Hhs dab. Departmental Appeals Board (DAB) Marianna Jasiukaitis...

2010.03.30 DAB2309 Georgia Department of Human Services

Nov 19, 2015 · An appeal of an ALJ or federal agency determination. A request to extend the time allowed to file an appeal. A request for reconsideration or reopening of an Appellate Division decision. To make an initial appeal submission using DAB E-File: Log in to DAB E-File; This decision is for Tina Siridakis, ARNP, DAB CR5567, Docket No. C-17-966 from Mar 25, 2020. The Health and Human Services (HHS) Dept. Appeals Board (DAB) posts appeal decisions by year from Administrative Law Judge decisions and disputes in HHS programs. The Health and Human Services (HHS) Dept. Appeals Board (DAB) posts appeal decisions by year from Administrative Law Judge decisions and disputes in HHS programs. This decision is for San Pedro Manor, DAB CR5535, Docket No. C-16-161 from Feb 14, 2020. The Health and Human Services (HHS) Dept. Appeals …Citation to a decision by an appellate panel of the Departmental Appeals Board (DAB) should include only the non-federal party’s name (using appropriate abbreviations), the decision number, a specific page citation, and, in parentheses, the year of the decision. For example: Honey Grove Nursing Ctr., DAB No. 2570, at 3 (2014).The Departmental Appeals Board has characterized amounts substantially greater than the statutory standard as “an exceptional aggravating factor” that is entitled to significant weight. Shaun Thaxter , DAB No. 3053 at 31-32 (2021); Robert Kolbusz, M.D. , DAB No. 2759 at 6-7 (2017); Jeremy Robinson , …DEPARTMENTAL APPEALS BOARD Civil Remedies Division. IN THE CASE OF : SUBJECT: Suzanne R. Bergman, ... (PSC), Human Resources Service, Division of Payroll, Department of Health & Human Services (HHS), that an audit of her record showed her indebted to HHS for the gross amount of $357.83, net amount …All hearing requests must be filed electronically using the Departmental Appeals Board Electronic Filing System (DAB E-File). See CRDP § 6 below for further instructions. Signature and notification of adverse action. All hearing requests must be signed by the party requesting a hearing or its authorized representative.DAB E-File site. DAB E-File is accessible at https://dab.efile.hhs.gov/. Registration. A party or a party’s representative must become a registered user of DAB E-File. If a party has more than one representative, each representative must register separately to use DAB E-File on the party’s behalf.Initial Submission. To make an initial appeal submission using MOD E-File: Log into MOD E-File. Click the "File New Appeal" menu button on the top right side of the screen. Click on the type of appeal you are filing (request for review or request for escalation). Review the instructions at the top of the "File New Appeal – Medicare Operations ...1990. 1989. 1988. 1987. 1986. 1985. Content created by Departmental Appeals Board (DAB) Content last reviewed June 1, 2023. ALJ Decisions by year.National Coverage Determination Complaints. National Coverage Determinations (NCDs) are policies issued by the Centers for Medicare & Medicaid Services (CMS) under Section 1869 (f) of the Social Security Act. The same section provides that aggrieved parties may seek review of an NCD by filing a complaint with the Departmental Appeals Board (Board).The DAB provides impartial, independent hearings and appellate reviews, and issues final agency decisions under more than 60 statutory provisions governing HHS programs, and provides alternative dispute resolution and mediation services for DAB cases and the HHS workplace. The DAB consists of four adjudicatory divisions, an Alternative …Electronic Filing and Service Using DAB E-File. (a) Any document, including a notice of appeal, will be deemed to have been filed with the Board on a given day if it is uploaded to DAB E-File on or before 11:59 p.m. eastern time of that day. (b) If the non-federal party files a notice of appeal electronically via DAB E-File, then both parties ...Logging into MOD E-File from the system's login screen; Selecting the "File New Appeal" link near the top of the screen, then clicking "File Request for Review;” and. Entering the requested information and documents. Once you have filed your request for review, your case will automatically be assigned a docket …Petitioner Goldenheim subsequently pled guilty in United States District Court for the Western District of Virginia to one misdemeanor count (21 U.S.C. §§ 331(a), 333(a)(1)). He agreed to pay to the Court a mandatory assessment of $25 and a fine of $5000. He also agreed to pay $7,500,000 (seven million five hundred thousand …The Office of Personnel and Management (OPM) implements the programs and delivers the services for human capital management and benefits that enable HHS to meet its strategic goals. Salary and wages The General Schedule (GS) classification and pay system covers the majority of civilian white-collar Federal employees (about 1.5 …1990. 