{"id":200836,"date":"2026-03-08T06:04:24","date_gmt":"2026-03-08T06:04:24","guid":{"rendered":"https:\/\/www.jobservicehub.com\/ca\/?post_type=job_listing&#038;p=200836"},"modified":"2026-03-08T06:04:24","modified_gmt":"2026-03-08T06:04:24","slug":"neurologist-lmia-job-offer-canada-hiring","status":"publish","type":"job_listing","link":"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/","title":{"rendered":"Neurologist \u2013 LMIA Job Offer Canada Hiring"},"content":{"rendered":"<p>Neurologists in Canada are specialist physicians who diagnose, treat, and manage diseases and disorders of the brain, spinal cord, peripheral nervous system, and neuromuscular system. Demand for Neurologists in Canada is strong and growing, driven by an aging population with rising rates of stroke, dementia, and neurodegenerative disease.<\/p>\n<p>International Medical Graduates (IMGs) with neurology training are increasingly sought by health authorities and academic centres, and many positions are LMIA-approved, allowing employers to hire foreign-trained neurologists when no suitable Canadian candidates are available.<\/p>\n<blockquote><p><a href=\"https:\/\/www.jobservicehub.com\/ca\/job\/cardiologist-lmia-approved-physician-canada\/\">Cardiologist \u2013 LMIA Approved Physician Canada<\/a><\/p><\/blockquote>\n<h3><span class=\"ez-toc-section\" id=\"Key_Facts\"><\/span>Key Facts<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><strong>NOC Code:<\/strong> 31100 (Specialist physicians)<\/li>\n<li><strong>Work Settings:<\/strong> Academic neurology centres, regional hospital neurology units, stroke centres and rapid assessment neurology clinics, epilepsy monitoring units, multiple sclerosis clinics, movement disorder programs, neuromuscular disease clinics, memory and cognitive assessment clinics, neuro-oncology programs, outpatient neurology practices, telehealth neurology consultation services<\/li>\n<li><strong>Regulation:<\/strong> Each province\/territory has its own College of Physicians and Surgeons responsible for specialist physician licensure (e.g., CPSO in Ontario, CPSBC in BC, CPSA in Alberta); the Royal College of Physicians and Surgeons of Canada (RCPSC) oversees neurology specialist certification<\/li>\n<\/ul>\n<hr \/>\n<h2><span class=\"ez-toc-section\" id=\"Popular_Canadian_Cities_Regions_Hiring_Neurologists\"><\/span>Popular Canadian Cities &amp; Regions Hiring Neurologists<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Major hubs like <strong>Toronto<\/strong> (Greater Toronto Area) and <strong>Vancouver<\/strong> (Lower Mainland) are home to world-class neurology centres with diverse subspecialty roles across stroke, epilepsy, multiple sclerosis, movement disorders, and neuromuscular disease, while <strong>Calgary<\/strong> and <strong>Edmonton<\/strong> offer competitive academic and community neurology positions through Alberta Health Services and the University of Alberta and Calgary hospital networks.<\/p>\n<p><strong>Montreal<\/strong> requires French proficiency but hosts internationally recognized neurology programs at the Montreal Neurological Institute (The Neuro) and CHUM, whereas <strong>Ottawa<\/strong> provides stable academic and community neurology roles at The Ottawa Hospital and the University of Ottawa Brain and Mind Research Institute. Meanwhile, <strong>Winnipeg<\/strong> and <strong>Halifax<\/strong> show consistent neurologist demand, with Atlantic provinces offering targeted specialist recruitment incentives for internationally trained physicians.<\/p>\n<blockquote><p><a href=\"https:\/\/www.jobservicehub.com\/ca\/job\/family-physician-general-practitioner-lmia-jobs-canada\/\">Family Physician \/ General Practitioner \u2013 LMIA Jobs Canada<\/a><\/p><\/blockquote>\n<p>Regional and smaller urban centres including <strong>London (ON)<\/strong>, <strong>Hamilton (ON)<\/strong>, <strong>Saskatoon<\/strong>, <strong>Kelowna (BC)<\/strong>, and <strong>St. John&#8217;s (NL)<\/strong> have sustained neurologist shortages and actively recruit through provincial specialist incentive programs, often offering signing bonuses, relocation support, and academic appointments.