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James, who finished with 26 points, took the ball at the top of the key, drove through the lane and put Cleveland up 90-88. After a Philadelphia miss, Cleveland forward Joe Smith was fouled and made one free throw.
Andre Iguodala, who led the 76ers with 19 points, missed a 3-pointer at the buzzer.
Trailing 86-82, Cavaliers guard Delonte West hit two 3-pointers to tie the game at 88 with 1:13 to play. West finished with 18 points.
James, who made 4-of-17 shots in Saturday's loss to Detroit, was 11-of-18 from the field with nine rebounds and nine assists.
The Cavaliers had lost three in a row and seven of nine.
The surging 76ers lost consecutive games for the first time since Feb. 1-4. Philadelphia has won seven of 10 and went 11-4 in March.
Louis Williams scored 17 and Andre Miller added 16 for Philadelphia.
Philadelphia controlled the first half, leading by as many as 11 points. The Cavaliers took their first lead, 53-51, on Devin Brown's 3-pointer with 7:26 left in the third quarter. The scored was tied 68-68 after three quarters.
Cavaliers coach Mike Brown benched shooting guard Sasha Pavlovic, who is 15-of-47 from the field in his last five games and started Devin Brown.
Notes: Cleveland played without forward Ben Wallace, who missed the game because of back spasms. Cleveland's injury problems continued when guard Daniel Gibson left the game in the third quarter because of soreness in his left ankle. He returned to the lineup after missing 18 games because he sprained the ankle on March 29.
[Associated Press]
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