1989. 1988. 1987. 1986. 1985. Content created by Departmental Appeals Board (DAB) Content last reviewed June 1, 2023. ALJ Decisions by year.Hearings. A respondent may request a hearing on the PHS finding of research misconduct and/or the PHS administrative actions before the HHS Departmental Appeals Board (DAB).The Office of Personnel and Management (OPM) implements the programs and delivers the services for human capital management and benefits that enable HHS to meet its strategic goals. Salary and wages The General Schedule (GS) classification and pay system covers the majority of civilian white-collar Federal employees (about 1.5 …Form DAB-101 (12/19) If you have additional evidence, submit it with this request for review. If you need more time, you must request an extension of time in writing now, explaining why you are unable to submit the evidence or legal argument now. If you are a provider, supplier, or a beneficiary represented by a provider or supplier, and your ...Important Coronavirus (COVID-19) Update: Due to the Coronavirus (COVID-19) pandemic, the Departmental Appeals Board (DAB) is experiencing delays in processing documents received by mail.To avoid delay, we strongly encourage appellants and parties to file appeals, requests for review, motions, and all other case-related documents through the …1. References are to the 2015 revision of the Code of Federal Regulations (C.F.R.), unless otherwise indicated. In Mark A. Kabat, D.O., DAB No. 2875 at 9-11 (2018), an appellate panel of the Departmental Appeals Board (Board), after reviewing prior Board decisions, expressed a preference for applying the regulations in effect at …The White House. USA.gov. Vulnerability Disclosure Policy. Receive the latest updates from the Secretary, Blogs, and News Releases. 200 Independence Avenue, S.W. Washington, D.C. 20201 Toll Free Call Center: 1-877-696-6775 . This decision is for Alfred A. Conteh, DAB CR6343, Docket No. C-23-355 from Au27, 2023.Medicare Operations Division (MOD) E-File" to read: Register and file requests for review with the Medicare Appeals Council online. Content created by Departmental Appeals Board (DAB) Content last reviewed September 13, 2016. Online filing is available for most types of appeals handled by the Civil Remedies and Appellate …Welcome to the Departmental Appeals Board Electronic Filing System. Important Coronavirus (COVID-19) Update: Due to the Coronavirus (COVID-19) pandemic, the …A list of 2017 appeals from DAB ALJ decisions and disputes in HHS programs, including grant disallowances and terminations. ... 2017.09.01; DAB2814; LCD Complaint: Bioengineered Skin Substitutes for the Treatment of Diabetic and Venous Stasis Ulcers 2017.08.24; ...At the HHS Departmental Appeals Board, I prepare drafts of decisions, rulings, orders and memoranda containing legal analyses and analysis of evidence presented in cases. I also provide ...DATE: February 19, 1993 Docket No. A-92-180 Audit Control No. A-09-86-60225 Decision No. 1391. DECISION. The California Department of Health Services (California) appealed a determination by the Health Care Financing Administration (HCFA) made pursuant to a remand ordered by the Board in California Dept. of …EAAB : Bienvenidos. Inicio de sesión. Transparencia y Acceso a la Información Pública. Atención y servicios a la ciudadanía. Participa. Acueducto y alcantarillado. Ambiente. La …HHS Headquarters. U.S. Department of Health & Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Toll Free Call Center: 1-877-696-6775200 Independence Avenue, S.W. Washington, D.C. 20201 Toll Free Call Center: 1-877-696-6775 . This decision is for Rita Patel, DAB CR5085, Docket No. C-18-241 from Apr 30, 2018. The Health and Human Services (HHS) Dept. Appeals Board (DAB) posts appeal decisions by year from Board decisions and disputes in HHS …A list of 2022 appeals from DAB ALJ decisions and disputes in HHS programs, including grant disallowances and terminations. ... 