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ESRD QIP - Complete QIP Data - Payment Year 2015

Row numberFacility NameCMS Certification Number (CCN)Alternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkHemoglobin 12 g/dL Measure ScoreHemoglobin 12 g/dL Performance Period RateNumber of Patients Included in Hemoglobin Measure Score Performance PeriodHemoglobin 12 g/dL Baseline Period RateNumber of Patients Included in Hemoglobin Measure Score Baseline PeriodHemoglobin 12 g/dL Performance Score AppliedKt/V Adult Hemodialysis Measure ScoreKt/V Adult Hemodialysis Performance Period RateNumber of Patients Included in Kt/V Adult Hemodialysis Measure Score Performance PeriodNumber of Kt/V Adult Hemodialysis Patient Months Performance PeriodKt/V Adult Hemodialysis Baseline Period RateNumber of Kt/V Adult Hemodialysis Patient Months Baseline PeriodKt/V Adult Hemodialysis Performance Score AppliedKt/V Adult Peritoneal Dialysis Measure ScoreKt/V Adult Peritoneal Dialysis Performance Period RateNumber of Patients Included in Kt/V Adult Peritoneal Dialysis Measure Score Performance PeriodNumber of Kt/V Adult Peritoneal Dialysis Patient Months Performance PeriodKt/V Adult Peritoneal Dialysis Baseline Period RateNumber of Kt/V Adult Peritoneal Dialysis Patient Months Baseline PeriodKt/V Adult Peritoneal Dialysis Performance Score AppliedKt/V Pediatric Hemodialysis Measure ScoreKt/V Pediatric Hemodialysis Performance Period RateNumber of Patients Included in Kt/V Pediatric Hemodialysis Measure Score Performance PeriodNumber of Kt/V Pediatric Hemodialysis Patient Months Performance PeriodKt/V Pediatric Hemodialysis Baseline Period RateNumber of Kt/V Pediatric Hemodialysis Patient Months Baseline PeriodKt/V Pediatric Hemodialysis Performance Score AppliedKt/V Dialysis Adequacy Combined Measure ScoreFistula Measure ScoreFistula Performance Period RateNumber of Patients Included in Fistula Measure Score Performance PeriodNumber of Fistula Patient Months Performance PeriodFistula Baseline Period RateNumber of Fistula Patient Months Baseline PeriodFistula Performance Score AppliedCatheter Measure ScoreCatheter Performance Period RateNumber of Patients Included in Catheter Measure Score Performance PeriodNumber of Catheter Patient Months Performance PeriodCatheter Baseline Period RateNumber of Catheter Patient Months Baseline PeriodCatheter Performance Score AppliedVascular Access Combined Measure ScoreICH CAHPS Admin ScoreNHSN Event Reporting ScoreMineral Metabolism Reporting ScoreAnemia Management Reporting ScoreTotal Performance ScorePY2015 Payment Reduction PercentageCMS Certification DateOwnership as of December 31, 2013Date of ownership record update
51FMC UNIVERSITY SOUTH ALABAMA012559700 CLINIC DRIVEMOBILEAL366888100%523%62Achievement591%5853988%572AchievementN/AInsufficient dataN/A6387%85N/AN/AInsufficient dataN/A0Insufficient data0N/A5356%5559854%627Achievement87%585754%590Achievement6%1010101078%No reduction01/14/1995FRESENIUS MEDICAL CARE05/12/2011
52FMC HAMILTON0125601256 MILITARY STREET SOUTHHAMILTONAL355708100%110%15Achievement1099%1916177%166AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101090%1817771%175Achievement102%2016111%169Achievement10%10101010100%No reduction12/11/1995RENAL CARE GROUP INC.09/15/2008
53FMC LAKEVIEW01256145 MEDICAL PARK DRIVE, SUITE AGUNTERSVILLEAL359768100%510%45Achievement187%7455192%560AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A1561%6663155%607Achievement79%715859%560Achievement6%1010101068%No reduction12/07/1995FRESENIUS MEDICAL CARE11/05/2013
