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2026 How to Become a Nurse Practitioner in Washington

Imed Bouchrika, PhD

by Imed Bouchrika, PhD

Co-Founder and Chief Data Scientist

Table of Contents
  1. How do you become a nurse practitioner in Washington?
  2. What degree do you need to become a nurse practitioner in Washington?
  3. What are the licensing requirements for nurse practitioners in Washington?
  4. What are the continuing education requirements for nurse practitioners in Washington?
  5. How long does it take to complete a nurse practitioner program in Washington?
  6. What are the costs associated with a nurse practitioner program in Washington?
  7. What is the scope of practice for nurse practitioners in Washington?
  8. What other healthcare careers are available in Washington?
  9. What are the career advancement and professional development opportunities for nurse practitioners in Washington?
  10. How can I fast-track my nurse practitioner education in Washington?
  11. How can integrating nutrition expertise enhance my nurse practitioner career?
  12. How can nurse practitioners diversify their career paths in Washington?
  13. How can I transition from an LPN to a nurse practitioner in Washington?
  14. What future trends and regulatory updates should nurse practitioners in Washington anticipate?
  15. Can I Earn a Nurse Practitioner Degree Completely Online in Washington?
  16. What professional organizations and support resources can boost my NP practice in Washington?
  17. How can I best prepare for licensing and certification challenges in Washington?
  18. What are the different specializations for nurse practitioners in Washington?
  19. What are the job prospects for nurse practitioners in different specialties in Washington?
  20. What are the salary expectations for nurse practitioners in Washington?
  21. How can I choose the right nurse practitioner program in Washington?

How do you become a nurse practitioner in Washington?

The Washington NP pathway starts with registered nursing and ends with advanced practice licensure. Most candidates first complete a nursing degree, become licensed as an RN, gain clinical experience, enter an accredited graduate NP program, pass a national certification exam, and then apply for Washington advanced practice recognition.

If you are still building your RN-to-BSN foundation, flexible options such as online RN to BSN programs may help you continue working while completing prerequisites for graduate study. If you are already an RN and want a full timeline, Research.com’s guide on how to go from RN to nurse practitioner explains the broader progression.

StepWhat You Need to DoWhy It Matters
1. Become an RNComplete nursing education and pass the NCLEX-RN.Washington requires NP applicants to hold RN licensure before advanced practice credentialing.
2. Choose a specialtySelect a focus such as FNP, PNP, PMHNP, or AGNP.Your specialty determines your graduate curriculum, clinical placements, certification exam, and future practice setting.
3. Complete an accredited MSN or DNPEnroll in a graduate NP program with appropriate coursework and clinical training.Washington requires graduate-level preparation for nurse practitioner practice.
4. Pass national certificationTake the certification exam tied to your specialty through a recognized certifying body.Certification verifies your specialty knowledge and is required for licensure.
5. Apply for Washington licensureSubmit education, certification, background check, and fee documentation to the state.You cannot practice as a Washington NP until the state approves your credential.
6. Maintain eligibilityComplete renewal requirements, continuing education, and practice hours.Washington requires ongoing proof of competence and current practice.

A common mistake is applying to a graduate program before confirming that the specialty track, clinical placement model, and accreditation status support Washington licensure. Before enrolling, ask the program directly whether graduates meet Washington’s Advanced Registered Nurse Practitioner requirements.

What degree do you need to become a nurse practitioner in Washington?

Washington nurse practitioners need a graduate nursing degree, typically an MSN or DNP, from an accredited program with a nurse practitioner specialty. A BSN alone is not enough for NP practice in Washington. Career changers who already hold a non-nursing bachelor’s degree may consider direct-entry MSN programs, but they should verify whether the program leads to RN eligibility first, NP preparation later, or both.

Washington students can find NP pathways at institutions such as the University of Washington in Seattle, Washington State University, and Seattle University. Program names, specialty availability, and degree structures differ, so students should compare curriculum, clinical support, pass-rate transparency, faculty credentials, and whether the school serves the region where they want to practice.

