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It was created by Brand-Falsey Productions, which was recognized with a rare pair of consecutive Peabody Awards in 1991-92 for the show's "depict[ion] in a comedic and often poetic way, the cultural clash between a transplanted New York doctor and the townspeople of fictional Cicely, Alaska" and its stories of how "people of diverse backgrounds and experiences strive to accept their differences and co-exist."Critic John Leonard called Northern Exposure "the best of the best television in the past 10 years."

A total of 110 episodes of the show were produced. It received a trial run by CBS as an eight-episode summer replacement series in 1990. It returned for seven more episodes in spring 1991, then became a regular part of the network's schedule in 1991-92, 1992-93, and 1993-94, three seasons during which the show was among the top 20 in the ratings. Its last season, 1994-95, included a gap during May sweeps when CBS broadcast other programming.

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