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On July 1,1988, Tri-State Renal Network began the contract for ESRD Network 9 under the national reorganization of the network systems. At that time, the former networks 22 (northern Ohio), 16 (Indiana), and 17 (Kentucky and southern Ohio) were combined into one. On August 1, 1996, Tri-State was awarded the contract for Network 10, and the name was changed to The Renal Network, Inc.
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