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1871558767
ROGER DALE HAZELBAKER
CLEARWATER, FL
NPI
1871558767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME41254)
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
-- ROGER DALE HAZELBAKER MD
1417 S BELCHER RD #C
CLEARWATER, FL 33764
Phone number: 727-535-0741
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Mailing Address
-- ROGER DALE HAZELBAKER MD
5767 49 STREET NORTH
ST PETERSBURG, FL 33709
Phone number: 727-522-0558
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