<\/p>\n<hr \/>\n<h2><span class=\"ez-toc-section\" id=\"Popular_Companies_Healthcare_Organizations_Hiring_Neurologists\"><\/span>Popular Companies &amp; Healthcare Organizations Hiring Neurologists<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Neurologists in Canada are employed or contracted by academic health sciences centres, regional hospital authorities, and specialty neurology clinics \u2014 many of which actively support LMIA applications and IMG specialist recruitment programs.<\/p>\n<ul>\n<li><strong>University Health Network (UHN) \/ Toronto Western Hospital<\/strong> \u2014 Toronto; one of Canada&#8217;s leading neurology programs with academic and clinical roles across stroke, epilepsy, movement disorders, and neuromuscular disease<\/li>\n<li><strong>Montreal Neurological Institute and Hospital (The Neuro, McGill University)<\/strong> \u2014 Montreal, QC; one of the world&#8217;s foremost neuroscience centres; bilingual roles, French proficiency required<\/li>\n<li><strong>The Ottawa Hospital Neurosciences Program<\/strong> \u2014 Ottawa, ON; comprehensive stroke, epilepsy, and MS neurology roles<\/li>\n<li><strong>Alberta Health Services (AHS) Neurosciences Program<\/strong> \u2014 Province-wide academic and community neurology positions across Calgary and Edmonton<\/li>\n<li><strong>Sunnybrook Health Sciences Centre<\/strong> \u2014 Toronto; stroke and neurology program with roles in vascular neurology and cognitive neurology<\/li>\n<li><strong>Hamilton Health Sciences \/ McMaster University<\/strong> \u2014 Hamilton, ON; academic neurology and stroke roles<\/li>\n<li><strong>Vancouver General Hospital \/ UBC Hospital (Vancouver Coastal Health)<\/strong> \u2014 BC neurology programs including MS clinic and epilepsy monitoring<\/li>\n<li><strong>IWK Health Centre \/ QEII Health Sciences Centre<\/strong> \u2014 Halifax, NS; adult and paediatric neurology recruitment for Atlantic Canada<\/li>\n<li><strong>Health Match BC<\/strong> \u2014 Provincial neurology specialist recruitment for British Columbia communities<\/li>\n<li><strong>Health Force Ontario \/ HOMRA<\/strong> \u2014 Provincial specialist recruitment coordinating neurologist placements in underserved Ontario regions<\/li>\n<\/ul>\n<hr \/>\n<h2><span class=\"ez-toc-section\" id=\"Salary_and_Employee_Benefits_for_Neurologists_in_Canada\"><\/span>Salary and Employee Benefits for Neurologists in Canada<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Neurologists are among the well-compensated specialist physicians in Canada. National average gross annual earnings for Neurologists in Canada are around <strong>CAD $350,000\u2013$550,000+<\/strong>, with significant variation by subspecialty (interventional and vascular neurologists typically earn more), province, practice model, and procedural volume.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"National_Earnings_Overview\"><\/span>National Earnings Overview<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><strong>General \/ Outpatient Neurologist (fee-for-service):<\/strong> CAD $320,000\u2013$480,000+<\/li>\n<li><strong>Vascular Neurologist \/ Stroke Specialist:<\/strong> CAD $380,000\u2013$560,000+<\/li>\n<li><strong>Epileptologist:<\/strong> CAD $360,000\u2013$520,000+<\/li>\n<li><strong>Academic \/ Salaried Neurologist (APM):<\/strong> CAD $260,000\u2013$400,000<\/li>\n<li><strong>Rural \/ Regional Neurologist (with incentives):<\/strong> CAD $450,000\u2013$700,000+<\/li>\n<\/ul>\n<p>Rural, regional, and underserved community neurologist roles typically include signing bonuses (CAD $30,000\u2013$100,000+), relocation allowances, subsidized housing, research funding, and retention bonuses that substantially increase total compensation packages.