Just wanted to follow up that I solved the issue. The extruder gears were extremely worn. I replaced them and it is now printing better than it has in months. I want to add this is not a production printer running 24/7. I do use it a lot (4194 total print hours), but I am surprised the gears wore down this quickly. I have some cheaper printers running years without this kind of wear. Maybe it is due to the speed differences. Regardless, I am happy to be back up and running!
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