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Successive awards are denoted by Service Stars worn on the award medal
It differs from other military decorations in that a "recommendation" from a superior is not required
1â2 inch outside the collar edge
Identification badges are worn as follows
Navy Distinguished Service Anodized Medal SBBA~Double~11057DBR Successive awards are denoted byNavy Distinguished Service Anodized Medal The Navy Distinguished Service Medal (DSM) is a decoration presented by the United States Navy to recognize members who have provided exceedingly valuable service to the United States Government. This award is given to individuals with outstanding responsibility and is generally reserved for senior Navy Flag and Marine Corps General Officers. Subsequent awards are denoted by gold award stars worn on the award
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