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You may not know just by hearing it. You may need to consider the setting or do some further detective work to determine the basis for the address as doctor. You could ask other people you trust, friends or co-workers. You could try performing an online search of the name to see if any professional information comes up. You could look for some place where the person is mentioned in print to see if there is a MD or a PhD after their name.

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13y ago
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Q: When you hear Dr Smith how do you know if it is a MD or someone with an educational doctorate?
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