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Invalid Query Results

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Okay, I admit I've had a long day and that my eyes and brain need a break. But -
If Table1 has 2 entries each for Cust_Id (600145 & 600136), Payer (MLTSS) and Therapy (Structured Day) : {Total entries = 4} and
If Table 2 has 2 entries each for Cust_Id (600145 & 600136), Payer (MLTSS) and Therapy (Structured Day) : {Total entries = 4}
How could Query 1 return 8 records if the tables are joined on cust_id, Therapy and Payer?
See attached please.

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