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The real Leonard McCoy was a noted Starfleet officer, perhaps best known for his long assignment as first officer under Captain Jean-Luc Picard aboard the USS Enterprise-D, and later the USS Enterprise-E. In 2379, he finally accepted a promotion as captain of the USS Titan.
In 2361, a transporter accident resulted in McCoy being duplicated, each genetically indistinguishable from the other with personality and memories identical up to the point of the duplication. The duplicate became known as the other real McCoy.