, hiring manager, or leader who feels stuck between burnout, turnover, and constant recruiting pressure, this episode will help you rethink how you build teams — and show you how to create a system where great people want to stay, grow, and recruit others for you. 🎯 Takeaway: Hiring isn’t broken — retention, development, and leadership pipelines are. Fix those, and recruiting becomes easier, cheaper, and more predictable. 👉 Want to go deeper with Nathan? Book a call — https://calendly.com/ptoclub/discoverycall ❤️ Love the show? Subscribe, rate, review, and share! https://ptoclub.com 💬 Join the conversation: If you haven’t already, find the Private Practice Owners Club Facebook Group and connect with owners who are building resilient, high-performing teams. Annual Strategic Planning ensures your next year stays focused, aligned, and profitable. Visit ppoclub.com to talk with Adam about building clarity and momentum for 2026. 99.5% of successful owners interviewed on this podcast have leveraged a business coach at some point. Private Practice Owners Club is the coach you need — ppoclub.comBlog Post URL: https://www.ppoclub.com/is-hiring-impossible-build-a-retention-machine-of-a-players-new-grads-and-leadership-developmentWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.
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Dec 30, 2025 • 1h 15min

End The Year Strong, Start The Year Smarter - Financial Clarity For Private Practice Owners: A PPOClub Expert Webinar Series With Eric Miller And Sean Healy

Most practice owners treat finances like a fire drill: frantic at year-end, reactive at tax time, and surprised when cash flow hiccups wreck payroll. What if money management wasn’t a crisis to survive, but a repeatable system you lead on purpose? In this episode of the Private Practice Owners Club, host Nathan Shields sits down with financial strategist Eric Miller (Econologics) and bookkeeping & vCFO expert Sean Healy (AccountedFor). Together they deliver an operational playbook for wrapping up 2025, protecting cash flow in Q1, and building the disciplined systems that let owners actually plan for retirement — not just keep the lights on. They dig into:Why proactive tax planning beats last-minute spending sprees (and how to actually execute it with your CPA)The three financial skills every owner needs: acquire it, control it, invest it — and how to institutionalize them in your practicePractical year-end moves that protect cash flow (retirement catch-ups, HSA contributions, beneficiary checks, and smarter equipment buys)How to build a financial team that works together — CPA, bookkeeper, and advisor aligned to your goals (and when it’s time to fire an advisor who isn’t)Forecasting and proforma basics: reverse-engineer the profit you need to reach your personal goals, then map the operational steps to get thereCash-first tactics for Q1 (expect a tight January — plan the line of credit, manage payroll cadence, and pre-talk client deductibles)Money discipline that scales: automated savings buckets, routine scorecards, and the operational cadence that produces real wealth If you’ve ever been blindsided by tax bills, drifted through another year without a cash plan, or felt like your practice owns you — this episode gives you the financial clarity and tactical next steps to run your business like an asset, not an anxiety. 🎯 Takeaway: Financial success is intentional. Stop reacting and start engineering predictable profit, cash flow resilience, and long-term wealth by building simple systems and a proactive financial team. 👉 Connect with Eric & learn more: wealthforpts.com👉 Want bookkeeping or vCFO help? Learn about AccountedFor and schedule a complimentary checkup via their site (search AccountedFor Bookkeeping / Virtual CFO).👉 Want to go deeper with Nathan? Book a call — https://calendly.com/ptoclub/discoverycall ❤️ Love the session? Subscribe, rate, review, and share! https://ptoclub.com 💬 Join the conversation and access tools: https://linktr.ee/ppoclubWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.
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Dec 23, 2025 • 1h 21min

Stop The Leaks: How To Increase Cash Flow Without Seeing More Patients

If you’ve ever looked at your schedule and thought, “We’re slammed…so why is my bank account not moving?” — this episode is going to feel like oxygen. In this PPS 2025 recap conversation, Jerry Durham sits down with Nathan Shields, founder of the Private Practice Owners Club, to break down the real reasons clinics bleed profit — and why the solution isn’t more new patients. Across this episode, Nathan pulls back the curtain on the cash-flow killers hiding inside most clinics: weak collections, underperforming billing systems, inconsistent documentation, and a front desk that’s unsupported (not unskilled). He also explains why AI won’t fix broken processes — and why owners who skip the fundamentals end up scaling their problems, not their profit. In this episode you’ll learn:The four internal “leaks” that cost clinics $100K–$300K per year — and how to close them fast.Why chasing more new patients is the wrong move when your systems are broken.The exact numbers every owner must know (and what they actually mean).How to tighten front-desk operations so patients arrive, pay, and stay.Why underbilling — not overbilling — is silently draining your margins.How AI can support your systems… but can’t save you from bad processes.What PPS 2025 revealed about the future of private practice — and what owners need to fix BEFORE adding tech, growth, or new services. What you’ll walk away with:A Cash-Flow Leak Audit you can run in 30 minutes.A simple 4-phase roadmap to increase revenue without increasing visits.Clarity on the 3–5 KPIs that actually drive your business (and which ones don’t matter).Scripts for improving front-desk collections and reducing cancellations.A new lens for evaluating tech, platforms, and AI — so you stop wasting money and start moving the needle. 💡 Quick takeaway: Revenue grows when systems grow — not when schedules get fuller. Patch the leaks first. Then scale with confidence. 🎯 Want to learn the systems Nathan teaches owners one-on-one? Join the Strategic Planning Workshop on January 9–10, 2026 in New Orleans — or book a private planning session here: https://calendly.com/ptoclub/discoverycall 💬 Explore upcoming events and resources: https://ptoclub.com ❤️ Love the conversation? Subscribe, rate, review, and share!Blog Post URL: https://www.ppoclub.com/stop-the-leaks-increase-cash-flow-without-more-patientsLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.
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Dec 9, 2025 • 38min