Degree PathBest ForKey Consideration
MSN nurse practitioner programRNs who want graduate preparation for advanced clinical practice.Often the most direct route for nurses who already meet admission requirements.
DNP nurse practitioner programNurses who want doctoral preparation, leadership training, or a practice-focused terminal degree.May take longer and cost more, but can support advanced clinical, systems, and leadership goals.
Post-graduate NP certificateNurses who already hold a graduate nursing degree and want a new NP specialty.Licensure eligibility depends on whether the certificate includes required specialty coursework and clinical preparation.
Direct-entry MSNNon-nurses with a bachelor’s degree who want to enter nursing.Not every direct-entry program leads directly to NP practice; confirm the sequence before applying.

Accreditation is non-negotiable. Look for programs accredited by recognized nursing accrediting bodies such as CCNE or ACEN because state licensing boards and certification organizations generally rely on accredited education when reviewing eligibility.

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What are the licensing requirements for nurse practitioners in Washington?

Washington licenses nurse practitioners through the state nursing authority, and candidates must document both general nursing competence and advanced specialty preparation. At minimum, applicants need an active RN license, completion of an accredited graduate NP program, national certification, and a background check.

Washington also requires supervised clinical preparation, and the cited requirement is at least 500 supervised clinical hours. Applicants should keep careful records of clinical sites, preceptor credentials, specialty population, and completed hours because the state or certification body may request documentation.

Licensure RequirementWashington ExpectationApplicant Tip
RN licenseApplicants must hold a valid registered nurse license.Resolve any RN license issues before applying for advanced practice credentials.
Graduate NP educationComplete an accredited graduate-level nurse practitioner program.Confirm that the program’s specialty matches your intended certification exam.
Clinical trainingAt least 500 supervised clinical hours are cited.Ask whether the school helps secure Washington-based clinical placements.
National certificationPass the exam for your NP population or specialty focus.Choose the certifying organization that aligns with your graduate track and employer expectations.
Background checkFingerprinting and screening are part of the process.Budget extra time for processing delays, especially near graduation.
FeesThe licensing application fee is approximately $200.Also plan for certification exam costs, transcript fees, and verification fees.

The state’s process is designed to protect patients, but it can feel fragmented if you wait until graduation to review the rules. The better approach is to map requirements during your first semester, then revisit them before clinical placement, certification registration, and licensure submission.

What are the continuing education requirements for nurse practitioners in Washington?

Washington nurse practitioners must complete 30 hours of continuing education every two years, including at least 15 hours in pharmacology. They must also show at least 1,000 hours of clinical practice during the same two-year period and maintain national certification from a recognized credentialing organization such as ANCC or AANP.

Unlike an initial certification exam, renewal is less about passing a new state test and more about proving that you remain clinically active, professionally current, and qualified in your specialty. The Washington State Nursing Care Quality Assurance Commission oversees this process.

Renewal ItemRequirement Stated in This GuideHow to Stay Organized
Continuing education30 hours every two yearsTrack certificates as soon as you complete each activity.
Pharmacology educationAt least 15 hours focused on pharmacologyChoose courses that clearly label pharmacology content.
Clinical practiceAt least 1,000 hours within the two-year periodKeep employer records and personal logs in case verification is needed.
National certificationMust remain currentCheck your certifying body’s renewal cycle separately from the state’s cycle.

The most common renewal problem is poor documentation. Busy clinicians may complete the required work but lose proof. Use a dedicated folder for CE certificates, pharmacology labels, employment letters, and certification renewal notices.

How long does it take to complete a nurse practitioner program in Washington?

NP program length in Washington typically ranges from two to four years, depending on whether you study full time or part time, enter with a BSN or another background, choose an MSN or DNP, and select a broad or highly specialized track. For a broader explanation of the RN-to-NP timeline, see Research.com’s guide on how long it takes to become a nurse practitioner after becoming an RN.

  • Family Nurse Practitioner programs often require about two to three years of full-time study.
  • Pediatric Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner programs may take three to four years because of added specialty preparation and clinical expectations.
  • FNP programs often include 45-60 credit hours plus clinical practice.
  • PNP and PMHNP pathways may require upwards of 60 credit hours.

As of 2023, Washington had over 8,000 licensed nurse practitioners. That workforce size reflects opportunity, but it also means students should prepare for competitive clinical placements, demanding schedules, and careful planning around work and family responsibilities.

