| Top 2016 Virginia Presidential Republican Counties by Percentage |
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| Rank | Region | Votes | % of Votes |
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| 1 | Scott County | 8,242 | 82.0 | | 2 | Bland County | 2,572 | 82.3 | | 3 | Tazewell County | 15,160 | 82.0 | | 4 | Lee County | 7,542 | 80.6 | | 5 | Wise County | 11,983 | 79.9 | | 6 | Buchanan County | 7,292 | 79.1 | | 7 | Carroll County | 10,653 | 78.4 | 
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