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1. Occasionally. Usually denotes a relatively short (but indeterminate) amount of time.
Far off he heard the city's hum and noise,
And now and then the shriller laughter where
The passionate purity of brown-limbed boys
Wrestled or raced in the clear healthful air...   Charmides I. by Oscar Wilde
Now and then a visitor wept, to be sure; but this slaughtering machine ran on, visitors or no visitors. It was like some horrible crime committed in a dungeon, all unseen and unheeded, buried out of sight and of memory...   The Jungle, Chapter 3 by Upton Sinclair
2. Used to juxtapose (or simply qualify the time between) two distinct time periods. This usage is similar to, but less common than then and now.

And I am pushing my publishing house... I've got to earn $50,000 for it between now and then--which I will do if I keep my health.   A Letter to Joe T. Goodman from Mark Twain (Samuel Clemens).

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