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NEC Nijmegen was the Dutch club where Elmander played. He joined the club in 2000 and spent four seasons there, making over 100 appearances and scoring 30 goals. During his time at NEC, Elmander helped the club win the Dutch Cup in 2003 and was named the club's Player of the Year in 2004. He left NEC in 2004 to join Feyenoord.