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General NPI Number Information
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NPI Number | 1528796869
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Entity Type | Individual
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Provider Name | VICTOR HUGO DA COSTA BENALI MD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2022
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 800 PRUDENTIAL DR STE 1100
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8202
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Country | US
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Telephone | 904-388-6518
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Fax | 904-384-1005
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Provider Business Mailing Address
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Address Line | PO BOX 746647
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City | ATLANTA
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State | GA
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Zip | 30374-6647
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Country | US
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Telephone | 904-202-2092
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Fax | 904-376-4075
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME170429
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 036.173112
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 86127-20
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 86127-20
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License Number State | WI
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