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Lets see how: In the foetus: heart disease, and intrauterine growth restriction Newborns: poor feeding, microcephaly (smaller than usual head size), and encephalopathy Infants: poor feeding, slow growth, and neurologic complications Toddlers: poor growth, progression of microcephaly, encephalopathy, megaloblastic anemia, developmental delays, and seizures Adolescents and adults: neurologic and psychiatric illness, cognitive decline, abnormal clot formation, spinal cord degeneration

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[482] This is validated by an Office of the Assistant Secretary for Planning and Evaluation (ASPE) report that found that the vast majority of hospitals only have one NPI and a very small number of hospitals have multiple NPIs

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