DR. GENE PAUL ISABELL M.D.
NPI 1427143676
Orthopaedic Surgery - Sports Medicine in Beaumont, TX


Quality Rating: 0 out of 100 score

NPI Status: Active since October 04, 2006

Contact Information

3650 LAUREL ST
BEAUMONT, TX
ZIP 77707
Phone: (409) 838-0346

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  • Individual
  • Male
  • Years of Experience 25
  • Orthopaedic Surgery
  • Sports Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About GENE ISABELL

This page provides the complete NPI Profile along with additional information for Gene Isabell, a provider established in Beaumont, Texas with a medical specialization in Orthopaedic Surgery, focusing in sports medicine and more than 25 years of experience. He graduated from University Of Texas Medical School At Houston in 2001. The healthcare provider is registered in the NPI registry with number 1427143676 assigned on October 2006. The practitioner's primary taxonomy code is 207XX0005X with license number M3271 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1427143676
Provider Name
DR. GENE PAUL ISABELL M.D.
Gender
Male
Entity Type
Individual
Location Address
3650 LAUREL ST BEAUMONT, TX 77707
Location Phone
(409) 838-0346
Mailing Address
3650 LAUREL ST BEAUMONT, TX 77707
Mailing Phone
(409) 838-0346
Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
10-04-2006
Last Update Date
07-10-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
License No.
M3271
License State
TX
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CHRISTUS Bronze - HMO
  • CHRISTUS Bronze Essential - HMO
  • CHRISTUS Bronze Essential Plus - HMO
  • CHRISTUS Bronze Plus - HMO
  • CHRISTUS Catastrophic - HMO
  • CHRISTUS Gold - HMO
  • CHRISTUS Gold Essential - HMO
  • CHRISTUS Gold Essential Plus - HMO
  • CHRISTUS Gold Plus - HMO
  • CHRISTUS Silver - HMO
  • CHRISTUS Silver Essential - HMO
  • CHRISTUS Silver Essential Plus - HMO
  • CHRISTUS Silver Plus - HMO
  • CHRISTUS Standard Expanded Bronze - HMO
  • CHRISTUS Standard Gold - HMO
  • CHRISTUS Standard Silver - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Gene Isabell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Gene Isabell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 42312704

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070227000161

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF011N)

    Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment (HCPCS:L1820)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 543 times for 199 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 18 times for 17 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 423 times for 232 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 180 times for 138 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 25 times for 24 patients

Lower limb (leg) arthroscopy (minimally invasive joint repair)

Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.

This service was performed for 37 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 90 times for 90 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 42 times for 42 patients

Partial removal of collar bone at shoulder using an endoscope

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

This service was performed 14 times for 14 patients

Removal of both knee cartilages using an endoscope

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

This service was performed 16 times for 16 patients

Removal of extensive shoulder joint tissue using an endoscope

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

This service was performed 13 times for 13 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 17 times for 17 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

This service was performed 22 times for 22 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 51 patients

X-ray of hip, 2-3 views

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

This service was performed 20 times for 17 patients

X-ray of knee, 1-2 views

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

This service was performed 74 times for 44 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 95 times for 91 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 15 times for 15 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 101 times for 78 patients

X-ray of upper spine, 2-3 views

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

This service was performed 12 times for 12 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 0, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 0 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 0

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 0

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gene Isabell is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH2830 CALDER AVENUE
BEAUMONT, TX 77702
(409) 892-7171Acute Care Hospitals
BAPTIST BEAUMONT HOSPITAL3080 COLLEGE STREET
BEAUMONT, TX 77701
(409) 212-5012Acute Care Hospitals
CHRISTUS JASPER MEMORIAL HOSPITAL1275 MARVIN HANCOCK DRIVE
JASPER, TX 75951
(409) 384-5461Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427143676
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447246614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 4 + 6 + 6 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1427143676 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346224359DR. SEZEFREDO PAULO DEPAIVA M.D.
Individual
Orthopaedic Surgery3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1598749517DR. SHAWN MICHAEL FIGARI M.D.
Individual
Orthopaedic Surgery3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1750365722DR. CURTIS DOYLE THORPE M.D.
Individual
Orthopaedic Surgery (Sports Medicine)3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1083698898DR. JERRY DOYLE CLARK M.D.
Individual
Orthopaedic Surgery3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1992789713DR. BURNET TODD CLARKE M.D.
Individual
Orthopaedic Surgery3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1609850429DR. JUAN ELIAS DAVILA M.D.
Individual
Physical Medicine & Rehabilitation3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1083698922MR. NATHAN GUY FERRELL P.A.
Individual
Physician Assistant3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1962486803BBJI, LP
Organization
General Acute Care Hospital3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1447234372MR. MICHAEL DALE SIMPSON P.T.
Individual
Specialist3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1417931239DR. CHARLES CHESTER DOMINGUES M.D.
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1326022146DR. MARSHALL WADE HAYES M.D.
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1235113051DR. ROBERT CHARLES KRAMER M.D.
Individual
Orthopaedic Surgery (Hand Surgery)3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1144204967DR. JACK GOBER MCNEILL M.D.
Individual
Orthopaedic Surgery3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1033193859DR. RONALD EUGENE TALBERT M.D.
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1588648307DR. JOHN THOMAS TAYLOR M.D.
Individual
Orthopaedic Surgery (Hand Surgery)3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1396729117DR. DANIEL MICHAEL THOMPSON M.D.
Individual
Orthopaedic Surgery (Orthopaedic Trauma)3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1003890823MRS. DONNA COLLETTI WILLIAMS O.T.
Individual
Specialist3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1912981739MR. SCOTT EUGENE CALDWELL P.A.
Individual
Physician Assistant3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1104894997 FREDERICK JOSEPH BEBEAU P.A.
Individual
Physician Assistant (Surgical)3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346
1285602300DR. WAGDY S RIZK M.D.
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)3650 LAUREL ST
BEAUMONT, TX 77707
(409) 838-0346

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427143676, enumerated in the NPI registry as an "individual" on October 04, 2006

The provider is located at 3650 Laurel St Beaumont, Tx 77707 and the phone number is (409) 838-0346

The provider's speciality is Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine

The provider has more than 25 years of experience. He graduated from University Of Texas Medical School At Houston in 2001.

The provider might be accepting Accepts: CHRISTUS Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Initial hospital inpatient care per day, typically 50 minutes, Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Partial removal of collar bone at shoulder using an endoscope, Removal of both knee cartilages using an endoscope, Removal of extensive shoulder joint tissue using an endoscope, Repair of shoulder rotator cuff using an endoscope, Shaving of part of shoulder bone and repair of ligament using an endoscope, Upper limb (arm) arthroscopy (minimally invasive joint repair), X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of lower and sacral spine, 2-3 views, X-ray of shoulder, minimum of 2 views and X-ray of upper spine, 2-3 views.

The practitioner is affiliated to the following hospital(s): CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH, BAPTIST BEAUMONT HOSPITAL and CHRISTUS JASPER MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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