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General NPI Number Information
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NPI Number | 1447396536
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Entity Type | Individual
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Provider Name | LYRA AZALIA SIHRA MD
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 3120 CLEARWATER DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-7131
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Country | US
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Telephone | 928-771-3704
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Fax | 928-771-0434
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Provider Business Mailing Address
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Address Line | PO BOX 10880
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City | PRESCOTT
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State | AZ
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Zip | 86304-0880
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Country | US
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Telephone | 602-406-4786
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Fax | 916-636-4358
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number | J8772
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J8772
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | J8772
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | J8772
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 73140
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License Number State | AZ
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