2022.09.13; DAB3070; Arthur L. Jenkins III, M.D. and Jenkins NeuroSpine LLC 2022.08.26; DAB3069; Devon Rambert-Hairston 2022.08.17; DAB3068; Sylvie WambaThe Aggrieved Party reported that Palmetto GBA, a Medicare contractor, applied the “wrong code” when it denied reimbursement for an April 5, 2023 CT scan of the abdomen and pelvis, and that it should have applied “A56421,” a billing and coding article, rather than local coverage determination (LCD) L34415, “CT of the Abdomen and ...Appeals to the Medicare Appeals Council (Council) The Council hears appeals of decisions by ALJs at the Office of Medicare Hearings and Appeals on Medicare coverage and payment claims. Content created by Departmental Appeals Board (DAB) Content last reviewed September 13, 2016. The kind of decision you …2019.01.17; DAB 2921; Loving Arms Learning Center - PDF. 2019.01.14; DAB 2920; Sinjil, Inc. d/b/a Sunoco - PDF *. Content created by Departmental Appeals Board (DAB) Content last reviewed August 13, 2021. A list of 2019 appeals from DAB ALJ decisions and disputes in HHS programs, including grant disallowances and terminations.AMENDED DECISION 1. Petitioner, Sunrise Lee, was a regional sales manager and regional director for Insys Therapeutics, a pharmaceutical company that manufactured, marketed, and sold the powerful and highly addictive opioid, “Subsys,” which is a fentanyl spray. To increase product sales, she and others (company …Feb 20, 2020 · DAB Forms. DAB-101. Appointment of Representative Form. Content created by Departmental Appeals Board (DAB) Content last reviewed February 20, 2020. DAB Forms. HHS Headquarters. U.S. Department of Health & Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Toll Free Call Center: 1-877-696-6775Order ¶¶ 7-9; CRD Procedures §§ 16(b), 19(b); see Vandalia Park, DAB No. 1940 (2004); Pac. Regency Arvin, DAB No. 1823 at 8 (2002) (holding that the use of written direct testimony for witnesses is permissible so long as the opposing party has the opportunity to cross-examine those witnesses). CMS did not offer any …A dissatisfied party may request review of the ALJ decision by the Departmental Appeals Board (Board) in accordance with the procedures in 21 C.F.R. § 17.47. These guidelines have been designed to assist the parties in understanding and following the procedures relating to Board review. If you have any questions about …The Health and Human Services (HHS) Dept. Appeals Board (DAB) posts appeal decisions by year from Administrative Law Judge decisions and disputes in HHS programs. This decision is for Chautauqua Opportunities, Inc., DAB 3011, Docket No. A-19-53 from Aug 17, 2020. The Health and Human Services (HHS) Dept. …Some federal components have issued regulations that provide for Board review in those or other types of cases using modified Part 16 procedures or other procedures. Those regulations include the following: 20 C.F.R. Part 498, for review of decisions of administrative law judges regarding civil money penalties proposed by the …Form DAB-101 (12/19) If you have additional evidence, submit it with this request for review. If you need more time, you must request an extension of time in writing now, explaining why you are unable to submit the evidence or legal argument now. If you are a provider, supplier, or a beneficiary represented by a provider or supplier, and your ...Craig Richard Wilder, M.D. (Petitioner), a physician licensed to practice in California, appeals the May 24, 2011 decision of Administrative Law Judge Carolyn Cozad Hughes. Craig Richard Wilder, DAB CR2374 (2011) (ALJ Decision). The ALJ sustained the Inspector General’s (I.G.) determination to exclude Petitioner from participation in Medicare ...For the reasons discussed above, we affirm the ALJ Decision. This decision is for Esohe Agbonkpolor, DAB 3002, Docket No. A-20-49 from Jun 4, 2020. The Health and Human Services (HHS) Dept. Appeals Board (DAB) posts appeal decisions by year from Administrative Law Judge decisions and disputes in HHS programs.Medicare Appeals Council (Council) Decisions. In January 2003, the Medicare Appeals Council (Council) initiated the posting of certain significant decisions and actions on the web site of the Departmental Appeals Board (of which it is a component). The following decisions and actions were selected for posting since they involve the adjudication ...DAB E-File site. DAB E-File is accessible at https://dab.efile.hhs.gov/. Registration. A