<\/p>\n<blockquote><p><a href=\"https:\/\/www.jobservicehub.com\/ca\/job\/home-care-lpn-lmia-sponsored-work-permit-canada\/\">Home Care LPN \u2013 LMIA Sponsored Work Permit Canada<\/a><\/p><\/blockquote>\n<hr \/>\n<h2><span class=\"ez-toc-section\" id=\"Qualifications_and_Skills_Required\"><\/span>Qualifications and Skills Required<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>To work as a Neurologist in Canada, internationally educated physicians (IMGs) must complete a multi-step credentialing, examination, residency, and fellowship process regulated by the Medical Council of Canada, the Royal College of Physicians and Surgeons of Canada, and provincial Colleges of Physicians and Surgeons.<\/p>\n<ul>\n<li><strong>Medical Degree:<\/strong> A recognized medical degree (MBBS, MD, MBChB, or equivalent) from an accredited institution; assessed for recognition by the Medical Council of Canada (MCC) and provincial regulatory bodies.<\/li>\n<li><strong>MCC Qualifying Examinations:<\/strong> Pass the Medical Council of Canada Qualifying Examination Part I (MCCQE1) and Part II; prerequisites for specialist licensure in all provinces.<\/li>\n<li><strong>Internal Medicine or Neurology Residency:<\/strong> Completion of a recognized postgraduate neurology residency (typically 4\u20135 years in Canada including core training); IMGs apply through the Canadian Resident Matching Service (CaRMS), which is highly competitive for specialist streams.<\/li>\n<li><strong>Neurology Fellowship:<\/strong> Subspecialty fellowship training in areas such as stroke\/vascular neurology, epilepsy, multiple sclerosis, movement disorders, neuromuscular disease, or neuro-oncology adds 1\u20132 additional years and significantly enhances employability.<\/li>\n<\/ul>\n<hr \/>\n<h2><span class=\"ez-toc-section\" id=\"How_to_Apply_for_Neurologist_Jobs_in_Canada_LMIA-Approved_as_a_Foreigner\"><\/span>How to Apply for Neurologist Jobs in Canada (LMIA-Approved as a Foreigner)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The pathway to practising as a Neurologist in Canada as an internationally educated physician is among the most rigorous of any medical specialty, requiring sequential credentialing, examination, residency, and fellowship training. Follow these steps:<\/p>\n<ol>\n<li><strong>Obtain MCC Source Verification:<\/strong> Register with the Medical Council of Canada (MCC) Physician Credentials Repository (MCCPCR) and submit your medical degree, postgraduate training, and neurology credentials for source verification \u2014 begin this process as early as possible.<\/li>\n<li><strong>Pass the MCCQE Part I and II:<\/strong> Write and pass both Medical Council of Canada Qualifying Examinations; these are prerequisites for residency applications and specialist licensure in all provinces.<\/li>\n<li><strong>Apply Through CaRMS:<\/strong> Apply to Canadian neurology residency programs through the Canadian Resident Matching Service (CaRMS); competition for IMG specialist residency positions is high \u2014 a strong application requires letters of reference, evidence of neurology training, and recent clinical practice documentation.<\/li>\n<\/ol>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/#Key_Facts\" >Key Facts<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/#Popular_Canadian_Cities_Regions_Hiring_Neurologists\" >Popular Canadian Cities &amp; Regions Hiring Neurologists<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/#Popular_Companies_Healthcare_Organizations_Hiring_Neurologists\" >Popular Companies &amp; Healthcare Organizations Hiring Neurologists<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/#Salary_and_Employee_Benefits_for_Neurologists_in_Canada\" >Salary and Employee Benefits for Neurologists in Canada<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/#National_Earnings_Overview\" >National Earnings Overview<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/#Qualifications_and_Skills_Required\" >Qualifications and Skills Required<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/#How_to_Apply_for_Neurologist_Jobs_in_Canada_LMIA-Approved_as_a_Foreigner\" >How to Apply for Neurologist Jobs in Canada (LMIA-Approved as a Foreigner)<\/a><\/li><\/ul><\/nav><\/div>\n","protected":false},"author":1,"featured_media":200385,"template":"","meta":{"_promoted":"","_job_location":"","_application":"admin@jobservicehub.com","_company_name":"IWK