0391 is not a country code. Numbers inside a country start like this: Magdeburg (Germany), Jiaozuo, Henan (China), Orikum, Vlorë (Albania), TNM (Malawi). The first digit 0 is the trunk prefix for domestic calls and is dropped from abroad.
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| Area or operator | From abroad | Inside the country |
|---|---|---|
 Magdeburg · Germany | +49 391 … | 0391 … |
 Jiaozuo, Henan · China | +86 391 … | 0391 … |
 Orikum, Vlorë · Albania | +355 391 … | 0391 … |
 TNM · Malawi | +265 391 … | 0391 … |
If a number starts with +, the first 1–3 digits are the country code. If it starts with 0 (8 in Russia and Kazakhstan), it is a domestic number: an area or operator code follows, and from abroad the 0 or 8 is replaced with + and the country code. The same digits can mean different places, so where the call came from matters.