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https://steamcommunity.com/sharedfiles/filedetails/?id=2402786490
You don't need to use any of the mods under the Optional header if you don't want to.
Also take note of Steam's backup feature, which can reduce reinstall times to 3 minutes for New Vegas.
The only thing I could suggest, that probably won't help, is starting a new game if it happens, then loading the old save to see if the issue persists.
Did you delete Documents/Games/FalloutNV when you uninstalled?
With Microsoft having removed DirectX End User Runtimes, these games may not be on Steam for much longer.
Enjoy them while you can, ladies and gentlemen. Buy your copies at GoG as soon as possible.