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SELECT table.Fname, table.lname, table.id
FROM table
WHERE (((Left([table.Fname],2)) In (SELECT Left([Fname],2) FROM [table] As Tmp GROUP BY Left([Fname],2),Left([lname],2) HAVING Count(*)>1 And Left([lname],2) = left([table].[lname],2))))
ORDER BY Left([table.Fname],2), Left([table.lname],2);