lgbt doctors kaiser oakland11 Apr lgbt doctors kaiser oakland
Our dedicated clinicians provide medical, surgical, and mental health care to transgender and nonbinary individuals in ways that work for you. Residency: Kaiser Permanente San Francisco Medical Center. He has been in practice more than 20 years. Some doctors in the Kaiser Permanente network indicate on their biography. Oakland North is an online news service produced by students at the UC Berkeley Graduate School of Journalism and covering Oakland, California. (The texting is available Monday through Friday. Hi, I'm looking for a lesbian-friendly primary care physician in the East Bay. This includes both medical and non-medical affirming options. Kaiser Permanente clinicianscan access Clinical Library to review the Kaiser Permanente Northern California Practice Resource Guidelines (2012) and ClinicianReferral Network. Its safe, clean, not far of a drive, ample parking. This building is the headquarters of Kaiser Permanente. Thanks. sara, I can highly recommend Dr. Stephanie Scott at Kaiser Oakland, although I have no idea if she is taking new patients (I sadly haven't figured out how to check without telling Kaiser I want to change doctors, which I don't). Woods wife gave birth to all three childrenwho were conceived using sperm from the same sperm donorat Kaiser Hospital in Fremont. They were their doctors second-ever trans couple, but Woods said that didnt affect the quality of care and compassion they received. Kath, Carl Violano is an LGBT-friendly internist at Kaiser Oakland. 6551 Telegraph Ave, Oakland, CA 94609 (510) 652-3820 https://whitehorsebar.com/ Bay Area LGBTQ Community Centers Billy DeFrank Center | San Jose 408.293.3040 938 The Alameda, San Jose, CA 95126 fabulous@defrank.org https://www.defrankcenter.org/ LGBTQ Connection 780 Lincoln Ave, Napa, CA 94558 https://www.lgbtqconnection.org/#hometop Queer Qumbia is political project that brings people together around musica tropical - cumbia, merengue, salsa, norteas, banda. It aims to create a queer and trans-inclusive, poc-centered dance benefit to raise awareness of issues impacting our communities-- proceeds support the work of organizations and groups. Learn about the common causes and when to seek medical attention. Our Space is an LGBTQ youth community center that holds the experiences, strengths and needs of systems-involved youth at our core, and recognizes these youth asfierce and fabulous change-agents in our community. Kansas They also cover mtf top surgery in a case by case basis. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 1300 SW 27th St., Renton, WA 98057, Kaiser Permanente members, general public & non-Kaiser Permanenteclinicians, Northern CaliforniaKaiser Permanente clinicians, Kaiser Permanente cliniciansoutsideNorthern California, Clases y Recursos de Educacin para la Salud. Yes Kaiser Permanente Oakland and Richmond Medical Centers, Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, Find Continuing Care Retirement Communites. Oakland Primary Care, 27450 Schoenherr Rd, Suire 400, Warren, MI 48088, 586-582-7550 Rachel Nixon, DO As part of my function as a full spectrum Family Medicine physician, I provide gender affirming care to Transgender patients. It's your valuable health care visit, so get answers that matter to you. Thanks! Any suggestions? Lead image: The Ordway Building, One Kaiser Plaza, Oakland. Connecticut 233. She also is the best primary care doctor I have ever had. Hotline & WhatsApp : +971556212280 | Landline : +97143873596 , +97167499398 watertown, ny noise ordinance. Georgia I am a middle-aged gay man and a dad, looking for someone thorough, approachable and non- homophobic. Our goals are to improve local coverage, innovate with digital media, and listen to youabout the issues that concern you and the reporting youd like to see in your community. I sure would appreciate Berkeley Parents Network input. Nebraska I am looking for a gay-friendly internist at Kaiser Richmond or Oakland. LGBTQ Care - Provider Listing A listing of doctors with a special interest and training in caring for LGBTQ+ patients. Our 9,500 physicians and 42,000 nurses and staff are leading the transformation of health care. The doctor doesn't need to be gay, just comfortable and hopefully experienced working with lesbian families. Gender Pathways is a unique place for Kaiser Permanente members to receive integrated care in a comfortable, supportive setting. Learn what to do if you feel the hospital is discharging you too soon, and get tips for making the transition as smooth as possible. Most features are available only to members receiving care at Kaiser Permanente medical facilities. 