54DCI PELL CITY01256262 COGSWELL DRIVEPELL CITYAL351258100%210%16Achievement693%2824188%205AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6458%2526444%215Achievement88%282457%201Achievement6%1010101080%No reduction12/13/1995DIALYSIS CLINIC, INC.01/23/2014
55DCI CULLMAN0125631734 EVA ROAD NORTHEASTCULLMANAL350558100%452%42Achievement895%7154196%487AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8663%6362172%549Achievement611%6555110%496Achievement6%1010101085%No reduction01/04/1996DIALYSIS CLINIC, INC.10/25/2012
56SOUTH BALDWIN DIALYSIS CENTER012565150 WEST PEACHTREE AVENUEFOLEYAL365358100%140%19Achievement1097%2211496%179AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101079%1615462%200Achievement100%181415%184Achievement10%10101010100%No reduction04/02/1996DAVITA12/21/2012
57FMC SYLACAUGA012566314 WEST SPRING STREETSYLACAUGAAL351508100%170%20Achievement794%2823191%240AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7252%2323653%232Achievement103%252225%222Achievement6%1010101083%No reduction07/16/1996RENAL CARE GROUP INC.10/15/2012
58FMC PARKWAY0125681311 NORTH MEMORIAL PARKWAY SUITE 100HUNTSVILLEAL358018100%462%50Achievement895%6254695%571AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A81076%5054774%589Achievement103%535254%554Achievement10%1010101095%No reduction09/03/1996FRESENIUS MEDICAL CARE06/21/2007
59NORTHPORT DIALYSIS0125702401 HOSPITAL DRIVENORTHPORTAL354768100%480%51Achievement794%6952194%549AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7253%5354551%573Achievement96%595225%502Achievement6%1010101083%No reduction12/03/1996GAMBRO HEALTHCARE04/15/2011
60DCI GEORGIANA012571P O BOX 618GEORGIANAAL360338100%220%26Achievement1098%2726499%289AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10037%2427938%313Achievement101%262754%304Achievement5%101091087%No reduction12/31/1996DIALYSIS CLINIC, INC.01/10/2013
61FMC CAMELLIA012572108 L V STABLER DRIVEGREENVILLEAL360378100%440%40Achievement386%5446381%418ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A3356%5053558%498Achievement612%535117%466Achievement5%1010101070%No reduction02/12/1997FRESENIUS MEDICAL CARE11/09/2009
62DCI BIRMINGHAM0125738713 PARKWAY EASTBIRMINGHAMAL352068100%350%36Achievement592%4238890%389AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5664%3841368%407Achievement102%403941%380Achievement8%1010101083%No reduction12/18/1997DIALYSIS CLINIC, INC.06/21/2012
63FMC CHAMBERS012574802 HOSPITAL STREETLAFAYETTEAL368628100%200%21Achievement693%3023995%250AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A61085%2526276%265Achievement96%3024611%250Achievement9%101010987%No reduction06/10/1997FRESENIUS MEDICAL CARE09/11/2008
64RCG WALKER0125753510 3RD STREET NORTHEASTJASPERAL355048100%330%44Achievement286%4937083%463ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A2150%4038345%501Achievement87%4335910%469Achievement5%101091067%No reduction01/08/1998RENAL CARE GROUP INC.05/10/2011
65DCI MONTGOMERY012576544 SOUTH MCDONOUGH STREETMONTGOMERYAL36104862%580%69Achievement794%6961895%725AchievementN/AInsufficient dataN/A74Insufficient data54N/AN/AInsufficient dataN/A0Insufficient data0N/A7144%5663040%740Improvement514%6661013%714Achievement3%1010101065%No reduction06/05/1998DIALYSIS CLINIC, INC.09/23/2008
66RCG SOUTHSIDE0125782131 MAGNOLIA AVENUE SOUTH #100BIRMINGHAMAL352058100%340%33Achievement996%4842793%423AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9033%3943336%419Achievement710%394168%384Achievement4%1010101083%No reduction06/18/1998RENAL CARE GROUP INC.09/27/2012
