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PHONE: (615) 2917039 Ext. 502368 Faxes: (615) 5649085 MIDDLE TN PRACTITIONER INTEREST FORM PLEASE PRINT Contact Person: Date: Provider Name: NPI #: Provider Telephone #: Provider Fax #: Counties Served:

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What is middle tn practitioner interest?

Middle TN practitioner interest refers to the interest that practitioners in Middle Tennessee have in certain professional activities or organizations.

Who is required to file middle tn practitioner interest?

All practitioners in Middle Tennessee are required to file their interests as per the regulations.

How to fill out middle tn practitioner interest?

Middle TN practitioners can fill out their interests by providing accurate and detailed information on their professional activities and associations.

What is the purpose of middle tn practitioner interest?

The purpose of filing middle TN practitioner interest is to promote transparency and accountability in professional practices in the region.

What information must be reported on middle tn practitioner interest?

Middle TN practitioners must report details of their professional affiliations, financial interests, and any potential conflicts of interest.

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