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61.3% p=0.21). There was also no significant differences in DTI or in likelihood of guideline-recommended DTI≤25min (overall median 59min, IQR 29-127; DTI≤25min 24.3% vs. 21.3% p=0.29) or DTN time or in likelihood of guideline-recommended DTN≤60min (overall median 53min, IQR 36-73; DTN≤60min 62.5% vs. 58.2% p=0.6. Consistent with prior reports examining disparities in care, a systems-based approach to acute stroke prevents differences in hospital-based metrics. Reassuringly, NEP and EP patients also had similar speed of symptom recognit