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        <ExplanationTxt>THE EXECUTIVE VICE PRESIDENT OF THE MASSACHUSETTS MEDICAL SOCIETY SHALL BE A DIRECTOR WITH THE RIGHT TO VOTE. ADDITIONAL DIRECTORS SHALL BE NOMINATED BY PHYSICIAN HEALTH SERVICES BOARD OF DIRECTORS AND SUBMITTED TO THE SOLE VOTING MEMBER, THE MASSACHUSETTS MEDICAL SOCIETY. THE MASSACHUSETTS MEDICAL SOCIETY SHALL ELECT UP TO TWELVE OTHER DIRECTORS.</ExplanationTxt>
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</Return>