Not Equals in MS Access Query

From what I've seen this should work however it does not.
not equal ms accessalthough the SQL looks as I'd expect

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I'm wanting to 'not include' any of the nursing stations that are present in the nrs_station_ignore table.

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You can use :
Because there is an "AND" following your 'not equal' condition, that has a good chance of causing the problem. Whenever 'not equal' is combined with an "AND" in a WHERE clause, the entire WHERE clause needs to be known.

It's not always intuitive why it goes wrong, but it's usually easy to spot.

It might even affect the result with "NOT IN()".

Please show the entire clause if the problem continues.

I don't see any joins with the tables you have shown in your screenshot.

I don't know if they are part of your SQL (Query) or not, but just want to mentioned it in case they are.
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To clarify, the "AND" isn't necessarily exactly the problem; but it indicates that there is more of the WHERE clause than we can see. It will be the totality of the WHERE clause that will be important when "not equal" is part of it.

RichardRost's suggestion to build the WHERE clause a segment at a time is a very good one. At some point of complexity, you should see that results get off track. That will be the point when the parts of the WHERE clause need explanation.

It would be very helpful if you can post the whole SQL statement you have.
The <> is wrong.  You must use a Not In() or equivalent.

The <> is wrong because the query is generating multiple records for each NRS-Station value and only one of those records will have a matching NRS-Station_code and so be excluded.  The other NRS-Station records will have all other possible values for NRS_Station_code and so will be selected.
To exclude all records from the result for all values of NRS_Station_code you must use the Not In() or equivalent code.
You don't actually need to include the [NRS_STATION_IGNORE] table in the query at all, so remove it.

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Agreed with peter57r

this is best option

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Query Syntax

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