What are the costs associated with a nurse practitioner program in Washington?

Nurse practitioner education in Washington can require a major financial commitment. Tuition cited for programs ranges from about $31,920 to $166,144, depending on school type, degree level, residency status, program format, and specialty. Tuition is only one part of the full cost.

Students should also budget for books, course materials, clinical requirements, technology fees, campus or wellness fees, background checks, certification exams, licensing steps, and travel to clinical sites. Referenced examples include nursing program fees of approximately $3,549, an annual technology fee of $270, and a wellness fee of $110. Licensing-related examples include a $130 application fee and a $25 verification fee.

Cost CategoryWhat It May IncludeDecision Tip
TuitionProgram charges ranging from about $31,920 to $166,144Compare total program cost, not only per-credit tuition.
Program feesReferenced nursing program fees of approximately $3,549Ask whether fees are one-time, annual, or charged by term.
Technology and wellness feesExamples include $270 and $110Small fees add up across multiple semesters.
Licensure and verificationExamples include $130 and $25Include these in your graduation-year budget.
Clinical expensesTravel, immunizations, background checks, drug screening, and site onboardingAsk how far students typically travel for placements.

To evaluate return on investment, compare likely debt against salary expectations, your intended specialty, whether you can work during school, and whether your employer offers tuition assistance. The cheapest program is not always the best value if it offers weak clinical placement support or delays graduation.

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What is the scope of practice for nurse practitioners in Washington?

Washington is considered a full practice authority state for nurse practitioners. This means qualified NPs can evaluate patients, diagnose conditions, order and interpret tests, prescribe medications, manage care plans, refer patients to specialists, and practice with substantial clinical independence.

Washington NPs may also prescribe and dispense medications and use signature authority for appropriate medical documents. Prescriptive authority comes with responsibility: nurse practitioners must complete the required pharmacology continuing education, including 15 hours of pharmacology education for each renewal cycle referenced in this guide.

One important limitation is mobility. Washington does not participate in the Nurse Licensure Compact, so a Washington license does not automatically allow an NP to practice in other compact states. NPs who plan to work across state lines, provide telehealth to patients outside Washington, or move to a neighboring state should check each state’s licensing rules before accepting patients.

Practice AreaWashington NP AuthorityWhat to Watch
Diagnosis and treatmentNPs can independently assess, diagnose, and manage patient care.Practice within your education, certification, and specialty population.
PrescribingNPs can prescribe medications, including controlled substances when properly authorized.Maintain pharmacology CE and follow state and federal prescribing rules.
Care coordinationNPs can refer, coordinate care, and manage treatment plans.Employer policy may still define documentation and consultation workflows.
Multi-state practiceWashington is not part of the Nurse Licensure Compact.Verify licensure before treating patients located outside Washington.

Scope of practice is not only a legal issue; it affects daily work, employer expectations, malpractice coverage, reimbursement, and patient access. New NPs should review state guidance before signing contracts or expanding services.

What other healthcare careers are available in Washington?

If you are drawn to healthcare but not certain that the NP route is the right fit, compare adjacent roles before committing to graduate nursing school. Pharmacy, nurse-midwifery, diagnostic imaging, nutrition, medical billing and coding, and practical nursing all serve different patient needs and require different levels of education, licensure, and patient contact.

For example, students interested in medication expertise can review how to become a pharmacist in Washington. Comparing pathways can clarify whether you want direct diagnosis and treatment authority, medication management, maternal care, administrative work, or another healthcare role.

What are the career advancement and professional development opportunities for nurse practitioners in Washington?

Washington NPs can move beyond entry-level advanced practice into leadership, specialty care, teaching, quality improvement, healthcare administration, clinical research, informatics, public health, and policy advocacy. Advancement usually depends on experience, certification, employer needs, graduate preparation, and the ability to demonstrate outcomes in patient care.

Professional development may include specialty certifications, preceptor roles, conference participation, committee leadership, mentorship, and training in care management or population health. If you are still exploring the broader nursing ladder, Research.com’s guide on how to become a nurse in Washington can help place the NP role within the state’s nursing career pathway.

How can I fast-track my nurse practitioner education in Washington?