67FMC DAUPHIN ISLAND PKWY0125792381 DAUPHIN ISLAND PARKWAYMOBILEAL366058100%520%54Achievement693%6759695%647AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6664%5960467%652Achievement102%625812%626Achievement8%1010101085%No reduction07/08/1998FRESENIUS MEDICAL CARE12/12/2012
68FMC THOMASVILLE01258030230 HIGHWAY 43THOMASVILLEAL367848100%415%44Achievement187%5445289%516AchievementN/AInsufficient dataN/A7Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A1148%4646646%529Achievement101%494404%513Achievement6%1010101068%No reduction09/15/1998FRESENIUS MEDICAL CARE11/17/2011
69FMC WILCOX012582229 CAMDEN BYPASSCAMDENAL367268100%230%24Achievement592%3427285%251AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5147%2727748%264Achievement611%282594%243Achievement4%1010101073%No reduction11/04/1998FRESENIUS MEDICAL CARE09/16/2008
70BESSEMER DIALYSIS012583901 WESTLAKE MALLSTE 101BESSEMERAL350208100%340%33Achievement1098%4532997%354AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10031%3941036%383Achievement612%4037411%371Achievement3%1010101083%No reduction08/01/1998GAMBRO HEALTHCARE09/15/2011
71ENSLEY DIALYSIS0125852630 AVENUE EASTBIRMINGHAMAL352188100%560%54Achievement1098%8162699%593AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10252%6466352%627Achievement79%6763313%585Achievement5%1010101088%No reduction08/01/1998GAMBRO HEALTHCARE09/25/2012
72SYLACAUGA DIALYSIS012588331 JAMES PAYTON BOULEVARDSYLACAUGAAL351508100%343%34Achievement1098%3329998%277Achievement10100%1211099%74AchievementN/AInsufficient dataN/A0Insufficient data0N/A10148%3335051%303Achievement79%343302%295Achievement4%1010101085%No reduction08/01/1998GAMBRO HEALTHCARE09/12/2011
73BIRMINGHAM NORTH DIALYSIS0125891917 32ND AVENUE NORTHBIRMINGHAMAL352078100%640%60Achievement1098%8575097%722AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10252%7881943%744Achievement104%787626%699Achievement6%1010101090%No reduction08/01/1998GAMBRO HEALTHCARE09/15/2008
74DCI MOULTON0125901962 MAIN STREETMOULTONAL356508100%284%24Achievement592%3930194%233AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5663%3534766%282Achievement416%3631018%251Achievement5%1010101075%No reduction03/16/1999DIALYSIS CLINIC, INC.01/20/2014
75FMC SHELBY0125911022 FIRST STREET NORTHSUITE 101ALABASTERAL350078100%260%26Achievement996%4833888%362AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9767%3634570%356Achievement88%423223%337Achievement8%101091092%No reduction04/08/1999RENAL CARE GROUP INC.06/29/2007
76BIRMINGHAM CENTRAL DIALYSIS012592728 RICHARD ARRINGTON BOULEVARD SOUTHBIRMINGHAMAL352338100%450%54Achievement996%6251391%647AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9040%4852444%580Achievement318%5149513%594Achievement2%1010101078%No reduction08/01/1998GAMBRO HEALTHCARE03/04/2011
77FMC ODYSSEY DIALYSIS01259340 HUGHES ROADMADISONAL357588100%443%37Achievement187%6244394%447AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A1562%4848962%458Achievement79%534425%428Achievement6%1010101068%No reduction05/05/1999FRESENIUS MEDICAL CARE04/27/2006
78BOAZ DIALYSIS01259416 CENTRAL HENDERSON ROADBOAZAL359578100%410%40Achievement1098%4842997%430AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101080%4545672%450Achievement103%464336%428Achievement10%10101010100%No reduction06/30/1999GAMBRO HEALTHCARE05/21/2007
79RCG FORT PAYNE0125952202 JORDAN ROAD SOUTHWESTSUITE 100FORT PAYNEAL359688100%310%31Achievement791%4735473%316ImprovementN/AInsufficient dataN/A55Insufficient data57N/AN/AInsufficient dataN/A0Insufficient data0N/A7768%3839571%379Achievement96%403709%349Achievement8%1010101088%No reduction05/01/1999RENAL CARE GROUP INC.09/14/2012
