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In this Oct. 22, 2018, file photo, a fentanyl user holds a needle near Kensington and Cambria in Philadelphia. (David Maialetti/The Philadelphia Inquirer via AP, File)

In this Oct. 22, 2018, file photo, a fentanyl user holds a needle near Kensington and Cambria in Philadelphia. (David Maialetti/The Philadelphia Inquirer via AP, File)

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