24 Years of Experience
Accepting patients
Affiliated with a Castle Connolly Top Hospital
Who is Dr. Hill, Foot and Ankle Surgeon in Beaumont, TX?
Dr. Keith Hill, MD is a Foot and Ankle Surgeon, who primarily practices in Beaumont, TX with 1 additional practice location. He has been practicing for over 24 years. Dr. Hill graduated from University of Pennsylvania and completed his residency at LECOMT/United Memorial Medical Center Program. Dr. Hill is fluent in English and Spanish, and is currently seeing new patients. Dr. Hill’s practice accepts Medicare, UnitedHealthcare and other major insurance plans. To book an appointment or to confirm insurance options, please call Dr. Hill’s office at (409) 838-0346.
Where did Dr. Hill go to medical school and complete their residency?
Residency: LECOMT/United Memorial Medical Center Program
Medical School: University of Pennsylvania
What languages does Dr. Hill speak?
Dr. Hill and their clinical team can communicate with patients in the following languages:
English
Spanish
What conditions does Dr. Hill treat?
As a Foot and Ankle Surgeon, Dr. Hill diagnoses, treats, and manages a wide range of conditions. This condition information is derived from anonymized insurance claims and highlights the medical conditions most commonly treated by Dr. Hill. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.
Also known as:
- Achilles Tendinitis
- Posterior Tibial Tendinitis
- Tendinitis
- Achilles Tendinopathy
- Heel Cord Tendinitis
- Ankle Tendinitis
- Posterior Tibial Tendinopathy
- PTT Dysfunction
ICD-10 Codes:
- M7661: Achilles tendinitis, right leg
- M76822: Posterior tibial tendinitis, left leg
Also known as:
- Plantar Fibromatosis
- Foot Injuries and Disorder
- Heel Injuries and Disorder
- Ledderhose disease
- Plantar fasciitis nodule
- Foot fibromatosis
ICD-10 Codes:
- M722: Plantar fascial fibromatosis
Also known as:
- Osteoarthritis of the right ankle and foot
- Osteoarthritis
- Degenerative joint disease
- Wear-and-tear arthritis
- Arthrosis
- Joint degeneration
- Degenerative Joint Disease
- Wear-and-Tear Arthritis
- Ankle Arthritis
- Foot Arthritis
ICD-10 Codes:
- M19071: Primary osteoarthritis, right ankle and foot
- M19072: Primary osteoarthritis, left ankle and foot
Also known as:
- Other Pre-Procedure Examination
- Various pre-op checks
- Miscellaneous pre-surgery exams
- Other pre-treatment assessments
ICD-10 Codes:
- Z01818: Encounter for other preprocedural examination
Also known as:
- Bunion
- Foot Injuries and Disorder
- Toe Injuries and Disorder
- Hallux Valgus
- Big Toe Deformity
- Foot Bump
ICD-10 Codes:
- M2011: Hallux valgus (acquired), right foot
What procedures does Dr. Hill perform?
As a Foot and Ankle Surgeon, Dr. Hill performs a variety of medical procedures. This procedure information is derived from anonymized insurance claims and highlights the medical procedures most commonly performed by Dr. Hill. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.