party or a party’s representative must become a registered user of DAB E-File. If a party has more than one representative, each representative must register separately to use DAB E-File on the party’s behalf.Heating a glob of cannabis concentrate and inhaling it: This is what the kids call “ripping a dab.” If you’re a weed beginner about to celebrate your first 4/20, you’d be forgiven ...200 Independence Avenue, S.W. Washington, D.C. 20201 Toll Free Call Center: 1-877-696-6775 . This decision is for Rita Patel, DAB CR5085, Docket No. C-18-241 from Apr 30, 2018. The Health and Human Services (HHS) Dept. Appeals Board (DAB) posts appeal decisions by year from Board decisions and disputes in HHS …Departmental Appeals Board Guidelines. I. What these guidelines are for and how to get more information. These guidelines will help you understand how to proceed before the …The Health and Human Services (HHS) Dept. Appeals Board (DAB) posts appeal decisions by year from Administrative Law Judge decisions and disputes in HHS programs. This decision is for Naz Wahab, M.D., P.C. DAB CR5081, Docket No. C-17-1140 from April 26, 2018. The Health and Human Services (HHS) Dept. … Organization Chart. Image. Contact Information. Department of Health and Human Services Departmental Appeals Board, MS6127 330 Independence Ave., S.W. Washington, DC 20201. Phone: 202-565-0200 Fax: 202-565-0224. Content created by Departmental Appeals Board (DAB) Content last reviewed May 19, 2021. Learn more about the DAB’s history and mission. Medicare Appeals Council (Council) Decisions. In January 2003, the Medicare Appeals Council (Council) initiated the posting of certain significant decisions and actions on the web site of the Departmental Appeals Board (of which it is a component). The following decisions and actions were selected for posting since they involve the adjudication ...Any request for an extension must be filed within the initial 30-day period and should explain why there is good cause for the requested extension, which may not exceed 30 days. If an ALJ decision is served by mail, it is deemed to be issued five days after it is placed in the mail. See 21 C.F.R. §§ 17.47 (b) (1) and 17.30 (c). Welcome to the Departmental Appeals BoardElectronic Filing System ("DAB E-File") Important Coronavirus (COVID-19) Update: Due to the Coronavirus (COVID-19) pandemic, the Departmental Appeals Board (DAB) is experiencing delays in processing documents received by mail. To avoid delay, we strongly encourage appellants and parties to file appeals ... Conoce la misión, la normatividad y los servicios de la Secretaría Distrital de Hacienda, la entidad encargada de gestionar los recursos públicos de Bogotá.AMENDED DECISION 1. Petitioner, Sunrise Lee, was a regional sales manager and regional director for Insys Therapeutics, a pharmaceutical company that manufactured, marketed, and sold the powerful and highly addictive opioid, “Subsys,” which is a fentanyl spray. To increase product sales, she and others (company … Organization Chart. Image. Contact Information. Department of Health and Human Services Departmental Appeals Board, MS6127 330 Independence Ave., S.W. Washington, DC 20201. Phone: 202-565-0200 Fax: 202-565-0224. Content created by Departmental Appeals Board (DAB) Content last reviewed May 19, 2021. Learn more about the DAB’s history and mission. Mar 9, 2020 · The Departmental Appeals Board (DAB) is looking for highly motivated attorneys with strong legal writing skills and diverse backgrounds to join its ranks. The DAB offers a range of employment opportunities for attorneys at all stages of their legal careers. The DAB also offers opportunities for law students seeking internships. Organization Chart. Image. Contact Information. Department of Health and Human Services Departmental Appeals Board, MS6127 330 Independence Ave., S.W. Washington, DC 20201. Phone: 202-565-0200 Fax: 202-565-0224. Content created by Departmental Appeals Board (DAB) Content last reviewed May 19, 2021. Learn more about the DAB’s history and mission. If a party is unable to use DAB E-File, it must send appeal-related documents to CRD using a postal or commercial delivery service at the following address: Department of Health and Human Services Departmental Appeals Board, MS 6132 Civil Remedies Division 330 Independence Avenue, S.W. Cohen Building — Room G-644 Washington, D.C. 20201 Petitioner, West Caldwell Care Center, appealed the determination by the