There were plenty of opportunities for generating efficiencies, because the operation had coalesced as a result of mergers and acquisitions from numerous legacy cultures that had only partially integrated practices.

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Following a critical article about the Madoff firm in 2001 by Barron's, which raised questions about whether the secretive investment operation was legitimately generating returns, Mark Madoff, with Andrew watching nearby, addressed dozens of Madoff traders in the firm's offices, strongly arguing that the article was incorrect, and that Madoff's investment operation was legitimate, according to people who were there.

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Now he wants to build four more generating plants, including one that will help power Semen Nusantara, an operation acquired by Semen Cibinong in 1993.

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The hospitals where the surgeons are at do an unproven operation with lots of side effects at rates far higher than the national average, generating huge sales for companies like Medtronic.

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Unlike other ocean technologies, generating power through osmosis doesn't involve operating in the harsh environment of, say, a deep sea operation.

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