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Do you only change it depending on the Canadian location? What do you do for US visitors? Googlebot sees what you give to people in the US. Here is what they see, which is what I see viewing the page from Texas. http://webcache.googleusercontent.com/search?q=cache:nBPI0a8zKqQJ:www.sja.ca/English/Community-Services/Pages/Therapy%2520Dog%2520Services/default.aspx+&cd=1&hl=en&ct=clnk&gl=us I assume there is content on this page other than what I am seeing. So duplicate content is not your problem, lack of content is. Google operates on a per country basis, but even knowing that I would still suggest different pages for different regions if the content is really different.