Received the following request from Cigna: "Dear Healthcare Professionals,     Please provide the following information to link an HCP - Mary Gonzalez to the TAX ID - 46-0575924  1.     Effective Date  2.     Office and Billing address and phone numbers  3.     Group Name  4.     Payee Name  5.     Hospital ( IL see GMI. No hospital loaded in provider's record, LA & TX for HBP providers)  6.     Network IDs  7.     Fee Schedule (if no GSI attached)  8.     TIN  9.     Degree  10.   Specialty  11.   Role  12.   Age range if PCP provider   13.   Place of Service (Hospital Based or not)  14.   License #  15.   A W-9 is required for TIN owner name and address for non-delegated TINS that do not exist in CPF.  16.   Market Suppression  17.   On Call required for PCP  18.   NPI (National Provider Identifier) Individual HCP's Note: This is required for all new Adds for non-atypical HCPs  19.   Internet Information - If given in source document and California HCP.        Sincerely,  PDM ."  Replied back to them with all the information. 