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For Idx = Range("A" & Rows.Count).End(xlUp).Row To 2 Step -1
Set c = Range("A" & Idx)
If c = c.Offset(-1) And c.Offset(, 1) = c.Offset(-1, 1) And _
c.Offset(, 2) = c.Offset(-1, 2) And c.Offset(, 3) = c.Offset(-1, 3) And _
c.Offset(, 4) = c.Offset(-1, 4) Then
c.Offset(-1, 5) = c.Offset(-1, 5) & ", " & Right(c.Offset(, 5), Len(c.Offset(, 5)) - 4)
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