22, 2023, Lisa Esposito and Elaine K. HowleyFeb. Arkansas To find out more about the Healthcare Equality Report, visit the Human Rights Campaign Foundationswebsite. At a press conference in front of the Kaiser Gender Pathways Clinic in Oakland, California, Cole and Harmeet K. Dhillon, attorney and CEO of the Center for American Liberty spoke about the "Mengele-style experiments" being implemented. David S. Aaronson MD. Pediatric Endocrinology: Our endocrinologists provide medical information about puberty blockers and gender affirming hormones to youth and their parents and when indicated, initiate and manage hormone treatment. (photo courtesy of Coolcaesar), Business | Community | Health | Public Policy. Dhillon said, "Chloe's family sought medical treatment for her at Kaiser. She participated in creating our regional multi-disciplinary transgender clinic housed in Oakland. I, Rosie L. said: First of all, I'd to specify that I am giving a completely open &. Preparing for your first cancer appointment can be overwhelming. The protein found in wheat, barley and rye is often blamed for similar but unrelated symptoms. The Permanente Medical Group (TPMG) is the largest medical group in the United Statesand one of the most distinguished. We treat cold and flu symptoms,more, SurgeonsMedical CentersVascular MedicineLower Pacific Heights, Dr. If anyone is aware of any actions in opposition to the above statements, please notify OutCare Health at. She explain everything thoroughly andmore, If you have to go to Kaiser, this is the Dr. to see. Our physicians have always been committed to the highest quality of healthcare for all of diversities of populations.. North Dakota Rhode Island I have been looking for a primary physician for a long time and been through a lot of them. Dr Gail Martin is a keeper!! Every 3rd Friday of the month! The U.S. News Doctor Finder has compiled extensive information in each doctor's profile, including where he or she was educated and trained, which hospital he or she admits patients to, and in some cases which insurance plans he or she accepts. Hormone Therapy; Primary Care Services; Support Groups; Individual & Family Counseling; Community Outreach; HealthCare Education; PREP - HIV Prevention Therapy. Read doctor reviews and profiles online. Oakland County. Queer Trans* Youth (QTY) Treehouse engages folks ages 24 and under. Join to support, educate, and advocate. 22, 2023. We look forward to partnering with you on your comprehensive healthcare needs. Oakland, California. lgbt doctors kaiser oakland. Dr. Aalia Akber is a pediatric nephrologist in Richmond, CA, and is affiliated with multiple hospitals including Kaiser Permanente Oakland and Richmond Medical Centers. Woods also serves on the advisory council at UC San Franciscos Center for Excellence in Transgender Healthcare, a national organization that provides medical facilities with research related to transgender healthcare issues. The Gender Pathways Clinic at Kaiser Permanente San Francisco Medical Center provides culturally competent care to transgender and gender-expansive patients. Our specialist team consists of providers from internal medicine, gynecology, psychiatry, surgery and nursing who provide high-quality, gender-affirming: Hormone therapy Sexual and reproductive health care Pride Medical primary care visits can be made by calling 1-800-777-7904 or by scheduling on kp.org under "LGBTQ+ Care" appointments. Please contact the commission atlgbtqinfo@smcgov.org. Colorado lgbt doctors kaiser oaklandhorse heaven hills road conditionshorse heaven hills road conditions Dr. David Aaronson is a urologist in Oakland, CA, and is affiliated with Kaiser Permanente Oakland and Richmond Medical Centers. Oakland Multi-Specialty Transitions Department Kentucky It is located at the intersection of Broadway and West MacArthur Boulevard, . Kaiser Permanente Oakland is the regional Fetal and Placental Pathology referral center and we host Ob/Gyn residents from our other facilities to learn from our outstanding pathology colleagues. I'm looking for a female physician, lesbian friendly, who is up to date. If she has an opening, snag it! Christie Cooksey, MD, MSCR. The Multi-Specialty Transitions (MST) Department at Kaiser Permanente Oakland Medical Center is deeply committed to providing equitable, compassionate and high-quality medical care to transgender and gender-diverse youth, adults, and families. Dr. Samina Agha is an internist in Richmond, CA, and is affiliated with Kaiser Permanente Oakland and Richmond Medical Centers. LGBTQ+ healthcare is our top priority! Keely B. said: My initial review reflected a very poor administrative office. To choose or change doctors at any time, for any reason, browse our online profiles here by region, or call Member Services in your area. District of Columbia Transgender Suicide & Crisis Intervention (877) 565-8860 National Suicide Prevention (800) 273-8255 return to top OTHER RESOURCES: Kaiser Permanente Transitions Department. Dr. Maria Alvarado-Garcia is an internist in None, None, and is affiliated with Kaiser Permanente Oakland and Richmond Medical Centers. If you are seeking genital surgery, we will then refer you for our multi-disciplinary team visit. California's Medicaid program, called Medi-Cal, serves a whopping 15.4 million people, offering care from cradle to grave: Half of all births are covered by Medi-Cal, as are more than half of . 