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Not american, and not middle names, but I know that a Madhabhushi Venkata Narasimha Sesha Pundarikaksha Madhava Ravikumar was allowed to use initials in many places which demand `full names', so I do not think a longer name would have been much of a problem either.

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Incidentally, we often called him A-to-Z (that is zed in India), even though his name actually does not contain all the letters. (And I may have got the spelling wrong: I remember it was 61 long, letters not counting spaces).