Hi Jane,
Thanks for the response.
I'm familiar with the process of asking for link takedowns and for going through the disavowal process - the main thing I'm asking is whether or not having **identical **links is harmful - the pagerank for several of the linking sites is quite high, the backlink itself is an endnote to what looks to be a repeating set of glossaries about a medical procedure... many other backlinks are completely unambiguous about whether or not they should be removed altogether, but I'm looking for a bit of clarification as to whether or not it's ok to have that many identical links in terms of google's hamfisted approach to penalizing.
Thanks