How are scammers able to use numbers from my local area....?

i have an AT&T mobile number and i constantly get phone calls from the same area code and prefix as my own. I’ve also gotten phone calls from people “returning missed calls” they’ve received from my number. I’m just confused as to how all this is possible? can someone give me some kind of explanation?

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Many of them spoof numbers so that could be the case but iv also seen them target certain states or cities so they might also be doing that.