Centers for Medicare & Medicaid Services (CMS) that it was not in substantial compliance with the Medicare program participation requirement related to accidents, 42 C.F.R. § 483.25 (h), which posed immediate jeopardy to resident health and safety.Contact Information. Local: 202-565-0208 Fax: 202-565-0238. Department of Health & Human Services Departmental Appeals Board, MS 6127 Appellate Division 330 Independence Ave., S.W. Cohen Building, Room G-644 Washington, DC 20201. Content created by Departmental Appeals Board (DAB) Content last reviewed September 13, 2016.HHS Headquarters. U.S. Department of Health & Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Toll Free Call Center: 1-877-696-67752010.03.30 DAB2309 Georgia Department of Human Services 2010.03.25 DAB2308 Michael J. Rosen, M.D. 2010.03.22 DAB2307 Tennessee Department of Children’s Services 2010.03.17 DAB2306 Partnership for Youth and Community Empowerment 2010.03.09 DAB2305 Recovery Consultants of Atlanta, Inc. 2010.03.05 DAB2304 …Neil H. Kaufman is Director of Mediation Services at the Departmental Appeals Board, Department of Health and Human Services (HHS), where he also assists the HHS Dispute Resolution Specialist in implementing alternative dispute resolution (ADR) throughout HHS. Mr. Kaufman has mediated a wide variety of cases for HHS and has …1990. 1989. 1988. 1987. 1986. 1985. Content created by Departmental Appeals Board (DAB) Content last reviewed June 1, 2023. ALJ Decisions by year.HHS Headquarters. 200 Independence Avenue, S.W. Washington, D.C. 20201 Toll Free Call Center: 1-877-696-6775 . This decision is for Justin Marilou Maya Zananski, DAB CR5899 (2021). The Health and Human Services (HHS) … Important Coronavirus (COVID-19) Update: Due to the Coronavirus (COVID-19) pandemic, the Departmental Appeals Board (DAB) is experiencing delays in processing documents received by mail. To avoid delay, we strongly encourage appellants and parties to file appeals, requests for review, motions, and all other case-related documents through the ... A list of 2022 appeals from DAB ALJ decisions and disputes in HHS programs, including grant disallowances and terminations. ... 2022.09.13; DAB3070; Arthur L. Jenkins III, M.D. and Jenkins NeuroSpine LLC 2022.08.26; DAB3069; Devon Rambert-Hairston 2022.08.17; DAB3068; Sylvie WambaThis decision is for Maria Leary Zeltner, DAB CR5078, Docket No. C-17-1184 from April 24, 2018. The Health and Human Services (HHS) Dept. Appeals Board (DAB) posts appeal decisions by year from Administrative Law Judge decisions and disputes in HHS programs.Civil Remedies Division (CRD), Departmental Appeals Board (DAB), Department of Health and Human Services (HHS) Subject: I grant summary judgment in favor of the Centers for Medicare & Medicaid Services (CMS) affirming CMS s determination to deny Petitioner s April 22, 2013 application to enroll as a …Starting the Review Process. (a) Who may appeal. Under 42 C.F.R. § 498.80, either party may appeal an ALJ decision or dismissal to the Board. (b) Representative. An affected provider has a right to be represented before the Board, at its own expense, by an attorney or someone else. A representative should file with the Board a signed statement ... Local: 202-795-7490. Fax: 202-565-0225. Department of Health & Human Services. Departmental Appeals Board, MS 6132. Civil Remedies Division. 330 Independence Ave., S.W. Cohen Building, Room G-644. Washington, DC 20201. Content created by Departmental Appeals Board (DAB) The Inspector General 2023.04.25 CR6274, In re LCD Complaint: Epidural Steroid Injections for Pain Management (L39054) 2023.04.25 CR6273, Elmer Nielsen Jr. v. The Inspector General 2023.04.25 CR6272, Norlane Sloan v. The Inspector General 2023.04.20 CR6271, Hemalatha Naganna, MD, and C. Naganna, MD, PA v. The White House. USA.gov. Vulnerability Disclosure Policy. Receive the latest updates from the Secretary, Blogs, and News Releases. 