You can shorten the path only if you meet the entry requirements and choose a program designed for your background. Accelerated or bridge formats may help experienced nurses progress faster, but they do not remove graduate coursework, clinical requirements, certification, or state licensure steps.

Some students compare intensive doctoral options, including short online DNP programs, because online coursework can reduce commuting and make scheduling easier. However, clinical hours still require in-person patient care, and students should confirm how clinical placements are arranged before enrolling.

How can integrating nutrition expertise enhance my nurse practitioner career?

Nutrition knowledge can strengthen NP practice, especially in primary care, pediatrics, diabetes management, hypertension care, obesity counseling, preventive medicine, and chronic disease follow-up. NPs do not need to become dietitians to use basic nutrition counseling appropriately, but deeper training can improve patient education and interdisciplinary collaboration.

If you want a more formal nutrition-related pathway, Research.com’s guide on how to become a nutritionist in Washington can help you understand the education and credentialing landscape. NPs should stay within their professional scope and refer to registered dietitians or specialists when patients need medical nutrition therapy beyond the NP’s training.

How can nurse practitioners diversify their career paths in Washington?

NPs can diversify by adding telehealth, occupational health, urgent care, behavioral health collaboration, women’s health, nursing education, consulting, or healthcare operations skills. Some also explore revenue cycle work, documentation improvement, compliance, or utilization review to understand the business side of care delivery.

For NPs considering nonclinical or hybrid healthcare income options, Research.com’s guide to medical billing and coding careers in Washington can provide context. Diversification should support your long-term goals rather than distract from maintaining clinical competence and certification.

How can I transition from an LPN to a nurse practitioner in Washington?

An LPN cannot move directly into NP practice. The usual sequence is LPN to RN, RN to BSN or equivalent preparation, then MSN or DNP nurse practitioner education, national certification, and Washington advanced practice licensure.

This route takes time, but LPN experience can be valuable because it builds patient-care confidence, workflow knowledge, and familiarity with healthcare teams. If you are at the beginning of this path, start with Research.com’s guide on how to become an LPN in Washington, then compare RN bridge programs and BSN completion options.

What future trends and regulatory updates should nurse practitioners in Washington anticipate?

Washington NPs should monitor regulatory guidance, reimbursement changes, telehealth rules, electronic health record expectations, simulation-based training standards, and employer policies affecting autonomous practice. Full practice authority does not eliminate the need to follow documentation, prescribing, billing, privacy, and cross-state care rules.

Students should also watch how nursing schools adapt to clinical placement pressure, online learning demand, and workforce needs. Research.com’s overview of the best nursing schools in Washington can help prospective students compare educational options as programs evolve.

Can I Earn a Nurse Practitioner Degree Completely Online in Washington?

You may be able to complete much of the classroom portion of an NP program online, but you should not expect the entire degree to be 100% remote. Accredited NP programs require direct patient-care clinical experiences, and those hours must be completed in approved settings with qualified preceptors.

Online and hybrid programs can be a strong fit for working nurses, rural students, and parents who need scheduling flexibility. Before enrolling, ask whether the school finds clinical sites, whether students must secure their own preceptors, and whether Washington placements are available. To compare related flexible pathways, review Research.com’s list of the best online nursing programs in Washington.

What professional organizations and support resources can boost my NP practice in Washington?

Professional organizations can help Washington NPs stay current on clinical education, legislative issues, networking, mentorship, and practice resources. State and national groups may also provide conference access, specialty communities, policy updates, and continuing education opportunities.

Interdisciplinary learning can also be useful. For example, NPs interested in women’s health, reproductive care, or maternal health may benefit from understanding the nurse-midwifery pathway through Research.com’s guide on how to become a nurse midwife in Washington.

How can I best prepare for licensing and certification challenges in Washington?

The best preparation starts before graduation. Match your graduate specialty to the correct certification exam, save syllabi and clinical hour records, complete exam review early, request transcripts promptly, and check Washington’s application instructions before your final semester.

Use practice exams, faculty advising, clinical preceptors, and peer study groups strategically. For state-specific nursing rules, review Research.com’s guide to Washington nursing license requirements. Certification and licensure delays are often caused by incomplete documentation rather than lack of ability.

