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can someone please help me solve this in acess breaking down showing step by step on how to get the solution because i am stuck.

can someone please help me solve this in acess breaking down showing step by step on how to get the solution because i am stuck.
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Explorer Healthcare needs to collect information concerning procedures performed by each provider on a patient by patient basis. The table presented below shows sample data needed by Explorer. Identify attribute types with redundancies and develop an efficient DBMS with a query producing the following table using ACCESS. If the fee in the first row is changed to 50.00, would the solution change

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