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For each derivative, the current exponent multiplies the result and the exponent is reduced by 1. Since ∏ p = 2 0 1 9 − 9 9 2 0 1 9 + 0 p = 1 9 1 9 ! 2 0 1 9 ! is true, the result is 1 9 1 9 ! 2 0 1 9 ! x 1 9 1 9 .