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In the words of my attorney ex-wife, "it depends."
I never insist or even suggest that I'm called "Dr." in my current professional life. I have "Ph.D." on my biz card, but not "Dr." and rarely get addressed as such. I add the degree on my cards as I have one foot in academia and another in military and another in the industry, and it helps open doors and lends some initial gravitas.
The only time that I was regularly referred to as "Dr." was when I was a professor. In that case, I didn't believe in the "first name basis" thing with students (these were undergrads - grad students are different), so I was referred to by my students as "Dr." or "professor." But my colleagues or staff? First name...
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