What are the different specializations for nurse practitioners in Washington?

Washington nurse practitioners can choose from several population-focused and specialty-focused tracks. The right choice depends on the patients you want to serve, the settings where you want to work, and the certification exam you plan to take.

SpecializationPrimary Patient PopulationCommon Settings
Family Nurse PractitionerPatients across the lifespanPrimary care clinics, community health centers, urgent care, rural clinics
Pediatric Nurse PractitionerInfants, children, and adolescentsPediatric practices, children’s hospitals, school-based clinics, public health programs
Adult-Gerontology Nurse PractitionerAdults and older adultsPrimary care, acute care, long-term care, specialty practices
Psychiatric-Mental Health Nurse PractitionerPatients needing behavioral health and psychiatric careMental health clinics, hospitals, integrated care practices, telehealth settings

Family Nurse Practitioners are described as representing nearly 70% of the NP workforce in the state, which reflects the strong role of primary care. PMHNPs are also increasingly important because mental health access remains a pressing concern in many communities.

If you are comparing nursing specialties by earnings or patient population, Research.com’s overview of neonatal nurse earnings by state can provide additional context for nursing career decisions.

What are the job prospects for nurse practitioners in different specialties in Washington?

Washington’s NP job market is favorable across many specialties, although demand can vary by region, employer type, and population need. One cited short-term projection shows NP positions growing by approximately 28.5% from 2018 to 2028, equal to around 1,150 new jobs.

Longer-term projections cited in this article show the number of Washington NPs increasing from about 4,085 in 2021 to 6,258 by 2031. Estimated average annual openings are listed as 1,458 from 2021 to 2026 and 1,786 from 2026 to 2031.

Common employers include:

  • Hospitals, especially in emergency, specialty, inpatient, and critical care areas.
  • Community health clinics that serve underserved, rural, and high-need populations.
  • Private practices where NPs manage ongoing primary and specialty care.
  • Retail clinics and urgent care centers that focus on convenient access and same-day treatment.

Specialty selection matters. FNPs may have broad employment flexibility, PMHNPs may benefit from behavioral health demand, PNPs can focus on child and adolescent care, and AGNPs may find opportunities tied to aging populations and complex chronic disease management. If you are comparing healthcare roles outside nursing, Research.com also explains earnings for ultrasound technicians.

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What are the salary expectations for nurse practitioners in Washington?

Washington nurse practitioners can expect compensation to vary by city, employer, specialty, shift structure, years of experience, productivity model, and benefits package. One salary figure cited in this guide lists Washington NP average annual pay at around $130,840, or approximately $62.90 per hour. Another referenced figure compares this with a national average of about $118,040.

The salary range cited for Washington is broad: the lower 10% earns around $98,500, while the top 10% exceeds $164,900 annually. Seattle, Tacoma, and Spokane are identified as higher-paying areas, although urban roles may also come with higher living costs, heavier patient volume, and more competition.

Salary MeasureFigure CitedWhat It Means for Students
Washington average annual salaryAround $130,840Use this as a general benchmark, not a guaranteed outcome.
Washington hourly equivalentApproximately $62.90 per hourHourly roles may differ from salaried positions in benefits and scheduling.
National average citedAbout $118,040Washington pay is presented as higher than this comparison figure.
Lower 10%Around $98,500Entry-level, rural, or lower-paying settings may fall closer to this range.
Top 10%Exceeding $164,900Higher pay may require experience, specialty expertise, leadership, or high-demand locations.

Salary should be evaluated alongside debt, schedule, call requirements, benefits, malpractice coverage, productivity expectations, and burnout risk. A higher offer is not always better if the workload is unsustainable or the practice environment lacks support.

How can I choose the right nurse practitioner program in Washington?

The best NP program for you is the one that supports Washington licensure, matches your specialty goals, fits your schedule, provides reliable clinical placement support, and offers a total cost you can manage. Rankings can be useful, but they should not replace program-level due diligence.

Start with accreditation. Then compare specialty tracks, faculty experience, clinical site support, certification exam preparation, graduation requirements, online or hybrid structure, student support, and total cost. If you want a curated starting point, review Research.com’s guide to the best nurse practitioner programs in Washington.

