Answer
3780
Work Step by Step
The number of permutations of n items, where p items are identical, q items are
identical, r items are identical, and so on, is given by
$\frac{n!}{p!q!r!}$
The number of distinct ways the letters of the word TENNESSEE can be arranged:
$\frac{9!}{4!2!2!}$ = 3780 ways