80FMC MONTGOMERY BAPTIST0125961400 NARROW LANE PARKWAYMONTGOMERYAL361118100%751%81Achievement693%10685890%862AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6143%8589338%869Improvement220%8782023%814Achievement2%1010101070%No reduction08/11/1999FRESENIUS MEDICAL CARE05/02/2006
81FMC BAY MINETTE0125972505 HAND AVENUEBAY MINETTEAL365078100%210%24Achievement592%3026294%274AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A51078%2627072%288Achievement105%282563%266Achievement10%1010101088%No reduction10/27/1999FRESENIUS MEDICAL CARE01/09/2012
82DCI PHENIX CITY0125981611 21ST COURTPHENIX CITYAL368678100%310%38Achievement1097%4542396%476AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101076%3943161%489Achievement103%434334%464Achievement10%10101010100%No reduction02/09/2000DIALYSIS CLINIC, INC.11/13/2009
83FMC PORT CITY012599201 STREET JOSEPH STREET, SUITE BMOBILEAL366028100%570%59Achievement389%7462793%701AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A3869%6163962%691Achievement104%646205%666Achievement9%1010101080%No reduction02/07/2001FRESENIUS MEDICAL CARE03/01/2010
84ATMORE DIALYSIS CENTER012600807 EAST CRAIG STREETATMOREAL365028100%360%33Achievement1097%4538997%400AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10560%4243166%417Achievement101%424003%402Achievement8%1010101095%No reduction03/14/2001DAVITA11/16/2006
85FMC WEST012601633 LOMB AVENUEBIRMINGHAMAL352118100%430%54Achievement592%6149991%576AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5251%4951753%595Achievement88%544968%548Achievement5%101091074%No reduction03/27/2001RENAL CARE GROUP INC.04/12/2007
86RUSSELLVILLE DIALYSIS01260214897 HIGHWAY 43RUSSELLVILLEAL356538100%210%24Achievement996%3525193%268AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9767%2727360%285Achievement87%292513%247Achievement8%1010101093%No reduction06/20/2001GAMBRO HEALTHCARE12/20/2013
87FMC FAIRFIELD (STEEL CITY)0126036508 EAST J OLIVER BOULEVARDFAIRFIELDAL350648100%280%28Achievement895%3229383%282AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8029%3030338%304Achievement102%312843%268Achievement5%101071081%No reduction10/16/2001RENAL CARE GROUP INC.06/10/2011
88RCG CLANTON012604275 HEALTH CENTER DRIVECLANTONAL350458100%290%23Achievement693%4034890%251AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6457%3737049%289Achievement710%393439%258Achievement6%101091079%No reduction03/27/2002RENAL CARE GROUP INC.04/05/2011
89FMC CHASE0126061849 KEATS DRIVE NORTHWESTHUNTSVILLEAL358108100%810%71Achievement895%9889395%799AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8459%9599050%843Achievement88%9892511%766Achievement6%1010101085%No reduction09/19/2002FRESENIUS MEDICAL CARE09/22/2010
90ROANOKE DIALYSIS CLINIC0126074459 US HIGHWAY 431ROANOKEAL362748100%300%24Achievement895%4131198%317AchievementN/AInsufficient dataN/A40Insufficient data1N/AN/AInsufficient dataN/A0Insufficient data0N/A81092%3131993%322Achievement103%382931%309Achievement10%101081094%No reduction01/29/2003NOT A CHAIN05/06/2009
91RCG ONEONTA012608150 GILBREATH DRIVE, SUITE 1ONEONTAAL351218100%220%29Achievement381%3325272%338ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A3665%2926265%350Achievement104%312432%329Achievement8%101041074%No reduction03/26/2003RENAL CARE GROUP INC.05/17/2011
