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        <ExplanationTxt>Bylaws amended to indicate "active, associate, or international members must devote at least 50% of their time to professional activities to spine in the areas of clinical care or patients, academic research, teaching or patient advocacy."</ExplanationTxt>
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        <ExplanationTxt>All governing documents are available on the Organization's website "www.spine.org or upon request</ExplanationTxt>
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