Questions to Ask Before Applying

  • Is the NP program accredited by a recognized nursing accreditor?
  • Does the specialty track qualify graduates for the certification exam I plan to take?
  • Does the school arrange clinical placements, or must students find preceptors independently?
  • How many students are competing for clinical sites in Washington?
  • What is the total program cost, including fees, travel, materials, and licensure expenses?
  • Can I complete the program while working, or does the clinical schedule require reduced employment?
  • How does the program support certification exam preparation?
  • Are online students eligible for the same advising, library, tutoring, and placement services as campus students?

Common Mistakes to Avoid

MistakeWhy It Can Hurt YouBetter Approach
Choosing a program based only on tuitionLow tuition may not compensate for poor clinical support or delayed graduation.Compare total value, including placement help and certification preparation.
Ignoring accreditationLicensure and certification eligibility may be affected.Verify accreditation before submitting an application.
Assuming online means fully remoteNP programs still require in-person clinical training.Ask where and how clinical hours are completed.
Choosing a specialty too quicklyYour specialty shapes your certification, job options, and patient population.Shadow NPs and compare daily responsibilities before deciding.
Waiting to plan for licensureMissing documents can delay your ability to start work.Create a licensure checklist during your final year.

Here’s What Graduates Have to Say About Becoming a Nurse Practitioner in Washington

Becoming a nurse practitioner in Washington changed the direction of my career. I wondered at first whether more school and greater responsibility would be worth the effort, but the independence and direct impact on patients made the decision worthwhile. Working alongside physicians and other clinicians has strengthened my practice, and Washington’s healthcare environment has allowed me to grow into a more confident provider. — Lisa

People sometimes assume nurse practitioners simply assist physicians, but my work in Washington has been much broader than that. I diagnose, treat, manage care, and advocate for patients with real clinical authority. The ability to work in urban clinics, rural settings, and community health environments makes this career both flexible and meaningful. — Adriana

I worried about burnout before becoming an NP, especially because the responsibility is significant. What helped me was finding professional support, continuing education, and a workplace that valued balance. The role is demanding, but the opportunity to keep learning and provide high-quality care has kept me committed to the profession. — Fred

References:

Key Insights

  • Washington NPs need graduate nursing education, national certification, and state advanced practice licensure; a BSN alone does not qualify someone for NP practice.
  • The usual pathway is RN license, MSN or DNP nurse practitioner program, specialty certification, Washington application, background check, and ongoing renewal compliance.
  • Washington offers full practice authority, giving NPs broad ability to diagnose, treat, prescribe, and manage care, but cross-state practice remains limited because Washington does not participate in the Nurse Licensure Compact.
  • Program choice should be based on accreditation, specialty fit, clinical placement support, total cost, certification preparation, and compatibility with work and family responsibilities.
  • Costs can vary widely, with tuition cited from about $31,920 to $166,144, so students should calculate total cost before borrowing.
  • Salary and job outlook are favorable in the cited data, but outcomes depend on location, specialty, employer, experience, workload, and benefits.
  • The safest decision is to verify licensure eligibility before enrolling, plan clinical placements early, keep documentation organized, and choose a specialty based on the patients and settings you genuinely want to serve.

Other Things You Should Know About Becoming a Nurse Practitioner in Washington

What licensing process must be followed to practice as a nurse practitioner in Washington in 2026?

In 2026, nurse practitioners in Washington must first hold a valid RN license, complete an accredited NP program, and then pass a national certification exam specific to their specialty. They must also apply for an Advanced Registered Nurse Practitioner (ARNP) license from the Washington State Department of Health.

Is a bachelor's degree in nursing required to become a nurse practitioner in Washington?

Yes, to become a nurse practitioner in Washington in 2026, you must first obtain a Bachelor of Science in Nursing (BSN). This degree is a prerequisite for enrolling in a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) program, which are essential for becoming a licensed nurse practitioner.

What are the primary steps to become a nurse practitioner in Washington in 2026?

To become a nurse practitioner in Washington in 2026, you must first obtain a Bachelor of Science in Nursing (BSN), then pass the NCLEX-RN exam to become a registered nurse. After gaining experience, enroll in a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) program and achieve national certification. Finally, apply for licensure in Washington state.

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