92EUFAULA DIALYSIS012609220 SOUTH ORANGE AVENUEEUFAULAAL360278100%430%41Achievement1097%5547097%476AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10562%5052063%510Achievement103%524933%476Achievement8%1010101095%No reduction04/09/2003GAMBRO HEALTHCARE09/23/2011
93FMC MAGNOLIA0126107940 MOFFETT ROADSEMMESAL365758100%372%49Achievement592%6146793%562AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A51081%4444863%567Achievement96%514428%520Achievement9%1010101085%No reduction05/14/2003FRESENIUS MEDICAL CARE06/29/2007
94FMC DALLAS COUNTY012611200 SOUTH PARK PLACESELMAAL367018100%382%44Achievement592%5243990%493AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5251%4647360%535Achievement710%504458%499Achievement5%1010101075%No reduction12/19/2003FRESENIUS MEDICAL CARE03/17/2010
95FMC GARDENDALE012612592 FIELDSTOWN ROADSUITE 102GARDENDALEAL350718100%210%31Achievement388%3525783%330ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A3562%2525851%343Achievement102%312535%334Achievement8%1010101078%No reduction12/17/2003FRESENIUS MEDICAL CARE03/04/2014
96FMC DISCOVERY0126131131 EAGLETREE LANE, STE100HUNTSVILLEAL358018100%542%58Achievement490%7351492%513Achievement889%2820687%190AchievementN/AInsufficient dataN/A0Insufficient data0N/A5356%5656954%555Achievement87%675385%515Achievement6%1010101078%No reduction03/17/2004FRESENIUS MEDICAL CARE09/11/2008
97FMC VALLEY CREEK012614201 LINCOLN LANESELMAAL367018100%512%56Achievement693%6247493%544AchievementN/AInsufficient dataN/A83Insufficient data85N/AN/AInsufficient dataN/A0Insufficient data0N/A6040%5049650%542Achievement88%524449%522Achievement4%10109974%No reduction04/07/2004FRESENIUS MEDICAL CARE11/30/2009
98FMC AUBURN012615211 EAST UNIVERSITY DRIVEAUBURNAL368328100%420%42Achievement792%5751474%475ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A71092%5256588%539Achievement103%555452%518Achievement10%101021088%No reduction06/23/2004FRESENIUS MEDICAL CARE01/09/2013
99LANDMARK DIALYSIS012616717 STONE AVENUETALLADEGAAL351608100%680%67Achievement1097%8276497%806AchievementN/AInsufficient dataN/A15Insufficient data18N/AN/AInsufficient dataN/A0Insufficient data0N/A10045%7378844%834Achievement88%787585%789Achievement4%1010101085%No reduction06/09/2004NOT A CHAIN02/07/2012
100FMC ALEXANDER CITY0126173368 HIGHWAY 280 BYPASSSUITE G-1ALEXANDER CITYAL350108100%355%44Achievement592%4841990%428AchievementN/AInsufficient dataN/A59Insufficient data59N/AN/AInsufficient dataN/A0Insufficient data0N/A5973%4343975%431Achievement103%454114%423Achievement10%1010101088%No reduction11/10/2004FRESENIUS MEDICAL CARE01/25/2012

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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Description

The data set includes the number of eligible patients by clinical measure; % patients with Hemoglobin > 12; ESRD QIP data by facility: % of hemodialysis patient-months with spKt/V >= 1.2; % of peritoneal patient-months with Kt/V >= 1.7 Kt/V (dialytic + residual) during the four-month study period; % of pediatric in-center hemodialysis patient-months with spKt/V >= 1.2; % of hemodialysis patients using an arteriovenous fistula during last treatment of the month; % of hemodialysis patients using an intravenous catheter during the last treatment of the month and for at least 89 days prior; Hemoglobin > 12 measure score; Dialysis Adequacy Measure Topic score; Vascular Access Type Measure Topic score; ICH CAHPS Admin score; NHSN Event Reporting score; Mineral Metabolism Reporting score; Anemia Management Reporting score; the Total Performance Score; and payment reduction percentage.

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