A woman has died in hospital after her car and a truck collided head-on at Balladoran, north of Dubbo, on Tuesday afternoon, police confirmed.
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The 28-year-old woman was driving a Holden Commodore along Milpulling Road, about 1.5 kilometres west of the Newell Highway intersection when it and a Hino truck collided.
Police said the car became trapped under the truck, which had overturned as a result of the collision.
The woman was trapped in the wreckage before being extricated by SES personnel.
She was flown to Westmead Hospital in a critical condition and rushed into emergency surgery but later died, police said.
The truck driver, a 54-year-old man, was not injured.
He was taken to Gilgandra District Hospital for mandatory blood and urine tests.
Officers from Orana Local Area Command established a crime scene.
Police said specialist crash investigators were working to determine the circumstances behind the crash.