Also known as:
- Partial Foot Bone Removal
- Foot Bone Reshaping (Metatarsal Osteotomy)
- Big Toe Bone Reshaping Surgery
- Heel Bone Cut (Calcaneus Osteotomy)
- Foot Bone Infection Removal
- Bunionette Removal Surgery
- Talus Bone Excision
- Calcaneus Bone Excision
- Foot Bone Debridement
- Osteomyelitis Bone Removal
- Metatarsal Osteotomy
- Foot Bone Lengthening
- Foot Bone Shortening
- Foot Bone Angle Correction
- First Toe Proximal Phalanx Osteotomy
- Big Toe Shortening Surgery
- Toe Bone Correction
- Hallux Phalanx Osteotomy
- Calcaneus Osteotomy
- Heel Bone Reshaping Surgery
- Dwyer Procedure
- Chambers Procedure
- Tarsal Bone Excision
- Metatarsal Bone Infection Treatment
- Tailor's Bunion Surgery
- Fifth Metatarsal Head Excision
- Foot Bunionette Correction
- Pinky Toe Bunion Surgery
CPT Codes:
- 28120: Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus
- 28308: Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each
- 28310: Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)
- 28300: Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
- 28122: Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus
- 28110: Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)
Also known as:
- Open Treatment for Ankle Joint Disruption
- Ankle Arthroscopy for Cartilage Repair
- Total Ankle Replacement Surgery
- Endoscopy
- Syndesmosis Repair
- Distal Tibiofibular Joint Fixation
- Ankle Ligament Repair Surgery
- Keyhole Ankle Surgery
- Minimally Invasive Ankle Cartilage Repair
- Ankle Bone Defect Excision
- Ankle arthroplasty with implant
- Total ankle prosthesis
- Ankle joint replacement
CPT Codes:
- 27829: Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed
- 29891: Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect
- 27702: Arthroplasty, ankle; with implant (total ankle)
Also known as:
- Open Surgery for Broken Ankle Bone
- Ankle Fracture Repair (Bimalleolar)
- Open Repair of Trimalleolar Ankle Fracture
- Open Medial Malleolus Fracture Repair
- Lateral Malleolus Fracture Repair
- Distal Fibula Fracture Surgery
- Ankle Fixation Surgery
- Broken Ankle Surgery
- Malleolar Fracture Fixation
- Open Ankle Fracture Treatment
- Trimalleolar Ankle Fracture Surgery
- Ankle Fracture Fixation
- Open Ankle Fracture Reduction
- Ankle Bone Fracture Surgery
- Medial Malleolus Fixation
- Broken Ankle Bone Repair
CPT Codes:
- 27792: Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed
- 27814: Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed
- 27822: Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip
- 27766: Open treatment of medial malleolus fracture, includes internal fixation, when performed
Also known as:
- Hammertoe Correction Surgery
- Tarsal Tunnel Release
- Partial Plantar Fascia Removal
- Big Toe Joint Fusion
- Posterior Tibial Tendon Reconstruction (Kidner Procedure)
- Bunion Correction with Double Bone Cut
- Open Surgery for Midfoot Bone Fracture
- Bunion Correction Surgery
- Hammertoe Repair
- Toe Straightening Surgery
- Phalangectomy for Hammertoe
- Posterior Tibial Nerve Decompression
- Tarsal Tunnel Syndrome Surgery
- Nerve Release in Foot
- Foot Nerve Decompression
- Plantar Fasciectomy
- Foot Fascia Release
- Plantar Fasciitis Surgery
- Great Toe Arthrodesis
- Big Toe IP Joint Fusion
- Toe Joint Stabilization
- Kidner procedure
- Flatfoot correction surgery
- Accessory navicular bone removal with tendon repair
- Hallux Valgus Correction
- Bunionectomy with Osteotomy
- Double Osteotomy Bunion Repair
- Tarsal Bone Fracture Repair (Open)
- Midfoot Fracture Fixation
- Foot Bone Break Surgery
- Hallux Valgus Repair
- Bunionectomy with Sesamoidectomy
- Big Toe Deformity Correction
CPT Codes:
- 28285: Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)
- 28035: Release, tarsal tunnel (posterior tibial nerve decompression)
- 28060: Fasciectomy, plantar fascia; partial (separate procedure)
- 28755: Arthrodesis, great toe; interphalangeal joint
- 28238: Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)
- 28299: Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method
- 28465: Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each
- 28292: Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method
Also known as:
- Achilles Tendon Repair (Secondary)
- Leg Tendon Repair
- Achilles Tendon Reconstruction
- Graft for Achilles Tendon
- Re-repair Achilles Tendon
- Ankle Tendon Surgery
- Flexor Tendon Repair
- Leg Tendon Surgery
- Tendon Reconstruction Leg
CPT Codes:
- 27654: Repair, secondary, Achilles tendon, with or without graft
- 27658: Repair, flexor tendon, leg; primary, without graft, each tendon
Also known as:
- Midfoot or Tarsometatarsal Joint Fusion
- Triple Joint Fusion in the Foot
- Foot Joint Fusion Surgery
- Midtarsal Arthrodesis
- Tarsometatarsal Fusion
- Foot Joint Immobilization
- Triple Arthrodesis
- Foot Joint Fusion
- Subtalar Joint Fusion
- Talonavicular Joint Fusion
- Midfoot Fusion
- Tarsometatarsal Arthrodesis
- Foot Bone Fusion
CPT Codes:
- 28740: Arthrodesis, midtarsal or tarsometatarsal, single joint
- 28715: Arthrodesis; triple
- 28730: Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse;
Also known as:
- Short Leg Cast Application
- Walking Short Leg Cast Application
- Below Knee Cast
- Lower Leg Cast
- Foot and Ankle Cast
- Below Knee Walking Cast
- Ambulatory Short Leg Cast
CPT Codes:
- 29405: Application of short leg cast (below knee to toes);
- 29425: Application of short leg cast (below knee to toes); walking or ambulatory type
Also known as:
- Removal of Deep Surgical Implant
- Hardware Removal Surgery
- Buried Implant Extraction
- Orthopedic Implant Removal
CPT Codes:
- 20680: Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)
Also known as:
- Big Toe Joint Fusion
- Subtalar Joint Fusion
- Open Ankle Joint Fusion
- Great Toe Arthrodesis
- MTP Joint Fusion
- Big Toe Fusion Surgery
- Hallux Rigidus Surgery
- Ankle Joint Fusion
- Subtalar Arthrodesis
- Hindfoot Fusion Surgery
- Talocalcaneal Fusion
- Ankle Arthrodesis
- Ankle Fusion Surgery
- Surgical Ankle Immobilization
CPT Codes:
- 28750: Arthrodesis, great toe; metatarsophalangeal joint
- 28725: Arthrodesis; subtalar
- 27870: Arthrodesis, ankle, open
Also known as:
- Ankle Joint Cleaning (Arthroscopy)
- Endoscopy
- Ankle debridement
- Ankle scope surgery
- Arthroscopic ankle cleanup
- Tibiotalar joint debridement
CPT Codes:
- 29898: Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive
Also known as:
- Leg or Ankle Tendon Adjustment Surgery
- Leg tendon lengthening
- Ankle tendon shortening
- Tendon surgery leg
CPT Codes:
- 27685: Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)
Also known as:
- Sciatic Nerve Repair (Neuroplasty)
- Morton's Neuroma Removal
- Sciatic nerve decompression
- Open sciatic neuroplasty
- Sciatic nerve release
- Excision of Morton's Neuroma
- Interdigital Neuroma Excision
- Foot Nerve Tumor Removal
CPT Codes:
- 64712: Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve
- 28080: Excision, interdigital (Morton) neuroma, single, each
Also known as:
- Shin Bone Partial Removal
- Tibia Bone Excision
- Shin Bone Debridement
- Osteomyelitis Tibia Surgery
CPT Codes:
- 27640: Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia
Also known as:
- Open Metatarsal Fracture Repair
- Foot Bone Fracture Surgery
- Metatarsal Fixation
- Broken Foot Bone Repair
CPT Codes:
- 28485: Open treatment of metatarsal fracture, includes internal fixation, when performed, each
Also known as:
- Joint or Bursa Injection/Fluid Removal
- Arthrocentesis
- Major Joint Aspiration
- Bursa Injection
- Joint Fluid Removal
CPT Codes:
- 20610: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
Also known as:
- Leg or Ankle Tendon Release
- Tendon Loosening Surgery (Leg)
- Ankle Tendon Tenolysis
- Flexor or Extensor Tendon Release
CPT Codes:
- 27680: Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon
Also known as:
- Lower Leg Amputation
- Thigh Amputation
- Limb Loss
- Tibial-Fibular Amputation
- Leg Removal Surgery
- Below-Knee Amputation
- Leg Amputation (Femur)
- Above-Knee Amputation
- Femoral Amputation
CPT Codes:
- 27880: Amputation, leg, through tibia and fibula;
- 27590: Amputation, thigh, through femur, any level;
Also known as:
- Toe Joint Capsule Release
- Toe Capsulotomy
- Metatarsophalangeal Joint Release
- Toe Joint Surgery
CPT Codes:
- 28270: Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)
Also known as:
- Foot or Ankle Tendon Transfer Surgery
- Deep tendon rerouting