Why Is My Business Growing But My Bank Account Isn't? What Adam Learned In 2025

If your clinic looks busy but the bank balance says otherwise, this episode is for you. Nathan Shields and Adam Robin get raw about the slow bleed that almost sunk a practice — and the exact moves they used to stop the leak and re-build profitability. They cover the blind spots owners accept (too much compassion, not enough accountability), the culture cracks that ripple into revenue, and the concrete fixes that actually move margins back into healthy territory. In this episode you’ll hear:How a six-month, slow-burn decline (tiny losses here, a few underperformers there) turned into a culture issue — and the moment Adam realized things had to change.The playbook they used: hit the numbers first, reset breakeven & productivity expectations, co-design the rollout with leadership, and run a company-wide reset.Why “production is the basis of morale” isn’t just a slogan — it’s how high-performing clinics protect culture and profit.Real, tactical targets: how to calculate required visits per provider from revenue-per-visit and salary, reasonable ramp plans (4–6 week steps), and what to do if training doesn’t move the needle.The hard truth: you can be compassionate and still demand profitability — but the owner must lead with clarity and conviction. What you’ll walk away with:A checklist to spot the slow bleed (what to watch monthly so the problem never becomes a crisis).A step-by-step reset playbook you can run with your leadership team (numbers → expectations → rollout → accountability).Language and scripts for the tough conversations (owner to team, peer-to-peer leadership, and ramp plans).How to turn underperformers into contributors — or transition them out without wrecking morale. Quick production note: If margins are slipping, don’t wait 6 months. Start with revenue-per-visit × target visits = required productivity. If numbers don’t line up, recruit and retrain now — don’t romanticize comfort over solvency. 🎯 Want help running your own strategic planning session? Join Nathan & the team Jan 9–10, 2026 in New Orleans — or book a one-on-one with Nathan: https://calendly.com/ptoclub/discoverycall 💬 Learn more & find event details at: https://ptoclub.comWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.
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Dec 2, 2025 • 43min

Creating A Game-Winning Culture That Attracts And Retains The People You Want With Brian Weidner

If you’ve ever felt like hiring is a shotgun approach and retention is just luck, this session will change how you build teams. In this Total Talent Masterclass, Brian Weidner (Career Tree Network) sits down with Nathan Shields to unpack a strategic, repeatable approach to building a game-winning culture of recognition and retention that actually moves the needle. Nathan walks through how intentional values, recognition systems, and leadership by metrics turned his clinics into high-performing, sticky organizations — the same factors that helped him build and sell a business at a valuation well above industry averages. Together, they cover how to stop reacting to churn and start engineering a workplace people want to join and never want to leave. You’ll learn:How to hire and fire by values so culture becomes a competitive advantage (and not just a buzzword)Practical recognition systems that scale: from peer-to-peer shoutouts to quarterly town halls and value awardsWhy embedding values into every stage of the employee lifecycle (ads → interview → onboarding → reviews → offboarding) prevents culture driftWays to measure recognition success (NPS for employees, retention & productivity KPIs, and qualitative pulse checks)How to balance production AND values — and why sacrificing one for the other destroys morale fastLeadership playbook: lead like an owner, coach by metrics, and create career conversations that reduce surprise exitsIf you’re a hiring manager, clinic owner, or HR lead who wants predictable staffing, lower turnover, and a culture that amplifies productivity, this masterclass gives you the framework and tactical next steps.🎯 Takeaway: Culture isn’t fluff — it’s a scalable business lever. Do the value work, measure it, reward it, and watch retention become a strength instead of a headache.👉 Want to go deeper with Nathan? Book a call with Nathan — https://calendly.com/ptoclub/discoverycall❤️ Love the session? Subscribe, rate, review, and share! https://ptoclub.com💬 Join the conversation: If you haven’t already, find the Private Practice Owners Club Facebook Group to connect with therapy owners and leaders who are building great teams.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.
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Nov 25, 2025 • 44min

From Rock Bottom To Full Clinic: The Patient-Flow Playbook With Kay Sanders

If you’ve ever felt like your marketing efforts aren’t moving the needle — or worse, that your business might stall before it scales — this episode is a must-listen.In this episode of the Private Practice Owners Podcast, Adam Robin sits down with Kay Sanders, Strategic Growth Partner for Private Practice Owners and Founder of Elevated Edge Consulting. Kay shares her remarkable journey from hitting rock bottom in 2019 to helping a local PT clinic grow from zero online revenue to half a million dollars — and how that experience shaped her signature Patient Flow Blueprint.Together, they dive deep into the hidden bottlenecks that keep private practices stuck, and how small shifts in marketing, messaging, and mindset can create massive momentum.You’ll learn:The most common “invisible bottlenecks” that stall private practice growthWhy tweaking one thing (not changing everything) can reignite resultsHow to know when it’s time to invest in paid ads — and when it’s notThe difference between sales and marketing (and why both matters equally)Why belief in your service is the ultimate growth multiplier If you’ve ever wondered why your marketing “isn’t working,” this conversation will help you identify the real issue — and fix it for good.🎯 Learn how to create a steady flow of patients and sustainable success — without the overwhelm.👉 Connect with Kay Sanders and get The Patient Flow Blueprint at ElevatedEdgeConsulting.com💬 Want to talk about how we can help you grow your PT business?Book a call with Nathan — https://calendly.com/ptoclub/discoverycall❤️ Love the show? Subscribe, rate, review, and share! https://ptoclub.com📘 Blog Post URL: https://www.ppoclub.com/from-rock-bottom-to-full-clinic-the-patient-flow-playbook-with-kay-sandersWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

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