{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ALAINA BROKAW, LPC, LLC",
"LastName": null,
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"OtherLastName": null,
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"FirstLineMailingAddress": "89 FINLEY ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MANCHESTER",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06040-5615",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-859-7949",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "49 TOLLAND TURNPIKE",
"SecondLinePracticeLocationAddress": "#203F",
"PracticeLocationAddressCityName": "MANCHESTER",
"PracticeLocationAddressStateName": "CT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-222-7073",
"PracticeLocationAddressFaxNumber": "860-215-4180",
"EnumerationDate": "02/09/2023",
"LastUpdateDate": "11/17/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BROKAW",
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"AuthorizedOfficialCredential": "LPC",
"AuthorizedOfficialTelephoneNumber": "860-859-7949",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}