290 West Nine Mile Road Ferndale, MI 48220. Just as the medical community has long tracked how, for example, a disease like diabetes might disproportionately affect one community, she said, We want to do the same thing with the LGBT community., Woods, who said she believes its important to start teaching LGBT healthcare issues at medical schools, regularly lectures to students in medical care professions at Cal State University. PFLAG are parents, families, friends & straight allies united with LGBT people for the equality, health, and well-being of the queer community. We request that commenters consistently use the same login name. Qulture Collective brings together artists, entrepreneurs, activists, and visionaries from queer and allied communities. It is a place to come learn new skills, meet friends, get linked to resources, and have fun! Internist. Not of the overly buttoned up, stoic variety. You can also check out the website www.glma.org to find doctors and counselors in your area who are friendly to the LGBTQ+ community. He has been in practice between 510 years. She has been in practice between 1020 years. 27 Years Experience. texas gun trader fort worth buy sell trade; lgbt doctors kaiser oakland. PROUD is a multi-disciplinary pediatric gender care clinic where, after consultation and referral by a gender therapist, youth and families meet with a team of transgender care specialists from different disciplines for the purpose of beginning medical transition. Hello everyone! Find resources for transgender and nonbinary patients We also have 2 multidisciplinary specialty departments that provide care for our gender diverse community. A primary care visit within the last 12 months is also required prior to sending your surgical referral. Dr. Yachna Ahuja is an ophthalmologist in Point Richmond, CA, and is affiliated with multiple hospitals including Kaiser Permanente Moanalua Medical Center. The OutList is an international directory that recognizes LGBTQ+ affirming providers who identify as affirming in the provision of care, treatment, and services of LGBTQ+ communities. Dr. Naomi Adler is an emergency medicine physician in Oakland, CA, and is affiliated with Kaiser Permanente Oakland and Richmond Medical Centers. Somos Familias mission is to create support and acceptance for Latina(o) lesbian, gay, bisexual, transgender, queer or questioning youth and their families. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 1300 SW 27th St., Renton, WA 98057, FHS/FFS (Facial Harmonization Surgery / Facial Feminization Surgery), Most sessions also include a patient panel, Clases y Recursos de Educacin para la Salud. Frustrated & Sad, Do not despair! She ensured me I was A-OK! or any kaiser near by. KP Pride, Kaisers LGBT employee group, also helps keep the hospital network in check with its mission of providing quality, equal healthcare. Last year, Lambda Legal, another national LGBT civil rights organization,released a report on the healthcare experiences of LGBT people and people living with HIV. Adolescent Medicine: Our adolescent medicine doctors talk with youth about sexual health, nutrition, high risk behaviors, and substance use, and provide treatment as needed. A critical aspect of this work is ensuring that LGBT elders are well-prepared emotionally, physically, legally, and socially in their later years. Comments from the same user posted under multiple aliases may be deleted. She has been in practice between 1020 years. Dr. Hickman's reception by fellow Kaiser Permanente physicians was not without struggle. For the third year in a row, 19 Bay Area Kaiser Foundation hospitals were ranked amongst the nations leaders in healthcare equality for their lesbian, gay, bisexual or transgender patients, according to a report released last month by a national LGBT civil rights organization. Louis J Cubba 37 Internal Medicine Duboce Triangle Contact the Gender Pathways Clinic Fax: 1-833-730-5020 Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. Get peace of mind and find LGBTQ+ affirming providers near you today! Kaisers Oakland Medical Center was one of the facilities that received perfect scores. South Carolina Kaiser's flagship, busiest hospital; I mainly admit and coordinate care for 4-8 patients per 8-hour shift, and when I . Fellowship. Bryan Fong, MD. The beauty of a report like this is that it drives other institutions to make sure that they enact non-discriminatory policies and to train their physicians to treat LGBT patients no different than any other person walking through that office door, Slovis said. She happens to have a few openings in her panel now since she just stepped out of some admin responsibilities. Utah Please send news tips to: oaklandnorthstaff@gmail.com. Williams and Dr. Minikel regularly participate in the annual "Doctors On Board Program" along with available residents (see details above). She just transferred to a new doctor and she's great too! Transgender people face some additional challenges. The Oakland LGBTQ Community Center is dedicated to enhancing and sustaining the well-being of lesbian, gay, bisexual, transgender and queer (LGBTQ) individuals, our families and allies, by providing educational, social, and health related activities, programs and services. Pediatric Social Worker: Our pediatric social worker provides