Was the weight of the vehicle on the tire? Was it moved with it flat? If both are true, it should be replaced. If the tire was pinched by the rim anywhere, it should be replaced. If it was just a spare tire/rim combo, then it's fine, but you might want to figure out why it went flat and address that issue. If this is a cheap China bomb ST tire I would replace it and not take the chance, or rotate it to spare duty and watch the pressure.
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