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You Dont
http://www.nexusmods.com/newvegas/mods/55085/?
You need the MCM, or Mod Configuration menu though. This method does not disable achievements.
Or simply save and restart the game like BD said.
Or use the FOV mod above, which is more versatile and much easier to use.
Better yet, use http://www.nexusmods.com/newvegas/mods/40442/ and be able to tweak pretty much EVERY graphics setting the game has. :D