community resources, school advocacy, and help with legal name/gender marker change. korbell plus refill apotea; jake hess death; lithonia shop light model 1233 Oakland North is an online news service produced by the UC Berkeley Graduate School of Journalism for, and about, the people of Oakland, California. I dated women for 10 years before marrying my wonderful husband a year ago and giving birth a couple months ago. She is actively involved in transgender health both within Kaiser Oakland and in the community. North Carolina The OutList is for individual use only. Businesses, colleges and universities are also increasingly providing broader health coverage, according to research by the Human Rights Campaign, allowing domestic partnersregardless of marriage statusto be included in health insurance plans and in many cases covering hormone therapy and sex-reassignment surgeries for transgender people. Tax ID:46-4347971, About BPN Contact BPN Credits Terms of Use, Connecting Bay Area families online since 1993, Daycares & Preschools with Current Openings, Parent Classes, Workshops & Groups with Openings, Advice about Classes, Camps, Groups, & Tutors, Gay or Gay Friendly Primary Care Physician in East Bay. With headquarters in Oakland, Kaiser Permanente is one of the nations largest not-for-profit health plans serving 8.8 million members through their 35 hospitals, 454 medical offices, and a health insurance plan that covers over 3 million people in Northern California alone. transgender and other LGBTQ patients, and a "N" does not indicate anything other than that that provider did not volunteer transgender care as a specialty). Most features are available only to members receiving care at Kaiser Permanente medical facilities. Kaiser Permanente Hawaii (Care Pathway Center) Scott Denny, MSPA PA-C - Medical Director of Transgender and HIV Services: 3288 Moanalua Road, Honolulu: HI: 808-432-7263: Website: Internal Medicine, Medical Specialties: The Lavender Clinic: Dr. Samuel Hawk, MD: 4-1104 Kuhio Hwy, Kapaa: HI: 808-445-5392: Website * - Physicians with exceptional training in transgender care. I searched high and low for an intelligent/well educated,more, Date: 8/25/2022 Time: 1:55 PM 70 Sunny Most features are available only to members receiving care at Kaiser Permanente medical facilities. Dr. Jones graduated from the University of Washington School of Medicine,University of Washington School of Medicine in 1996. Water Efficient Landscape Ordinance (WELO), Assessor - County Clerk - Recorder & Elections, Multi-Jurisdictional Hazard Mitigation Plan, Water Quality Notifications (Beach/Creek), https://www.facebook.com/pages/Queer-Qumbia/299606000979, https://mydoctor.kaiserpermanente.org/ncal/facilities/region/eastbay/area_master/departments/transgender.jsp. Find relief today. I apologize for not knowing how to access the list, although Member Services would be a good place to start. I'm going back for my 1 year follow up and hoping for positive results. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 1300 SW 27th St., Renton, WA 98057, Plant Based Eating: Your Prescription For Health, If you are a new or current Kaiser Permanente member in need of a trans-competent primary care provider, please call us or contact, If you are not currently a KP member and are interested in becoming one, please check out your options on. You can also search by any keyword. Transgender community resources: Regional: Basic Rights Oregon OHSU Transgender Health Program Northwest Gender Alliance National: WPATH Transgender Law Center Surgery Information Classes are conducted virtually and coordinated through the MST clinic. Faculty Name. Were not surprised at this recognition, said Dr. Jennifer Slovis, Assistant Physician-in-Chief at Kaiser Medical Center in Oakland. Louisiana sarah. SEATTLE ; AHF CABRINI PHARMACY . Shes the program coordinator and co-creator of TransVision Tri-City Health Center in Fremont, the only such program serving transgender women in Alameda County. We really want to be able to do some work on tracking health care disparities in the LGBT community, Coleridge said. Texas Kaiser is heavily invested in becoming the most LGBT friendly healthcare provider in the world. The OutList is solely owned by OutCare Health. Oakland Medical Center, 3600 Broadway, Oakland, CA 94611 (510) 752-1000 Dr. Jose L. Ibarra, MD. Mental Health: Our gender therapists provide support and information related to social and medical transition, family readiness and acceptance, and any mental health concerns. Wood said a common problem transpeople experience is inconsistent medical files that continually show names from a persons previous gender despite requests to be updated. Dr. Walter Acuna is an internist in Oakland, CA, and is affiliated with Kaiser Permanente Oakland and Richmond Medical Centers. A Gay-Straight Alliance (GSA) is a student-run club in a high school or middle school that brings together LGBTQ and straight students to support each other, provide a safe place to socialize, and create a platform to fight for racial, gender, LGBTQ, and economic justice. Dr. Garrick Amgott-Kwan is a neurologist