- Tendon transplant surgery
- Muscle redirection surgery
- Tibial tendon transfer
CPT Codes:
- 27691: Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)
Also known as:
- Joint or Bursa Injection/Aspiration
- Arthrocentesis
- Joint Fluid Removal
- Bursa Injection
CPT Codes:
- 20605: Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance
Also known as:
- Foot Bone Reshaping Surgery
- Metatarsal Osteotomy
- Foot Deformity Correction
- Cavus Foot Surgery
CPT Codes:
- 28309: Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure)
Also known as:
- Injection for Tendon or Ligament Pain
- Tendon sheath injection
- Ligament injection
- Plantar fascia injection
- Soft tissue injection for pain
CPT Codes:
- 20550: Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")
Also known as:
- Ankle Ligament Repair
- Collateral Ligament Repair
- Ankle Ligament Surgery
- Ankle Ligament Reconstruction
CPT Codes:
- 27695: Repair, primary, disrupted ligament, ankle; collateral
Also known as:
- Midfoot Joint Dislocation Repair
- Tarsometatarsal joint dislocation open reduction
- Lisfranc injury repair
- Midfoot dislocation surgery
CPT Codes:
- 28615: Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed
Also known as:
- Open Surgery for Heel Bone Fracture
- Open Talus Fracture Repair
- Calcaneus Fracture Repair
- Heel Bone Fixation Surgery
- Open Reduction Calcaneus Fracture
- Foot Fracture Surgery
- Ankle Bone Fracture Surgery
- Talus Bone Fixation
- Open Reduction of Talus Fracture
- Ankle Fracture Repair
CPT Codes:
- 28415: Open treatment of calcaneal fracture, includes internal fixation, when performed;
- 28445: Open treatment of talus fracture, includes internal fixation, when performed
Also known as:
- Achilles Tendon Repair
- Ruptured Achilles Tendon Surgery
- Open Achilles Repair
- Percutaneous Achilles Repair
- Heel Tendon Surgery
CPT Codes:
- 27650: Repair, primary, open or percutaneous, ruptured Achilles tendon;
Also known as:
- Open Tarsal Bone Dislocation Repair
- Foot Bone Dislocation Surgery
- Tarsal Joint Fixation
- Midfoot Dislocation Repair
- Open Reduction Foot Dislocation
CPT Codes:
- 28555: Open treatment of tarsal bone dislocation, includes internal fixation, when performed
Also known as:
- Knee Arthroscopy with Meniscus and Cartilage Repair
- Endoscopy
- Knee scope with meniscectomy
- Arthroscopic knee surgery
- Cartilage shaving knee
- Meniscus repair knee arthroscopy
CPT Codes:
- 29880: Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed
Also known as:
- Bunion Correction with Bone Cut
- Hallux valgus correction with osteotomy
- Bunionectomy with metatarsal osteotomy
- Big toe bunion surgery
CPT Codes:
- 28296: Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method
Also known as:
- Repair of Tibia Nonunion or Malunion (Without Graft)
- Tibia Fracture Healing Surgery
- Broken Shin Bone Repair
- Compression Technique for Tibia
CPT Codes:
- 27720: Repair of nonunion or malunion, tibia; without graft, (eg, compression technique)
Also known as:
- Large Foot or Toe Soft Tissue Tumor Removal
- Foot Tumor Excision
- Toe Soft Tissue Mass Removal
- Intramuscular Foot Tumor Surgery
- Subfascial Foot Lesion Removal
CPT Codes:
- 28041: Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater
Also known as:
- Upper Thigh Bone Fracture Repair with Rod
- Femoral Fracture Intramedullary Nailing
- Hip Fracture Rod Fixation
- Intertrochanteric Fracture Repair
CPT Codes:
- 27245: Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage
Also known as:
- Open Surgery for Lower Leg Fracture (Tibia and Fibula)
- Pilon Fracture Repair
- Tibial Plafond Fracture Surgery
- Ankle Fracture Internal Fixation
- Tibia and Fibula Fracture Repair
CPT Codes:
- 27828: Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula
Also known as:
- Incision and Drainage of Deep Leg or Ankle Abscess
- Leg abscess drainage
- Ankle hematoma drainage
- Deep tissue incision and drainage
CPT Codes:
- 27603: Incision and drainage, leg or ankle; deep abscess or hematoma
Also known as:
- Application of Short Leg Splint
- Calf to Foot Splint
- Lower Leg Splinting
- Short Leg Immobilization
CPT Codes:
- 29515: Application of short leg splint (calf to foot)
Also known as:
- Removal of Large Leg or Ankle Tumor
- Leg soft tissue tumor excision
- Ankle mass removal
- Intramuscular tumor surgery
CPT Codes:
- 27634: Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater
Also known as:
- Open Toe Tendon Release
- Flexor Tenotomy Toe
- Toe Tendon Lengthening
- Hammer Toe Surgery
- Toe Tendon Cut
CPT Codes:
- 28232: Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)
Also known as:
- Metatarsal Bone Fracture Repair
- Foot fracture repair
- Metatarsal nonunion repair
- Bone graft for foot fracture
- Malunion repair foot
CPT Codes:
- 28322: Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)
Also known as:
- Re-closure of Surgical Wound
- Secondary Wound Closure
- Repair of Wound Dehiscence
- Complicated Surgical Wound Repair
- Extensive Wound Re-stitching
CPT Codes:
- 13160: Secondary closure of surgical wound or dehiscence, extensive or complicated
Also known as:
- Deep Wound Cleaning for Open Fracture
- Excisional Debridement (Bone)
- Open Fracture Debridement
- Foreign Material Removal (Fracture)
- Deep Tissue Wound Cleaning
CPT Codes:
- 11012: Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone
Does Dr. Hill accept my insurance?
Dr. Hill accepts most major insurance plans. Important: Please call our office at (409) 838-0346 before your appointment to verify that your specific plan and network are accepted.
What insurance plans does Dr. Hill accept in Beaumont, TX?
Dr. Hill in Beaumont, TX accepts plans from many carriers. While this list is updated regularly, it is not a guarantee of coverage.
Top Insurances
All Other Third Party
Centene
Crown Cork and Seal Company
CVS Health (formerly Aetna)
Express Scripts
Health Care Service Corporation (HCSC)
Humana
Medicare
State of Tennessee
Texas Children's Hospital
View All Insurances
Where is Dr. Hill's office located?
What is Dr. Hill's NPI number?An National Provider Identifier (NPI) is a unique ID number that identifies doctors and healthcare providers nationwide.
Dr. Hill's National Provider Identifier (NPI) number is 1659438778.
What common questions do patients ask about Dr. Hill?
Here are answers to patients Frequently Asked Questions (FAQ’s) about Dr. Hill
What is Dr. Keith Hill's specialty?
Dr. Hill is a Foot and Ankle Surgeon near Beaumont, TX. Foot and ankle surgeons, recognized by several state medical boards as a fellowship subspecialty of orthopaedic surgery, specialize in adult reconstructive foot and ankle surgery, management of adult foot and ankle trauma, sports medicine related to the foot and ankle, and reconstructive surgery for childrens foot and ankle conditions. Contact Dr. Hill to book an appointment today.
Is this Dr. Keith Hill affiliated with a ranked Castle Connolly Top Hospital?
Yes, Dr. Hill is affiliated with CHRISTUS Southeast Texas - St. Elizabeth Hospital which is a Castle Connolly Top Hospital. Castle Connolly Top Hospitals are healthcare institutions recognized for their excellence in specific medical procedures and overall patient care. They are identified through a rigorous peer nomination process, evaluating factors like patient outcomes, quality of care, and expertise. The list recognizes hospitals that excel in 20 or more specific medical procedures, representing the top 25% nationwide. Castle Connolly Top Hospitals
Where can I learn more about Foot and Ankle Surgeon?
Explore Foot and Ankle Surgeon with insights from trusted medical experts on EverydayHealth.com, where you'll find the most relevant content and helpful condition guides for up-to date information about symptoms, causes, diagnosis, treatment and more. See all our health guides to find trusted information on medical conditions from our experts at Everyday Health.
Is Keith Hill accepting new patients in Beaumont, TX?
Yes, Dr. Keith Hill is accepting new patients at this time.
Does Dr. Keith Hill offer online booking?
Please contact Dr. Hill's office at (409) 838-0346 for information about online booking, telehealth, or to schedule an appointment.
How can I make an appointment with Keith Hill?
Please contact Dr. Hill's office at (409) 838-0346 for information regarding telehealth appointment availability or for scheduling assistance.
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