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Paulin, MD, MHS Dartmouth-Hitchcock Medical Center Section of Pulmonary and Critical Care One Medical Center Drive Suite 5C Lebanon, NH 03756 Phone: (603) 650-5533 Email: [email protected] Abstract Introduction: A recent study found that the prevalence of chronic obstructive pulmonary disease (COPD) is significantly higher among adults who began smoking cigarettes before (versus after) 15 years of age, independent of current smoking, cigarette pack years, and smoking duration