Health Centre","_company_website":"","_company_tagline":"","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"CAD","_job_salary_unit":"HOUR","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"job-categories":[565],"job-types":[2],"class_list":{"0":"post-200836","1":"job_listing","2":"type-job_listing","3":"status-publish","4":"has-post-thumbnail","5":"","7":"job-type-full-time"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Neurologist \u2013 LMIA Job Offer Canada Hiring - April 2026<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neurologist \u2013 LMIA Job Offer Canada Hiring - April 2026\" \/>\n<meta property=\"og:description\" content=\"Neurologists in Canada are specialist physicians who diagnose, treat, and manage diseases and disorders of the brain, spinal cord, peripheral nervous system, and neuromuscular system. Demand for Neurologists in Canada is strong and growing, driven by an aging population with rising rates of stroke, dementia, and neurodegenerative disease. International Medical Graduates (IMGs) with neurology training &hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/\" \/>\n<meta property=\"og:site_name\" content=\"JobserviceHub\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.jobservicehub.com\/ca\/wp-content\/uploads\/2026\/03\/LMIA-Approved-Immediate-Hiring-Canada-Full-Time.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"616\" \/>\n\t<meta property=\"og:image:height\" content=\"724\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/job\\\/neurologist-lmia-job-offer-canada-hiring\\\/\",\"url\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/job\\\/neurologist-lmia-job-offer-canada-hiring\\\/\",\"name\":\"Neurologist \u2013 LMIA Job Offer Canada Hiring - April 2026\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/job\\\/neurologist-lmia-job-offer-canada-hiring\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/job\\\/neurologist-lmia-job-offer-canada-hiring\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/i0.wp.com\\\/www.jobservicehub.com\\\/ca\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/LMIA-Approved-Immediate-Hiring-Canada-Full-Time.jpg?fit=616%2C724&ssl=1\",\"datePublished\":\"2026-03-08T06:04:24+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/job\\\/neurologist-lmia-job-offer-canada-hiring\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/job\\\/neurologist-lmia-job-offer-canada-hiring\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/job\\\/neurologist-lmia-job-offer-canada-hiring\\\/#primaryimage\",\"url\":\"https:\\\/\\\/i0.wp.com\\\/www.jobservicehub.com\\\/ca\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/LMIA-Approved-Immediate-Hiring-Canada-Full-Time.jpg?fit=616%2C724&ssl=1\",\"contentUrl\":\"https:\\\/\\\/i0.wp.com\\\/www.jobservicehub.com\\\/ca\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/LMIA-Approved-Immediate-Hiring-Canada-Full-Time.jpg?fit=616%2C724&ssl=1\",\"width\":616,\"height\":724,\"caption\":\"LMIA Approved | Immediate Hiring Canada Full-Time\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/job\\\/neurologist-lmia-job-offer-canada-hiring\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Neurologist \u2013 LMIA Job Offer Canada Hiring\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/#website\",\"url\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/\",\"name\":\"Visa Sponsorship Jobs\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.jobservicehub.com\\\/ca\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Neurologist \u2013 LMIA Job Offer Canada Hiring - April 2026","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.jobservicehub.com\/ca\/job\/neurologist-lmia-job-offer-canada-hiring\/","og_locale":"en_US","og_type":"article","og_title":"Neurologist \u2013 LMIA Job Offer Canada Hiring - April 2026","og_description":"Neurologists in Canada are specialist physicians who diagnose, treat, and manage diseases and disorders of the brain, spinal cord, peripheral nervous system, and neuromuscular system. 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