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Accounts Receivable and Allowance for Doubtful Accounts (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Allowance For Doubtful Accounts And Unbilled Services [Abstract]        
Provision for doubtful accounts $ 7,300 $ 3,200 $ 13,552 $ 11,951