When I was getting a new line for some relatives, I found that when going through the web checkout process you could select your phone number out of 5 choices before completing the purchase. I thought that was pretty bad design as it shows which numbers are most likely going to be new. It would be pretty easy to scrape that page and create a spam list.
Sure enough, it didn’t take long for the new number to start receiving spam.
Oh God, I can’t imagine needing to use a needle right where you were stung already. I’d blanche if I were told that too.