I'm on 140.4.0esr (64-bit) on LInux, and the extension installed perfectly, but I didn't see it on the UI anywhere, or in any menus. I stopped and re-started TB, still not there.
I looked under Tools in the hamburger menu. Not there. Then for fun I turned on the menu bar which is normally off, and it showed under Tools. Crazy. But it worked.
I'm using TB under Linux. This can cause a lot of confusion for people who don't realize the remove dupes button is not hidden on the menu bar. By the way, amazing addon. My folders were a mess with duplicates.