Usually means: Genetically identical sibling from conception.
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We found 17 dictionaries that define the word identical twin:

General (15 matching dictionaries)
  1. identical twin: Merriam-Webster
  2. identical twin: Collins English Dictionary
  3. identical twin: Vocabulary.com
  4. identical twin: Cambridge Advanced Learner's Dictionary
  5. identical twin: Wiktionary
  6. identical twin: Infoplease Dictionary
  7. identical twin: Dictionary.com
  8. Identical twin: Wikipedia, the Free Encyclopedia
  9. identical twin: Rhymezone
  10. identical twin: FreeDictionary.org
  11. identical twin: Mnemonic Dictionary
  12. identical twin: TheFreeDictionary.com
  13. identical twin: Longman Dictionary of Contemporary English

Science (1 matching dictionary)
  1. DOE Genome Glossary (No longer online)

Slang (1 matching dictionary)
  1. identical twin: Urban Dictionary

(Note: See identical_twins as well.)

Definitions from Wiktionary (identical twin)

noun:  One of exactly two siblings produced from the splitting of a single zygote.

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