200 Independence Avenue, S.W. Washington, D.C. 20201 Toll Free Call Center: 1-877-696-6775 . This decision is for Alfred A. Conteh, DAB CR6343, Docket No. C-23-355 from Au27, 2023. Hyperosmolar hyperglycaemic state (HHS) occurs in people with type 2 diabetes. Very high blood glucose levels develop as a result of illness and dehydration. Try our Symptom Checke...International Educational Services, Inc. (IES) 1 appeals two decisions of the Administration for Children and Families (ACF), issued on February 21, 2018. The appeals arose from awards of federal funding to IES under multiple cooperative agreements between ACF’s Office of Refugee Resettlement (ORR) and IES for …Important Coronavirus (COVID-19) Update: Due to the Coronavirus (COVID-19) pandemic, the Departmental Appeals Board (DAB) is experiencing delays in processing documents received by mail.To avoid delay, we strongly encourage appellants and parties to file appeals, requests for review, motions, and all other …1998.01.05 DAB 1640 North Carolina Central University v. Office of Grants Management, Department of Health and Human Services (HHS) 1998 appeals from DAB ALJ decisions and disputes in HHS programs, including grant disallowances and terminations. An asterisk (*) at the end of the link to a Board decision indicates that the …1 day ago · A list of 2024 appeals from DAB ALJ decisions and disputes in HHS programs, including grant disallowances and terminations. AMENDED DECISION 1. Petitioner, Sunrise Lee, was a regional sales manager and regional director for Insys Therapeutics, a pharmaceutical company that manufactured, marketed, and sold the powerful and highly addictive opioid, “Subsys,” which is a fentanyl spray. To increase product sales, she and others (company …Departmental Appeals Board Guidelines. I. What these guidelines are for and how to get more information. These guidelines will help you understand how to proceed before the …The DAB offers a range of employment opportunities for attorneys at all stages of their legal careers. Current career opportunities are listed below. To learn …Receive the latest updates from the Secretary, Blogs, and News Releases. 200 Independence Avenue, S.W. Washington, D.C. 20201 Toll Free Call Center: 1-877-696-6775 . 2010 DAB ALJ civil remedies decisions and disputes in HHS, Centers for Medicare & Medicaid Services, and Center for Tobacco …by the Medicare Appeals Council at the HHS Departmental Appeals Board (DAB). Due to an overwhelming number of hearing requests over the past several years, OMHA has not been able to meet the 90-day time-frame for adjudication in some cases, resulting in a backlog of appeals at OMHA. Fourth Level of Appeal: Medicare Appeals Council ReviewCitation to a decision by an appellate panel of the Departmental Appeals Board (DAB) should include only the non-federal party’s name (using appropriate abbreviations), the decision number, a specific page citation, and, in parentheses, the year of the decision. For example: Honey Grove Nursing Ctr., DAB No. 2570, at 3 (2014).A respondent may request a hearing on the PHS finding of research misconduct and/or the PHS administrative actions before the HHS Departmental Appeals Board (DAB). The request must be made to the DAB within 30 days of receipt of the ORI final report and notification letter that contains the finding and administrative actions. A DAB hearing is …The Health and Human Services (HHS) Dept. Appeals Board (DAB) posts appeal decisions by year from Administrative Law Judge decisions and disputes in HHS programs. This decision is for John Joseph Pangallo, DAB CR5591, Docket No. C-20-65 from Apr 17, 2020. The Health and Human Services (HHS) Dept. Appeals … How the Board operates. § 16.6. Who represents the parties. § 16.7. The first steps in the appeal process: The notice of appeal and the Board's response. § 16.8. The next step in the appeal process: Preparation of an appeal file and written argument. § 16.9. How the Board will promote development of the record. . Departmental Appeals BoardMedicare Operations DivisionElectronic FilEAAB : Bienvenidos. Inicio de sesión. Transparencia y Acceso a Jul 27, 2023 · The DAB provides impartial, independent hearings and appellate reviews, and issues final agency decisions under more than 60 statutory provisions governing HHS programs, and provides alternative dispute resolution and mediation services for DAB cases and the HHS workplace. The DAB consists of four adjudicatory divisions, an Alternative Dispute ... Important Coronavirus (COVID-19) Update: Due to the Coronavir , DAB No. 1628 at 3 (1997) (in-person hearing required where nonmovant shows there are material facts in dispute that require testimony); Big Bend Hosp. Corp., DAB No. 1814 at 13 (2002) (in some cases, any factual issue is resolved on the face of the written record because the proffered testimony, even if accepted as true, … Petitioner, Annette M. Bosworth, M.D., is a South Dako...

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