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I've got strong associations with the American girl doll, too! Though now as I look at the stats for when the character in the books would've been born, I guess it's not as classic as I assumed either...

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I think it's gotten a little trendy lately, and I'm not fond of Sam either. There's also no other obvious nicknames. So personally I wouldn't use it as a FN. I think it could work as a MN.