in Oakland, CA, and is affiliated with multiple hospitals including Dameron Hospital. She explain everything thoroughly and she was very kind. University of Southern California School of Medicine (Keck) University of Southern California Department of Otolaryngology/Head and Neck Surgery (Los Angeles County/USC Medical Center, USC University Medical Center, Childrens' Hospital of Los Angeles) Head and Neck Surgical . He has been in practice more than 20 years. She also is the best primary care doctor I have ever had. Nearly 56 percent of LGB respondents and 70 percent of transgender patients reported that they had experienced some form of discrimination while accessing healthcare. A record-breaking 464 hospitals nationwide were named LGBT healthcare leaders in the Human Rights . With an all-volunteer group of different generations we established the following mission and vision. Dr. Olakunle Ajayl is a colon and rectal surgeon in Oakland, CA, and is affiliated with Kaiser Permanente Oakland and Richmond Medical Centers. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of . Sep 2019 - Present3 years 7 months. Somos Familia was founded by two moms from the East Bay (San Francisco Bay Area) with Latino gay and bisexual sons in 2007 to reach out to other families. Carbon Health Urgent Care Alameda - Bridgeside Center, Dr. Gail Martin M.D., Kaiser Permanente Medical Center-Oakland, Frances Spector, MD - Kaiser Permanente Medical Center, Kaiser Permanente Alameda Medical Offices. We love Dr. Fiscella's office in Berkeley. Your email address will not be published. Virginia On the gay-friendly front, she is a lesbian mom of 3. We are proud to partner with transgender members to provide affirming health care services for the transgender and gender-diverse communities. Find a new health professional today! Alabama Vanessa Kaleb, MD 82 Obstetricians & Gynecologists "Do you take patients that aren't part of Kaiser? Oklahoma New Jersey For a pediatrician we love Dr. Annemarie Franks at Berkeley Pediatrics! The Qulture Collective envisions strengthening the vibrant community in Oakland by collectively creating a shared space to build enterprise. Dr . Kaiser's LGBT employee organization, KP Pride, has compiled a list of Nothern California providers that have offered to be available for referrals such as yours. Affirmations Center for Lesbian, Gay, Bisexual and Transgender People. Lisa Esposito, Amir Khan and Christine ComizioFeb. Transgender Health; In addition, we have faculty with special interests in the following areas: HIV, Vulvar Dysplasia and High-Risk Breast Care. Most features are available only to members receiving care at Kaiser Permanente medical facilities. You can also call their Physician Referral Service number and ask for an LGBT-friendly doctor at (800) 825-2631. Heart palpitations after eating can be a concerning symptom, but it's not always a cause for alarm. Massachusetts She happens to have a few openings in her panel now since she just stepped out of some admin responsibilities. They envision a world where youth of all sexual orientations, gender expressions and identities are accepted and celebrated by their families and communities. Idaho Slovis said that Kaiser wants to make sure that were not working in a silo and to make sure that all LGBT patientswhether they are Kaiser members or [on] other health insurance planshave access and information about what their care rights are.. Dr. Anita Ahuja is a pediatric gastroenterologist in Oakland, CA, and is affiliated with multiple hospitals including Kaiser Permanente Oakland and Richmond Medical Centers. It does this through support to cope with an adverse society, education to enlighten an ill-informed public, and advocacy to end discrimination and to secure equal civil rights. . 3600 Broadway Ste. Kaiser has gender therapists located throughout the Northern California region and the MST department can help link you to your closest provider. Copyright 2022 OutCare Health, Inc. |. Carrie, Editor Note: these reviews also appear on the page for Kaiser Oakland Primary Care, I am new to Kaiser Oakland and am looking for a primary care doc who is comfortable discussing lesbian and/or woman specific health concerns. Thanksmore, If I could give Calif integrative medicine more than five stars I certainly would. She gave me a sense of relief after I left my appointment. She has been in practice more than 20 years. The Multi-Specialty Transitions Department (MST) at Kaiser Permanente Oakland Medical Center is deeply committed to providing equitable, compassionate and high-quality medical care to transgender patients and their families. The OutList is an international directory that recognizes LGBTQ+ affirming providers who identify as affirming in the provision of care, treatment, and services of LGBTQ+ communities. Gender Pathways is a unique place for Kaiser Permanente members to receive integrated care in a comfortable, supportive setting. Our department, located at the Oakland Medical Center, serves as a resource for Kaiser Permanente members locally, regionally and nationally.
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