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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXAS MEDICAL ASSOCIATION ALLIANCE IS A MEMBERSHIP ASSOCIATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 TAX RETURN IS REVIEWED BY THE EXECUTIVE DIRECTOR, THE VICE PRESIDENT OF FISCAL AFFAIRS, AND THE CHAIR OF THE FINANCE COMMITTEE PRIOR TO BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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</Return>