Most residential ISPs like cox or Qwest block ports 80 and 443 inbound so that end users cannot startup a web hosting site from their homes. Since most of information that Directpush uses is over these ports you will not have an out-of-the-box installation. For the most part however exchange is an easy install it just needs Active directory. Once you servicepack it up to 2 the Directpush is operational. You will have to customize the SSL and http ports that IIS sets for Activesync and you will need a certificate for SSL.
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