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06-001 TOTAL STATE OF TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH RELATED BOARDS 227 FRENCH LANDING SUITE 300 HERITAGE PLACE METRO CENTER NASHVILLE TN 37243 www. Tennessee. gov TENNESSEE BOARD OF MEDICAL EXAMINERS 615 532-3202 ext. 24384 OR 800 778-4123 ext. 24384 APPLICATION FOR A TELEMEDICINE LICENSE ATTACH THE FOLLOWING TO THIS APPLICATION AND MAIL TO Tennessee Board of Medical Examiners 227 French Landing Suite 300 Heritage Place Metro Center Nashville TN 37243 37228 for overnight...
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Nashville, TN 37203. If you do not have the above three items attached for your office, please enclose 75.00 of application fees along with your application. Applications are accepted in person by completing the form on the application page of our website at no charge and return it to us no later than the first day of each month. Tennessee Dept.

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