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He finished the Barkley three-loop Fun Run in 2019, and 2022, and won Belgiums 2020 Big Dogs Backyard Race with 312 miles

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and where comorbidities are either not present or not addressed, and/or when the billing practitioner has not taken responsibility for ongoing medical care for that particular patient with consistency and continuity over time, or does not plan to take responsibility for subsequent, ongoing medical care for that particular patient with consistency and continuity over time (85 FR 84570 and 84571, 88 FR 78971)